Ridge augmentation by applying bioresorbable membranes and deproteinized bovine bone mineral: a report of twelve consecutive cases
Identifieur interne : 003967 ( Istex/Corpus ); précédent : 003966; suivant : 003968Ridge augmentation by applying bioresorbable membranes and deproteinized bovine bone mineral: a report of twelve consecutive cases
Auteurs : Christoph H. F. H Mmerle ; Ronald E. Jung ; Duygu Yaman ; Niklaus P. LangSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2008-01.
English descriptors
- KwdEn :
- Alveolar ridge augmentation, Augmentation, Augmentation surgery, Autogenous, Autogenous bone, Autogenous bone grafts, Barrier function, Biomaterials, Blackwell munksgaard, Bone defects, Bone formation, Bone mineral, Bone regeneration, Bone substitutes, Bone volume, Buccal view, Buser, Clin, Collagen membrane, Comp, Connective tissue, Consecutive cases, Dbbm, Defect, Dehiscence, Dental implants, Dentistry, Deproteinized, Eptfe, Eptfe membranes, Experimental study, Graft, Hammerle, Healing period, Impl, Implant, Implant installation, Implant placement, Implants research, International journal, Journal compilation, Jung, Karring, Lang, Lateral, Lateral ridge augmentation, Maxillofacial, Membrane, Mmerle, Morbidity, Multiple tooth, Munksgaard, Occlusal view, Oral impl, Oral maxillofacial implants, Present study, Prospective study, Prosthetically, Regenerated, Regenerated bone, Regeneration, Resorbable, Resorbable membranes, Ridge augmentation, Single tooth, Soft tissues, Suture, Tissue regeneration, Treatment plan, Zitzmann.
- Teeft :
- Alveolar ridge augmentation, Augmentation, Augmentation surgery, Autogenous, Autogenous bone, Autogenous bone grafts, Barrier function, Biomaterials, Blackwell munksgaard, Bone defects, Bone formation, Bone mineral, Bone regeneration, Bone substitutes, Bone volume, Buccal view, Buser, Clin, Collagen membrane, Comp, Connective tissue, Consecutive cases, Dbbm, Defect, Dehiscence, Dental implants, Dentistry, Deproteinized, Eptfe, Eptfe membranes, Experimental study, Graft, Hammerle, Healing period, Impl, Implant, Implant installation, Implant placement, Implants research, International journal, Journal compilation, Jung, Karring, Lang, Lateral, Lateral ridge augmentation, Maxillofacial, Membrane, Mmerle, Morbidity, Multiple tooth, Munksgaard, Occlusal view, Oral impl, Oral maxillofacial implants, Present study, Prospective study, Prosthetically, Regenerated, Regenerated bone, Regeneration, Resorbable, Resorbable membranes, Ridge augmentation, Single tooth, Soft tissues, Suture, Tissue regeneration, Treatment plan, Zitzmann.
Abstract
Objective: Lateral ridge augmentations are traditionally performed using autogenous bone grafts to support membranes for guided bone regeneration (GBR). The bone‐harvesting procedure, however, is accompanied by considerable patient morbidity.
