title: Purposeful exposure of a polylactic acid barrier to achieve socket preservation for placement of dental implants: case series report.
abstract: This retrospective case series reports on the use of a polylactic acid barrier that was left exposed in the process of socket preparation for the placement of dental implants. A retrospective chart review found 43 patients with 48 extraction sockets that were treated in this manner. Teeth were removed and the sockets were thoroughly debrided, with 40 of them receiving a bone replacement graft covered by the polylactic acid barrier and the additional 8 receiving the membrane alone. Suturing left the barrier exposed, and the sites were re-entered on average at 23 weeks for the placement of a dental implant. All sites were able to receive a dental implant, demonstrating the ability to leave a polylactic acid barrier exposed and achieve successful guided bone regeneration (GBR) results. This ultimately helped avoid some of the negative sequelae of trying to achieve primary closure of the flaps at the time of tooth extraction.
authors.affiliation: University of Maryland Dental School, Baltimore, Maryland, USA.
authors.forename: Paul S
authors.initials: PS
authors.lastname: Rosen
authors.forename: Adam D
authors.initials: AD
authors.lastname: Rosen
mesh_terms: D000328:Adult; D000368:Aged; D043925:Angiogenesis Inducing Agents / Q000627:therapeutic use; D000077214:Becaplermin; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D005260:Female; D005500:Follow-Up Studies; D016557:Guided Tissue Regeneration, Periodontal / Q000295:instrumentation; D006801:Humans; D019344:Lactic Acid / Q000737:chemistry; D008297:Male; D008567:Membranes, Artificial; D008875:Middle Aged; D059745:Piezosurgery; D011091:Polyesters; D011108:Polymers / Q000737:chemistry; D020574:Proto-Oncogene Proteins c-sis / Q000627:therapeutic use; D012189:Retrospective Studies; D013524:Surgical Flaps; D013536:Suture Techniques; D014081:Tooth Extraction / Q000379:methods; D020390:Tooth Socket / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
chemical_list: D043925:Angiogenesis Inducing Agents; D018786:Bone Substitutes; D015921:Dental Implants; D008567:Membranes, Artificial; D011091:Polyesters; D011108:Polymers; D020574:Proto-Oncogene Proteins c-sis; D000077214:Becaplermin; D019344:Lactic Acid; C033616:poly(lactide)