Clinical Classification of Healing Complications and Management in Guided Bone Regeneration Procedures with a Nonresorbable d-PTFE Membrane

Vroom, Melle G; Gründemann, Lodewijk Jmm; Gallo, Pier

doi:10.11607/prd.5590

Cited by 9 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The porous structure of e-PTFE facilitates nutrient transport and has proven its clinical stability and excellent biocompatibility [ 15 , 28 ]. Although there is still controversy regarding the relationship between membrane type and exposure rate [ 14 , 41 ], a clinical systematic evaluation showed a significantly higher incidence of membrane exposure for non-absorbable membranes (20%) than for absorbable membranes (5%) [ 42 ]. A meta-analysis of membrane exposure noted that areas without membrane exposure achieved 74% higher horizontal bone gain than areas with membrane exposure in edentulous ridges [ 12 ].…”

Section: Nonabsorbable Barrier Membranesmentioning

confidence: 99%

“…A meta-analysis of membrane exposure noted that areas without membrane exposure achieved 74% higher horizontal bone gain than areas with membrane exposure in edentulous ridges [ 12 ]. Conventional e-PTFE membranes demonstrated a weak barrier effect against bacterial infection after membrane exposure, which increases the difficulty of postoperative care and the risk of bone regeneration failure [ 41 ]. In contrast, dense polytetrafluoroethylene (d-PTFE) is a less porous form of polytetrafluoroethylene, which has also been on the market for many years, especially in combination with titanium grids for an enhancement of the volume stability (see next paragraph).…”

Section: Nonabsorbable Barrier Membranesmentioning

confidence: 99%

See 1 more Smart Citation

Barrier Membranes for Guided Bone Regeneration (GBR): A Focus on Recent Advances in Collagen Membranes

Ren

Fan

Alkildani³

et al. 2022

IJMS

View full text Add to dashboard Cite

Guided bone regeneration (GBR) has become a clinically standard modality for the treatment of localized jawbone defects. Barrier membranes play an important role in this process by preventing soft tissue invasion outgoing from the mucosa and creating an underlying space to support bone growth. Different membrane types provide different biological mechanisms due to their different origins, preparation methods and structures. Among them, collagen membranes have attracted great interest due to their excellent biological properties and desired bone regeneration results to non-absorbable membranes even without a second surgery for removal. This work provides a comparative summary of common barrier membranes used in GBR, focusing on recent advances in collagen membranes and their biological mechanisms. In conclusion, the review article highlights the biological and regenerative properties of currently available barrier membranes with a particular focus on bioresorbable collagen-based materials. In addition, the advantages and disadvantages of these biomaterials are highlighted, and possible improvements for future material developments are summarized.

show abstract

Section: Nonabsorbable Barrier Membranesmentioning

confidence: 99%

Section: Nonabsorbable Barrier Membranesmentioning

confidence: 99%

Barrier Membranes for Guided Bone Regeneration (GBR): A Focus on Recent Advances in Collagen Membranes

Ren

Fan

Alkildani³

et al. 2022

IJMS

View full text Add to dashboard Cite

show abstract

“…In 61 sites, 41 sites healed uneventfully, while 20 sites presented with a variable degree of 3D-PITM exposure (32.8%). Among all 20 exposed sites, according to the classification of the nonabsorbable membrane (Fontana et al, 2011) 3, Tables S5 and S6. 4 and S7 The relationship between the type of pseudo-periosteum and exposure is shown in Table S8.…”

Section: D-pitm Exposure and The Influence Factorsmentioning

confidence: 99%

Application of three‐dimensional printing individualized titanium mesh in alveolar bone defects with different Terheyden classifications: A retrospective case series study

