Guided bone regeneration of bone defects associated with implants: an evidence-based outcome assessment.
Guided bone regeneration is a new technique that evolved following the guided tissue regeneration procedure for regeneration of lost periodontium. The objective of guided bone regeneration is to promote bone formation in osseous deformities either before or in conjunction with endosseous implant placement. Osseous defects consist mainly of extraction sites, dehiscences or fenestrations, and localized ridge deformities. In addition, bone defects may either provide natural spacemaking or be nonspacemaking. A plethora of publications indicate that the guided bone regeneration technique can be used successfully in all types of defects. Nonspacemaking defects usually require bone graft materials to assist in space maintenance and enhance bone formation. Fixation pins are also used, either with or without graft materials, in this regard. The scientific literature on guided bone regeneration was reviewed by a task force to determine techniques proven to increase predictability relative to successful patient outcomes and to develop specific evidence based diagnostic and treatment decision trees.
Mellonig
J T
JT
Department of Periodontics, The University of Texas Health Science Center at San Antonio, Texas 78284-7894, USA.
Nevins
M
M
D016301:Alveolar Bone Loss / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D000540:Alveolar Ridge Augmentation; D001634:Bibliographies as Topic; D001861:Bone Regeneration; D003663:Decision Trees; D015921:Dental Implants / Q000009:adverse effects*; D016557:Guided Tissue Regeneration, Periodontal; D006801:Humans; D008491:Medical Informatics Applications; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning; D017410:Practice Guidelines as Topic; D011379:Prognosis
D015921:Dental Implants