Cortical lamina technique: A therapeutic approach for lateral ridge augmentation using guided bone regeneration
Identifieur interne : 000297 ( Main/Exploration ); précédent : 000296; suivant : 000298Cortical lamina technique: A therapeutic approach for lateral ridge augmentation using guided bone regeneration
Auteurs : Shree-Lakshmi Deepika-Penmetsa [Inde] ; Raison Thomas [Inde] ; Tarun-Kumar Baron [Inde] ; Rucha Shah [Inde] ; Dhoom-Singh Mehta [Inde]Source :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2017.
Abstract
The present study aimed at evaluating the efficacy of a novel technique, the bone lamina technique, in horizontal ridge augmentation clinically & radiographically using a combination of allogenic cortical shell, particulate xenograft and resorbable collagen membrane.
Localized horizontal ridge defects, in ten patients (6 male, 4 female), with bucco-palatal ridge width less than 5 mm were included in this study. Localised ridge augmentation was performed using bone lamina technique with mineralised allogenic shell of 1 mm thickness trimmed to the appropriate size using stereo-lithographic models and fixed to the recipient site with stainless steel micro-screws of 1 mm diameter. The space between the shell & host bone was filled with particulate xenograft followed by placement of collagen membrane and primary closure of the site. Clinical parameters including ridge width before & after flap reflection & radiographic (CBCT) ridge width measurements were recorded pre-operatively,and six months after the augmentation procedure. Results obtained were analysed statistically.
The mean clinical ridge width before flap reflection (BFR), after flap reflection (AFR) & radiographically was 3.7 ± 0.74 mm, 2 ± 0.70 mm & 1.77 ± 0.71 mm respectively at baseline which increased to 6.8 ± 0.95 mm, 5.15 ± 0.98 mm & 4.90 ± 0.90 mm with a mean gain in ridge width of 3.1 ± 0.63 mm (
The present study demonstrates that bone lamina technique can be effective means of horizontal ridge augmentation and the use of mineralized allograft in combination with xenograft and collagen membrane leads to good amount of bone regeneration for subsequent implant placement.
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DOI: 10.4317/jced.53008
PubMed: 28149458
PubMed Central: 5268096
Affiliations:
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Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, Raison" sort="Thomas, Raison" uniqKey="Thomas R" first="Raison" last="Thomas">Raison Thomas</name><affiliation wicri:level="1"><nlm:aff id="A2">MDS, Professor, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Professor, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Baron, Tarun Kumar" sort="Baron, Tarun Kumar" uniqKey="Baron T" first="Tarun-Kumar" last="Baron">Tarun-Kumar Baron</name><affiliation wicri:level="1"><nlm:aff id="A3">MDS, Professor, Department of Periodontics & Implantology, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Professor, Department of Periodontics & Implantology, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Shah, Rucha" sort="Shah, Rucha" uniqKey="Shah R" first="Rucha" last="Shah">Rucha Shah</name><affiliation wicri:level="1"><nlm:aff id="A4">MDS, Senior Lecturer, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Senior Lecturer, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mehta, Dhoom Singh" sort="Mehta, Dhoom Singh" uniqKey="Mehta D" first="Dhoom-Singh" last="Mehta">Dhoom-Singh Mehta</name><affiliation wicri:level="1"><nlm:aff id="A5">MDS, FICD, FADI, FISOI., Professor & Head, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, FICD, FADI, FISOI., Professor & Head, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical and Experimental Dentistry</title><idno type="eISSN">1989-5488</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The present study aimed at evaluating the efficacy of a novel technique, the bone lamina technique, in horizontal ridge augmentation clinically & radiographically using a combination of allogenic cortical shell, particulate xenograft and resorbable collagen membrane.</p></sec><sec><title>Material and Methods</title><p>Localized horizontal ridge defects, in ten patients (6 male, 4 female), with bucco-palatal ridge width less than 5 mm were included in this study. Localised ridge augmentation was performed using bone lamina technique with mineralised allogenic shell of 1 mm thickness trimmed to the appropriate size using stereo-lithographic models and fixed to the recipient site with stainless steel micro-screws of 1 mm diameter. The space between the shell & host bone was filled with particulate xenograft followed by placement of collagen membrane and primary closure of the site. Clinical parameters including ridge width before & after flap reflection & radiographic (CBCT) ridge width measurements were recorded pre-operatively,and six months after the augmentation procedure. Results obtained were analysed statistically.</p></sec><sec><title>Results</title><p>The mean clinical ridge width before flap reflection (BFR), after flap reflection (AFR) & radiographically was 3.7 ± 0.74 mm, 2 ± 0.70 mm & 1.77 ± 0.71 mm respectively at baseline which increased to 6.8 ± 0.95 mm, 5.15 ± 0.98 mm & 4.90 ± 0.90 mm with a mean gain in ridge width of 3.1 ± 0.63 mm (<italic>p</italic>< 0.005), 3.15 ± 0.63 mm (<italic>p</italic><0.005) & 3.13 ± 0.70 mm (<italic>p</italic>< 0.005) respectively.</p></sec><sec><title>Conclusions</title><p>The present study demonstrates that bone lamina technique can be effective means of horizontal ridge augmentation and the use of mineralized allograft in combination with xenograft and collagen membrane leads to good amount of bone regeneration for subsequent implant placement.</p><p><bold> Key words:</bold>Dental implant, guided bone regeneration, horizontal ridge defect, ridge augmentation.</p></sec></div></front><back><div1 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Kellar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Von Arx, T" uniqKey="Von Arx T">T von Arx</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Deepika Penmetsa, Shree Lakshmi" sort="Deepika Penmetsa, Shree Lakshmi" uniqKey="Deepika Penmetsa S" first="Shree-Lakshmi" last="Deepika-Penmetsa">Shree-Lakshmi Deepika-Penmetsa</name></noRegion><name sortKey="Baron, Tarun Kumar" sort="Baron, Tarun Kumar" uniqKey="Baron T" first="Tarun-Kumar" last="Baron">Tarun-Kumar Baron</name><name sortKey="Mehta, Dhoom Singh" sort="Mehta, Dhoom Singh" uniqKey="Mehta D" first="Dhoom-Singh" last="Mehta">Dhoom-Singh Mehta</name><name sortKey="Shah, Rucha" sort="Shah, Rucha" uniqKey="Shah R" first="Rucha" last="Shah">Rucha Shah</name><name sortKey="Thomas, Raison" 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