A one-stage approach for nonsubmerged implants using a xenograft in narrow ridges: report on seven cases.
In narrow alveolar ridges, dehiscences can occur at the time of implant placement. This report describes several cases in which buccal dehiscences at one-stage, nonsubmerged ITI implants were covered with deproteinized bovine bone mineral (Bio-Oss) and a nonresorbable e-PTFE membrane. The dehiscences ranged from 5 to 8.5 mm. The head of the implant perforated the membrane and was not covered by the mucoperiosteal flap. Membranes were removed after 12 to 20 weeks. One of the seven implants failed to osseointegrate. In four cases, no residual defect was found (100% coverage). In two cases, 63.5% and 87.5% coverage was obtained, respectively. At follow-up, 1 year and 5 months to 4 years and 7 months after placement and after loading, clinical probing depth never exceeded 3.5 mm. Radiographically, no resorption was found. In selected cases, dehiscences at the time of placement of nonsubmerged one-stage implants can be successfully treated using deproteinized bovine bone in combination with stiff, nonresorbable membranes.
De Boever
Annemarie L
AL
Department of Fixed Prosthodontics and Periodontology, Gent University, Belgium. annemarie.deboever@rug.ac.be
De Boever
Jan A
JA
D000328:Adult; D016301:Alveolar Bone Loss / Q000209:etiology* / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D001861:Bone Regeneration; D018786:Bone Substitutes; D003758:Dental Implantation, Endosseous / Q000009:adverse effects* / Q000379:methods; D019232:Dental Restoration Failure; D005260:Female; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods*; D006801:Humans; D008297:Male; D008567:Membranes, Artificial; D008875:Middle Aged; D008903:Minerals; D011138:Polytetrafluoroethylene; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery
C077540:Bio-Oss; D018786:Bone Substitutes; D008567:Membranes, Artificial; D008903:Minerals; D011138:Polytetrafluoroethylene