title: Changes in alveolar bone height and width following post-extraction ridge augmentation using a fixed bioabsorbable membrane and demineralized freeze-dried bone osteoinductive graft.
abstract: BACKGROUND
  It has been shown that the amount of healed bone following guided bone regeneration (GBR) with demineralized freeze-dried bone allograft (DFDBA) and a bioabsorbable membrane is significantly less than the initial quantity. A study was designed to determine if the amount of GBR would be affected by using an osteoinductive DFDBA and bioabsorbable membrane and membrane stabilization.
  
  
  METHODS
  Eleven extraction sites (10 patients) were treated with DFDBA and bioabsorbable membrane before placing endosseous implants. Standardized alveolar height and width measurements were taken after extraction, GBR, and 4 months postoperatively, at predetermined measurement points (sites midpoint and 3 mm mesial and distal from the midpoint) and classified as augmented (<1 mm increase of GBR height or width) or grafted (>1 mm increase). Five membranes were stabilized.
  
  
  RESULTS
  Three mm from the crest, augmented points exhibited a complete loss of augmented width. There was also some loss of pre-GBR bone width (ranging from 4.7% to 20%) at augmented and grafted points. Five mm from the crest, augmented points lost 83.3% to 92.3% of augmented width and grafted points lost 12.9% to 18% of pre-GBR width. Loss of augmented height ranged from 93.5% to 100%. Augmented (except distal) and grafted measurement points lost 2.1% to 12% of pre-GBR height. Comparing tacked and non-tacked sites, the former manifested less loss of augmented bone width, the latter augmented bone height.
  
  
  CONCLUSIONS
  Results indicate a complete loss of augmented width 3 mm from the crest and almost complete loss in height and width 5 mm from the crest. Membrane stabilization appeared beneficial.
authors.affiliation: Department of Periodontics, UMDNJ-NJ Dental School, Newark, NJ 07103, USA.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Zubillaga
authors.forename: Stanley
authors.initials: S
authors.lastname: Von Hagen
authors.forename: Barry I
authors.initials: BI
authors.lastname: Simon
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Deasy
mesh_terms: D020341:Absorbable Implants; D000539:Alveolar Process / Q000473:pathology*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D000543:Alveoloplasty; D016025:Bone Transplantation; D003648:Decalcification Technique; D015921:Dental Implants; D005500:Follow-Up Studies; D005612:Freeze Drying; D006801:Humans; D008567:Membranes, Artificial; D010012:Osteogenesis; D012044:Regression Analysis; D013524:Surgical Flaps; D014021:Tissue Preservation; D020390:Tooth Socket / Q000601:surgery
chemical_list: D015921:Dental Implants; D008567:Membranes, Artificial