The effect of overlaying titanium mesh with collagen membrane for ridge preservation
Identifieur interne : 005E99 ( Ncbi/Merge ); précédent : 005E98; suivant : 005F00The effect of overlaying titanium mesh with collagen membrane for ridge preservation
Auteurs : Hyun-Chang Lim [Corée du Sud] ; Jung-Seok Lee [Corée du Sud] ; Seong-Ho Choi [Corée du Sud] ; Ui-Won Jung [Corée du Sud]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2015.
Abstract
The aim of this study was to determine the effect of overlaying titanium mesh (TM) with an adjunctive collagen membrane (CM) for preserving the buccal bone when used in association with immediate implant placement in dogs.
Immediate implant placements were performed in the mesial sockets of the third premolars of five dogs. At one site the TM was attached to the fixture with the aid of its own stabilizers and then covered by a CM (CM group), while the contralateral site received only TM (TM group). Biopsy specimens were retrieved for histologic and histomorphometric analyses after 16 weeks.
All samples exhibited pronounced buccal bone resorption, and a high rate of TM exposure was noted (in three and four cases of the five samples in each of the TM and CM groups, respectively). A dense fibrous tissue with little vascularity or cellularity had infiltrated through the pores of the TM irrespective of the presence of a CM. The distances between the fixture platform and the first bone-implant contact and the bone crest did not differ significantly between the TM and CM groups.
Our study suggests that the additional use of a CM over TM does not offer added benefit for mucosal healing and buccal bone preservation.
Url:
DOI: 10.5051/jpis.2015.45.4.128
PubMed: 26339522
PubMed Central: 4556798
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The effect of overlaying titanium mesh with collagen membrane for ridge preservation</title><author><name sortKey="Lim, Hyun Chang" sort="Lim, Hyun Chang" uniqKey="Lim H" first="Hyun-Chang" last="Lim">Hyun-Chang Lim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Kyung Hee University School of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Jung Seok" sort="Lee, Jung Seok" uniqKey="Lee J" first="Jung-Seok" last="Lee">Jung-Seok Lee</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Choi, Seong Ho" sort="Choi, Seong Ho" uniqKey="Choi S" first="Seong-Ho" last="Choi">Seong-Ho Choi</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jung, Ui Won" sort="Jung, Ui Won" uniqKey="Jung U" first="Ui-Won" last="Jung">Ui-Won Jung</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26339522</idno><idno type="pmc">4556798</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556798</idno><idno type="RBID">PMC:4556798</idno><idno type="doi">10.5051/jpis.2015.45.4.128</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000362</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000362</idno><idno type="wicri:Area/Pmc/Curation">000362</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000362</idno><idno type="wicri:Area/Pmc/Checkpoint">000A23</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000A23</idno><idno type="wicri:Area/Ncbi/Merge">005E99</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The effect of overlaying titanium mesh with collagen membrane for ridge preservation</title><author><name sortKey="Lim, Hyun Chang" sort="Lim, Hyun Chang" uniqKey="Lim H" first="Hyun-Chang" last="Lim">Hyun-Chang Lim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Kyung Hee University School of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Jung Seok" sort="Lee, Jung Seok" uniqKey="Lee J" first="Jung-Seok" last="Lee">Jung-Seok Lee</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Choi, Seong Ho" sort="Choi, Seong Ho" uniqKey="Choi S" first="Seong-Ho" last="Choi">Seong-Ho Choi</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jung, Ui Won" sort="Jung, Ui Won" uniqKey="Jung U" first="Ui-Won" last="Jung">Ui-Won Jung</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Periodontal & Implant Science</title><idno type="ISSN">2093-2278</idno><idno type="eISSN">2093-2286</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The aim of this study was to determine the effect of overlaying titanium mesh (TM) with an adjunctive collagen membrane (CM) for preserving the buccal bone when used in association with immediate implant placement in dogs.</p></sec><sec><title>Methods</title><p>Immediate implant placements were performed in the mesial sockets of the third premolars of five dogs. At one site the TM was attached to the fixture with the aid of its own stabilizers and then covered by a CM (CM group), while the contralateral site received only TM (TM group). Biopsy specimens were retrieved for histologic and histomorphometric analyses after 16 weeks.