Url:
DOI: 10.1111/j.1600-0501.2007.01407.x
Links to Exploration step
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<sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Ridge augmentation by applying bioresorbable membranes and deproteinized bovine bone mineral: a report of twelve consecutive cases</title>
<title level="a" type="short">Ridge augmentation with biomaterials</title>
<author xml:id="author-0000"><persName><forename type="first">Christoph H. F.</forename>
<surname>Hämmerle</surname>
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<affiliation>Clinic for Fixed and Removable Prosthodontics, University of Zurich, Zurich, Switzerland<address><country key="CH"></country>
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<author xml:id="author-0001"><persName><forename type="first">Ronald E.</forename>
<surname>Jung</surname>
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<affiliation>Clinic for Fixed and Removable Prosthodontics, University of Zurich, Zurich, Switzerland<address><country key="CH"></country>
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<author xml:id="author-0002"><persName><forename type="first">Duygu</forename>
<surname>Yaman</surname>
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<affiliation>Clinic for Fixed and Removable Prosthodontics, University of Zurich, Zurich, Switzerland<address><country key="CH"></country>
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<author xml:id="author-0003"><persName><forename type="first">Niklaus P.</forename>
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<monogr><title level="j" type="main">Clinical Oral Implants Research</title>
<title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title>
<idno type="pISSN">0905-7161</idno>
<idno type="eISSN">1600-0501</idno>
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Objective: </hi>
Lateral ridge augmentations are traditionally performed using autogenous bone grafts to support membranes for guided bone regeneration (GBR). The bone‐harvesting procedure, however, is accompanied by considerable patient morbidity.</p>
<p><hi rend="bold">Aim: </hi>
The aim of the present study was to test whether or not resorbable membranes and bone substitutes will lead to successful horizontal ridge augmentation allowing implant installation under standard conditions.</p>
<p><hi rend="bold">Material and methods: </hi>
Twelve patients in need of implant therapy participated in this study. They revealed bone deficits in the areas intended for implant placement. Soft tissue flaps were carefully raised and blocks or particles of deproteinized bovine bone mineral (DBBM) (Bio‐Oss<hi rend="superscript">®</hi>
) were placed in the defect area. A collagenous membrane (Bio‐Gide<hi rend="superscript">®</hi>
) was applied to cover the DBBM and was fixed to the surrounding bone using poly‐lactic acid pins. The flaps were sutured to allow for healing by primary intention.</p>
<p><hi rend="bold">Results: </hi>
All sites in the 12 patients healed uneventfully. No flap dehiscences and no exposures of membranes were observed. Nine to 10 months following augmentation surgery, flaps were raised in order to visualize the outcomes of the augmentation. An integration of the DBBM particles into the newly formed bone was consistently observed. Merely on the surface of the new bone, some pieces of the grafting material were only partly integrated into bone. However, these were not encapsulated by connective tissue but rather anchored into the newly regenerated bone. In all of the cases, but one, the bone volume following regeneration was adequate to place implants in a prosthetically ideal position and according to the standard protocol with complete bone coverage of the surface intended for osseointegration. Before the regenerative procedure, the average crestal bone width was 3.2 mm and to 6.9 mm at the time of implant placement. This difference was statistically significant (<hi rend="italic">P</hi>
<0.05, Wilcoxon's matched pairs signed‐rank test).</p>
<p><hi rend="bold">Conclusion: </hi>
After a healing period of 9–10 months, the combination of DBBM and a collagen membrane is an effective treatment option for horizontal bone augmentation before implant placement.</p>
</abstract>
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<term xml:id="k5">human</term>
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<correspondenceTo><b>Correspondence to:</b>
<i>Prof. Dr Christoph H. F. Hämmerle</i>
Clinic for Fixed and Removable Prosthodontics
Center for Dental and Oral Medicine and
Cranio‐Maxillofacial Surgery
University of Zurich
Plattenstrasse 11
8032 Zurich
Switzerland
Tel.: +49 44 6343 259
Fax: +49 44 6344 305
e‐mail: <email normalForm="hammerle@zzmk.unizh.ch">hammerle@zzmk.unizh.ch</email>
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Accepted 9 November 2006</unparsedEditorialHistory>
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<titleGroup><title type="main">Ridge augmentation by applying bioresorbable membranes and deproteinized bovine bone mineral: a report of twelve consecutive cases</title>
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<title type="short">Ridge augmentation with biomaterials</title>