Nan

Wang

et al. 2023

Clinical Oral Implants Res

View full text Add to dashboard Cite

Objective To present the results of guided bone regeneration (GBR) with three‐dimensional printing individualized titanium mesh (3D‐PITM) applied to alveolar bone defects with different Terheyden classifications and the factors affecting the osteogenic outcome. Materials and Methods Fifty‐nine patients, presenting with 61 defect sites, were enrolled between 2018 and 2021. GBR+3D‐PITM was obtained with simultaneous or second stage implant placement. The complication rate, the success rate of the bone grafting procedure and the survival rate of the implant were documented. Bone gain, thickness of pseudo‐periosteum and peri‐implant marginal bone loss (MBL) were measured through digital methods by imaging data (CBCT and X‐ray). Results Out of 61 sites, 20 were exposed (exposure rate: 32.8%). The width, height, and volume bone gain at P3 (mesh removal) were 5.22 ± 3.19 mm, 5.01 ± 2.83 mm, and 588.91 ± 361.23 mm3, respectively. From P2 (3D‐PITM+GBR) to P3, changes in bone gain were not statistically different in the different Terheyden classifications, the occurrence of exposure (p < .001 for all dimensions) and the different type of pseudo‐periosteum (p = .030 for width and p = .002 for height) were significantly correlated with the reduction of bone gain. Terheyden classification of the defect sites was significantly associated with the occurrence of exposure (p = .014) and types of the pseudo‐periosteum (p = .015). Conclusion The 3D‐PITM can be used in alveolar bone defects with different Terheyden classification, but cases with severe vertical bone defects have a greater chance of the 3D‐PITM exposure and the exposure can affect the outcome of bone augmentation.

show abstract

“…Not only can GTR membranes hinder epithelial and connective tissues ingrowth, but they also obstruct blood flow gingival soft tissue commonly recedes, which exposes the membrane to the oral cavity and increases the risk of re-infection. e-Polytetrafluoroethylene (e-PTFE) membranes are more susceptible to such membrane exposure [58]. According to a number of prior research, such bacterial re-infection will surely affect the clinical outcome of periodontal tissue recovery.…”

Section: Antimicrobial Impact Of Periodontal Regeneration Scaffoldsmentioning

confidence: 99%

“…The antibacterial activity of chitosan has been proven in vivo and in vitro against a variety of microorganisms, including Gram-positive and Gram-negative bacteria, yeast, fungus, and algae, making it a promising option as an antimicrobial agent in solution, film, and composite [58][59][60][61][62][63]. This antibacterial characteristic of chitosan has been linked to its cationic composition.…”

Section: Antimicrobial Impact Of Periodontal Regeneration Scaffoldsmentioning

confidence: 99%

Impact exerted by scaffolds and biomaterials in periodontal bone and tissue regeneration engineering: new challenges and perspectives for disease treatment

Santonocito

Ferlito²,

Polizzi

et al. 2023

Exploration of Medicine

View full text Add to dashboard Cite

The periodontium is an appropriate target for regeneration, as it cannot restore its function following disease. Significantly, the periodontium's limited regenerative capacity could be enhanced through the development of novel biomaterials and therapeutic approaches. Notably, the regenerative potential of the periodontium depends not only on its tissue-specific architecture and function but also on its ability to reconstruct distinct tissues and tissue interfaces, implying that the development of tissue engineering techniques can offer new perspectives for the organized reconstruction of soft and hard periodontal tissues. With their biocompatible structure and one-of-a-kind stimulus-responsive property, hydrogels have been utilized as an excellent drug delivery system for the treatment of several oral diseases. Furthermore, bioceramics and three-dimensional (3D) printed scaffolds are also appropriate scaffolding materials for the regeneration of periodontal tissue, bone, and cartilage. This work aims to examine and update material-based, biologically active cues and the deployment of breakthrough bio-fabrication technologies to regenerate the numerous tissues that comprise the periodontium for clinical and scientific applications.

show abstract

Clinical Classification of Healing Complications and Management in Guided Bone Regeneration Procedures with a Nonresorbable d-PTFE Membrane

Cited by 9 publications

References 0 publications

Barrier Membranes for Guided Bone Regeneration (GBR): A Focus on Recent Advances in Collagen Membranes

Barrier Membranes for Guided Bone Regeneration (GBR): A Focus on Recent Advances in Collagen Membranes

Application of three‐dimensional printing individualized titanium mesh in alveolar bone defects with different Terheyden classifications: A retrospective case series study

Impact exerted by scaffolds and biomaterials in periodontal bone and tissue regeneration engineering: new challenges and perspectives for disease treatment

Contact Info

Product

Resources

About