</p></sec><sec><title>Results</title><p>All samples exhibited pronounced buccal bone resorption, and a high rate of TM exposure was noted (in three and four cases of the five samples in each of the TM and CM groups, respectively). A dense fibrous tissue with little vascularity or cellularity had infiltrated through the pores of the TM irrespective of the presence of a CM. The distances between the fixture platform and the first bone-implant contact and the bone crest did not differ significantly between the TM and CM groups.</p></sec><sec><title>Conclusions</title><p>Our study suggests that the additional use of a CM over TM does not offer added benefit for mucosal healing and buccal bone preservation.</p></sec><sec><title>Graphical Abstract</title><p><graphic xlink:href="jpis-45-128-ab001.jpg" position="float" orientation="portrait"></graphic></p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chen, St" uniqKey="Chen S">ST Chen</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, Re" uniqKey="Wang R">RE Wang</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Araujo, Mg" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Periodontal Implant Sci</journal-id><journal-id journal-id-type="iso-abbrev">J Periodontal Implant Sci</journal-id><journal-id journal-id-type="publisher-id">JPIS</journal-id><journal-title-group><journal-title>Journal of Periodontal & Implant Science</journal-title></journal-title-group><issn pub-type="ppub">2093-2278</issn><issn pub-type="epub">2093-2286</issn><publisher><publisher-name>Korean Academy of Periodontology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26339522</article-id><article-id pub-id-type="pmc">4556798</article-id><article-id pub-id-type="doi">10.5051/jpis.2015.45.4.128</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>The effect of overlaying titanium mesh with collagen membrane for ridge preservation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lim</surname><given-names>Hyun-Chang</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Jung-Seok</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Choi</surname><given-names>Seong-Ho</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Jung</surname><given-names>Ui-Won</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</aff><aff id="A2"><label>2</label>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</aff><author-notes><corresp>Correspondence: Ui-Won Jung, Department of Periodontology, Yonsei University College of Dentistry, 50-1, Yonsei-ro, Seodaemoon-gu, Seoul 03722, Korea. <email>drjew@yuhs.ac</email>, Tel: +82-2-2228-3185, Fax: +82-2-392-0398</corresp></author-notes><pub-date pub-type="ppub"><month>8</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>27</day><month>8</month><year>2015</year></pub-date><volume>45</volume><issue>4</issue><fpage>128</fpage><lpage>135</lpage><history><date date-type="received"><day>28</day><month>6</month><year>2015</year></date><date date-type="accepted"><day>27</day><month>7</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 Korean Academy of Periodontology</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>).</license-p></license></permissions><abstract abstract-type="graphical"><sec><title>Purpose</title><p>The aim of this study was to determine the effect of overlaying titanium mesh (TM) with an adjunctive collagen membrane (CM) for preserving the buccal bone when used in association with immediate implant placement in dogs.</p></sec><sec><title>Methods</title><p>Immediate implant placements were performed in the mesial sockets of the third premolars of five dogs. At one site the TM was attached to the fixture with the aid of its own stabilizers and then covered by a CM (CM group), while the contralateral site received only TM (TM group). Biopsy specimens were retrieved for histologic and histomorphometric analyses after 16 weeks.</p></sec><sec><title>Results</title><p>All samples exhibited pronounced buccal bone resorption, and a high rate of TM exposure was noted (in three and four cases of the five samples in each of the TM and CM groups, respectively). A dense fibrous tissue with little vascularity or cellularity had infiltrated through the pores of the TM irrespective of the presence of a CM. The distances between the fixture platform and the first bone-implant contact and the bone crest did not differ significantly between the TM and CM groups.</p></sec><sec><title>Conclusions</title><p>Our study suggests that the additional use of a CM over TM does not offer added benefit for mucosal healing and buccal bone preservation.</p></sec><sec><title>Graphical Abstract</title><p><graphic xlink:href="jpis-45-128-ab001.jpg" position="float" orientation="portrait"></graphic></p></sec></abstract><kwd-group><kwd>Bone regeneration</kwd><kwd>Bone resorption</kwd><kwd>Dental implants</kwd><kwd>Postoperative complications</kwd><kwd>Tooth extraction</kwd></kwd-group><funding-group><award-group><funding-source country="KR">Ministry of Health and Welfare</funding-source><award-id>A120822</award-id></award-group></funding-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1</label><caption><title>Clinical photographs of the surgery. (A) The implant was installed after extraction. (B) A ready-made titanium mesh (TM) and its stabilizer were affixed to the fixture (TM group). (C) The collagen membrane (CM) fully covered the TM (CM group). B, buccal; L, lingual.