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<keywordGroup xml:lang="en"><keyword xml:id="k1">bone regeneration</keyword>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p><b>Objective: </b>
Lateral ridge augmentations are traditionally performed using autogenous bone grafts to support membranes for guided bone regeneration (GBR). The bone‐harvesting procedure, however, is accompanied by considerable patient morbidity.</p>
<p><b>Aim: </b>
The aim of the present study was to test whether or not resorbable membranes and bone substitutes will lead to successful horizontal ridge augmentation allowing implant installation under standard conditions.</p>
<p><b>Material and methods: </b>
Twelve patients in need of implant therapy participated in this study. They revealed bone deficits in the areas intended for implant placement. Soft tissue flaps were carefully raised and blocks or particles of deproteinized bovine bone mineral (DBBM) (Bio‐Oss<sup>®</sup>
) were placed in the defect area. A collagenous membrane (Bio‐Gide<sup>®</sup>
) was applied to cover the DBBM and was fixed to the surrounding bone using poly‐lactic acid pins. The flaps were sutured to allow for healing by primary intention.</p>
<p><b>Results: </b>
All sites in the 12 patients healed uneventfully. No flap dehiscences and no exposures of membranes were observed. Nine to 10 months following augmentation surgery, flaps were raised in order to visualize the outcomes of the augmentation. An integration of the DBBM particles into the newly formed bone was consistently observed. Merely on the surface of the new bone, some pieces of the grafting material were only partly integrated into bone. However, these were not encapsulated by connective tissue but rather anchored into the newly regenerated bone. In all of the cases, but one, the bone volume following regeneration was adequate to place implants in a prosthetically ideal position and according to the standard protocol with complete bone coverage of the surface intended for osseointegration. Before the regenerative procedure, the average crestal bone width was 3.2 mm and to 6.9 mm at the time of implant placement. This difference was statistically significant (<i>P</i>
<0.05, Wilcoxon's matched pairs signed‐rank test).</p>
<p><b>Conclusion: </b>
After a healing period of 9–10 months, the combination of DBBM and a collagen membrane is an effective treatment option for horizontal bone augmentation before implant placement.</p>
<!--
To cite this article:
Hämmerle CHF, Jung RE, Yaman D, Lang NP. Ridge augmentation by applying bioresorbable membranes and deproteinized bovine bone mineral: a report of twelve consecutive cases.
Clin. Oral Impl. Res. 19, 2008; 19–25
doi: 10.1111/j.1600-0501.2007.01407.x
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<abstract>Objective: Lateral ridge augmentations are traditionally performed using autogenous bone grafts to support membranes for guided bone regeneration (GBR). The bone‐harvesting procedure, however, is accompanied by considerable patient morbidity.</abstract>
<abstract>Aim: The aim of the present study was to test whether or not resorbable membranes and bone substitutes will lead to successful horizontal ridge augmentation allowing implant installation under standard conditions.</abstract>
<abstract>Material and methods: Twelve patients in need of implant therapy participated in this study. They revealed bone deficits in the areas intended for implant placement. Soft tissue flaps were carefully raised and blocks or particles of deproteinized bovine bone mineral (DBBM) (Bio‐Oss®) were placed in the defect area. A collagenous membrane (Bio‐Gide®) was applied to cover the DBBM and was fixed to the surrounding bone using poly‐lactic acid pins. The flaps were sutured to allow for healing by primary intention.</abstract>
<abstract>Results: All sites in the 12 patients healed uneventfully. No flap dehiscences and no exposures of membranes were observed. Nine to 10 months following augmentation surgery, flaps were raised in order to visualize the outcomes of the augmentation. An integration of the DBBM particles into the newly formed bone was consistently observed. Merely on the surface of the new bone, some pieces of the grafting material were only partly integrated into bone. However, these were not encapsulated by connective tissue but rather anchored into the newly regenerated bone. In all of the cases, but one, the bone volume following regeneration was adequate to place implants in a prosthetically ideal position and according to the standard protocol with complete bone coverage of the surface intended for osseointegration. Before the regenerative procedure, the average crestal bone width was 3.2 mm and to 6.9 mm at the time of implant placement. This difference was statistically significant (P<0.05, Wilcoxon's matched pairs signed‐rank test).</abstract>
<abstract>Conclusion: After a healing period of 9–10 months, the combination of DBBM and a collagen membrane is an effective treatment option for horizontal bone augmentation before implant placement.</abstract>
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