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Guided Bone Regeneration: biological principle and therapeutic applications

Identifieur interne : 005265 ( Main/Exploration ); précédent : 005264; suivant : 005266

Guided Bone Regeneration: biological principle and therapeutic applications

Auteurs : M. Retzepi [Royaume-Uni] ; N. Donos [Royaume-Uni]

Source :

RBID : ISTEX:C74915A24E9A0AE1B160E8114824E0DE128FB73A

Descripteurs français

English descriptors

Abstract

The Guided Bone Regeneration (GBR) treatment concept advocates that regeneration of osseous defects is predictably attainable via the application of occlusive membranes, which mechanically exclude non‐osteogenic cell populations from the surrounding soft tissues, thereby allowing osteogenic cell populations originating from the parent bone to inhabit the osseous wound. The present review discusses the evolution of the GBR biological rationale and therapeutic concept over the last two decades. Further, an overview of the GBR research history is provided with specific focus on the evidence available on its effectiveness and predictability in promoting the regeneration of critical size cranio‐maxillo‐facial defects, the neo‐osteogenesis potential and the reconstruction of atrophic alveolar ridges before, or in conjunction with, the placement of dental implants. The authors conclude that future research should focus on (a) the investigation of the molecular mechanisms underlying the wound healing process following GBR application; (b) the identification of site and patient related factors which impact on the effectiveness and predictability of GBR therapy and (c) the evaluation of the pathophysiology of the GBR healing process in the presence of systemic conditions potentially affecting the skeletal system.

Url:
DOI: 10.1111/j.1600-0501.2010.01922.x


Affiliations:


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Le document en format XML

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<term>Healing process</term>
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<term>Polylactic acid</term>
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<term>Regeneration</term>
<term>Resorbable</term>
<term>Resorbable membranes</term>
<term>Restorative dentistry</term>
<term>Retzepi</term>
<term>Retzepi donos</term>
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<term>Schmid</term>
<term>Simion</term>
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<term>Socket</term>
<term>Success rate</term>
<term>Systematic review</term>
<term>Systematic reviews</term>
<term>Therapeutic protocol</term>
<term>Tissue regeneration</term>
<term>Titanium</term>
<term>Titanium implants</term>
<term>Tooth extraction</term>
<term>Vertical bone augmentation</term>
<term>Vertical ridge augmentation</term>
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<term>Barrier membranes</term>
<term>Becker</term>
<term>Black arrowheads</term>
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<term>Bone augmentation</term>
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<term>Fresh extraction sockets</term>
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<term>Healing period</term>
<term>Healing process</term>
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<term>Histologic study</term>
<term>Histological</term>
<term>Immediate implant placement</term>
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<term>Implant</term>
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<term>Osteogenic cell populations</term>
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<term>Retzepi</term>
<term>Retzepi donos</term>
<term>Ridge preservation</term>
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<term>Simion</term>
<term>Skeletal envelope</term>
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<term>Success rate</term>
<term>Systematic review</term>
<term>Systematic reviews</term>
<term>Therapeutic protocol</term>
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<front>
<div type="abstract">The Guided Bone Regeneration (GBR) treatment concept advocates that regeneration of osseous defects is predictably attainable via the application of occlusive membranes, which mechanically exclude non‐osteogenic cell populations from the surrounding soft tissues, thereby allowing osteogenic cell populations originating from the parent bone to inhabit the osseous wound. The present review discusses the evolution of the GBR biological rationale and therapeutic concept over the last two decades. Further, an overview of the GBR research history is provided with specific focus on the evidence available on its effectiveness and predictability in promoting the regeneration of critical size cranio‐maxillo‐facial defects, the neo‐osteogenesis potential and the reconstruction of atrophic alveolar ridges before, or in conjunction with, the placement of dental implants. The authors conclude that future research should focus on (a) the investigation of the molecular mechanisms underlying the wound healing process following GBR application; (b) the identification of site and patient related factors which impact on the effectiveness and predictability of GBR therapy and (c) the evaluation of the pathophysiology of the GBR healing process in the presence of systemic conditions potentially affecting the skeletal system.</div>
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