Freeze-dried dura mater for guided tissue regeneration in post-extraction dental implants: a clinical and histologic study.
Soft membranes were used in 69 patients for bone regeneration around implants (blades and screws, submerged and non-submerged) placed into extraction sockets. In about 10% of the patients a prosthetic restoration was completed immediately, while in the remaining patients the prostheses were connected after a healing period of 3 to 6 months; follow-up ranged from 6 to 30 months. In 22 patients a re-entry procedure was done to evaluate the membrane and in 4 patients a bone biopsy was taken from 3 to 6 months after the placement of the membrane. In all cases the peri-implant tissues appeared clinically healthy and it was possible to see radiographically that the newly formed bone closely adapted to the implants. In most cases it was possible at 6 months re-entry to see the membrane and detach it from the underlying tissues. There was a partial dehiscence of the membrane in only 4% of the cases. After 3 months the tissue under the membrane presented macroscopical features similar to mature bone, and bone biopsies in all cases showed a spongious lamellar bone with a high level of activity and a wide band of osteoid tissue.
Fontana
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E
Dental School, University of Chieti, Italy.
Trisi
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P
Piattelli
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A
D000328:Adult; D001861:Bone Regeneration; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D004388:Dura Mater; D005260:Female; D016557:Guided Tissue Regeneration, Periodontal; D006801:Humans; D008297:Male; D008566:Membranes; D008875:Middle Aged; D016348:Osseointegration; D013997:Time Factors; D014025:Titanium; D014081:Tooth Extraction
D015921:Dental Implants; D014025:Titanium