Clinical Evaluation of Vertical Ridge Augmentation Using Titanium Reinforced PTFE membrane

Dong-Joo Sun; Yeon-Ah  Oh; Jeoung-A  Yu; Dong-Woon  Lee

doi:10.32542/implantology.20180001

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2018 Vol.22, Issue 1 Next Page

Original Article

Clinical Evaluation of Vertical Ridge Augmentation Using Titanium Reinforced PTFE membrane 타이타늄 강화 PTFE 차단막을 이용한 수직적 골증대술의 임상적 평가

March 2018. pp. 2-11

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Abstract

Purpose: This study reports four cases of vertical ridge augmentation using titanium reinforced Polytetrafluoroethylene (TR-PTFE) membranes.

Material and Methods: Bone augmentation was performed using TR-PTFE membranes in four patients with a vertical bony defect (mean 6.5 ± 0.58 mm) who was scheduled to receive dental implants at the Department of Periodontology, Veterans Health Service Medical Center between January and December 2016. Vertical bony defects were measured intraoperatively using a probe and the exposure of membranes were assessed before and after suture removal and one month after the surgery. The gained area from the reoperation as well as the need for additional bone grafting during implant placement was assessed.

Results: The exposure was maintained without inflammation in one site. Placing an implant led to an average of 5.25 ± 0.5 mm vertical augmentation, and none of the cases required additional bone transplantation. A total of ten implants were installed in 4 cases. Over at least 1-year of follow-up, all implants were functioned well.

Conclusion: In this case study, bone augmentation using TR-PTFE membranes. led to satisfactory bone regeneration in defective areas with vertical bone resorption. In addition to a greater number of cases, histological assessments should be performed in the future to further substantiate these findings.

Keywords

Ridge augmentation

Titanium reinforced

Non-resorbable membrane

Guided bone regeneration

References

Simion M, Trisi P, Piattelli A. Vertical ridge augmentation using a membrane technique associated with osseointegrated implants. International Journal of Periodontics & Restorative Dentistry. 1994; 14: 496-511.

Tinti C, Parma-Benfenati S, Polizzi G. Vertical ridge augmentation: what is the limit? International Journal ofPeriodontics & RestorativeDentistry. 1996; 16: 220-229.

Parma-BenfenatiS, TintiC, AlbrektssonT, JohanssonC. Histologicevaluationofguidedverticalridge augmentation around implantsin humans. InternationalJournal of Periodontics & Restorative Dentistry. 1999; 19: 424-437.

KarringT, NymanS, GottlowJ, LaurellL. Development ofthe biological concept of guided tissue regeneration-animal and human studies. Periodontology. 2000 1993; 1: 26-35.

10.1111/j.1600-0757.1993.tb00204.x

HämmerleCH, JungRE. Bone augmentation bymeans of barriermembranes. Periodontology. 2000 2003; 33: 36-53.

10.1046/j.0906-6713.2003.03304.x12950840

GhensiP, StablumW, BettioE, SoldiniM, TripiT, SoldiniC. Management ofthe exposure of a dense PTFE (d-PTFE) membrane in guided bone regeneration (GBR): a case report. ORAL & implantology. 2017; 10: 335.

10.11138/orl/2017.10.3.33529285337PMC5735386

Istvan A, Monje A, Wang DH-L. Verticalridge augmentation and soft tissue reconstruction ofthe anterior atrophicmaxillae: a case series. IntJPeriodonticsRestorativeDent. 2015; 35: 613-623.

FontanaF, BattistaGrossiG, FimanòM, MaioranaC. Osseointegrated implantsin verticalridge augmentation with a nonresorbable membrane: a retrospective study of 75 implants with 1 to 6 years of follow-up. InternationalJournal ofPeriodontics & RestorativeDentistry. 2015; 35: 29-39.

BeckerW, DahlinC, BeckerBE, LekholmU, VanSteenbergheD, HiguchiK, et al. The use of e-PTFE barriermembranesforbonepromotionaroundtitaniumimplantsplacedintoextractionsockets: aprospectivemulticenterstudy. InternationalJournal ofOral & MaxillofacialImplants. 1994; 9: 31-40.

Urban IA, Lozada JL, Jovanovic SA, Nagursky H, Nagy K. Vertical ridge augmentation with titanium-reinforced, dense-PTFEmembranesandacombinationofparticulatedautogenousboneandanor-ganic bovine bone-derived mineral: a prospective case series in 19 patients. International Journal of Oral & MaxillofacialImplants. 2014; 29: 185-193.

10.11607/jomi.334624451870

BarberHD, LignelliJ, SmithBM, BarteeBK. UsingadensePTFEmembranewithoutprimaryclosure toachievebone andtissue regeneration. JournalofOral andMaxillofacialSurgery. 2007; 65: 748-752.

RondaM, RebaudiA, TorelliL, StacchiC. Expanded vs. dense polytetrafluoroethylenemembranesin verticalridgeaugmentationarounddentalimplants: aprospectiverandomizedcontrolledclinicaltrial. Clinical oralimplantsresearch. 2014; 25: 859-866.

10.1111/clr.1215723560678

Huang L-T, Hsu P-S, Kuo C-Y, Chen S-C, LaiJ-Y. Pore size control of PTFE membranes by stretch operationwith asymmetric heating system. Desalination. 2008; 233: 64-72.

10.1016/j.desal.2007.09.028

Liu J, Kerns DG. Suppl 1: Mechanisms of GuidedBoneRegeneration: A Review. The open dentistry journal. 2014; 8: 56-65.

10.2174/187421060140801005624894890PMC4040931

Simion M, Baldoni M, Rassi P, Zaffe D. A comparative study of the effectiveness of e-PTFE membraneswith andwithout early exposure during the healing period. IntJPeriodonticsRestorativeDent 1994; 14: 166-180.

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Information

Publisher :The Korean Academy of Oral & Maxillofacial Implantology
Publisher(Ko) :대한구강악안면임플란트학회
Journal Title :Implantology
Journal Title(Ko) :대한구강악안면임플란트학회지
Volume : 22
No :1
Pages :2-11
Received Date : 2018-02-26
Revised Date : 2018-02-28
Accepted Date : 2018-03-30
DOI :https://doi.org/10.32542/implantology.20180001

Journal of implantology and applied sciences ISSN:2765-7833(Print) 2765-7841(Online) 대한구강악안면임플란트학회지

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