</title></caption><graphic xlink:href="jpis-45-128-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Figure 2</label><caption><title>Illustration of the measurements, indicating the vertical distances between the fixture platform (P) and the most-coronal level of bone-implant contact (B), and between P and the level of the alveolar bone crest (C), and the width of the horizontal defect at the level of C (GAP).</title></caption><graphic xlink:href="jpis-45-128-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Figure 3</label><caption><title>Clinical photographs taken after 16 weeks of recovery. (A) A nonexposed site. (B) An exposed site. Gingival tissues around the exposed TM exhibited mucosal deformity with slight redness. In the nonexposed sites, the gingiva above the stabilizer became thin. B, buccal; C, Lingual.</title></caption><graphic xlink:href="jpis-45-128-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Figure 4</label><caption><title>Photomicrographs of exposed sites in the TM group (A) and CM group (B), and of nonexposed sites in the TM group (C) and the CM group (D). The buccal walls were significantly resorbed in all samples, irrespective of the presence or absence of TM exposure. Hematoxylin-eosin stain; scale bars = 2 mm.</title></caption><graphic xlink:href="jpis-45-128-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Figure 5</label><caption><title>Photomicrographs of a nonexposed site in the TM group. (A, B) Polarizing photomicrographs. (B, C) Higher magnification views of the boxed area in A. The tissue fibers appeared to infiltrate through pores and wrap around them. Hematoxylin-eosin stain; scale bar (A) = 2 mm, (B,C) =500 µm, respectively. G, gingival tissue; P, pore; V, void; PS, pseudoperiosteum; arrow, the most-coronal level of bone-implant contact.</title></caption><graphic xlink:href="jpis-45-128-g005"></graphic></fig><fig id="F6" orientation="portrait" position="float"><label>Figure 6</label><caption><title>Photomicrographs of a nonexposed site in the CM group. (A, B) Polarizing photomicrographs. (B, C) Higher magnification views of the boxed area in A. Collagen membrane did not prevent the infiltration of tissue fiber through the pores. Hematoxylin-eosin stain; scale bar (A) = 2 mm, (B,C) = 500 µm, respectively. G, gingival tissue; P, pore; PS, pseudoperiosteum.</title></caption><graphic xlink:href="jpis-45-128-g006"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><title>Histometric Measurements (mm; mean±SD).</title></caption><alternatives><graphic xlink:href="jpis-45-128-i001"></graphic><table frame="hsides" rules="rows"><thead><tr><th valign="top" align="left" rowspan="1" colspan="1"></th><th valign="top" align="center" rowspan="1" colspan="1">PB(B)</th><th valign="top" align="center" rowspan="1" colspan="1">PB(L)</th><th valign="top" align="center" rowspan="1" colspan="1">PC(B)</th><th valign="top" align="center" rowspan="1" colspan="1">PC(L)</th><th valign="top" align="center" rowspan="1" colspan="1">GAP(B)</th><th valign="top" align="center" rowspan="1" colspan="1">GAP(L)</th></tr></thead><tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">CM (n = 5)</td><td valign="top" align="center" rowspan="1" colspan="1">3.60 ± 1.25<sup>a)</sup></td><td valign="top" align="center" rowspan="1" colspan="1">0.79 ± 0.52</td><td valign="top" align="center" rowspan="1" colspan="1">3.60 ± 1.25<sup>a)</sup></td><td valign="top" align="center" rowspan="1" colspan="1">0.62 ± 0.68</td><td valign="top" align="center" rowspan="1" colspan="1">0</td><td valign="top" align="center" rowspan="1" colspan="1">0.16 ± 0.09</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">TM (n = 5)</td><td valign="top" align="center" rowspan="1" colspan="1">3.54 ± 2.00<sup>a)</sup></td><td valign="top" align="center" rowspan="1" colspan="1">1.05 ± 0.85</td><td valign="top" align="center" rowspan="1" colspan="1">3.85 ± 2.22<sup>a)</sup></td><td valign="top" align="center" rowspan="1" colspan="1">0.88 ± 1.10</td><td valign="top" align="center" rowspan="1" colspan="1">0</td><td valign="top" align="center" rowspan="1" colspan="1">0.25 ± 0.31</td></tr></tbody></table></alternatives><table-wrap-foot><p><sup>a)</sup>Statistically significant difference between the buccal and lingual aspects (<italic>P</italic> < 0.05)</p><p>CM, titanium mesh and overlaying collagen membrane; TM, titanium mesh; PB, vertical distance between the fixture platform and the most coronal level of bone-implant contact level; P-C, vertical distance between the fixture platform and alveolar bone crest; (B), buccal; (L), lingual.</p></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lim, Hyun Chang" sort="Lim, Hyun Chang" uniqKey="Lim H" first="Hyun-Chang" last="Lim">Hyun-Chang Lim</name></region><name sortKey="Choi, Seong Ho" sort="Choi, Seong Ho" uniqKey="Choi S" first="Seong-Ho" last="Choi">Seong-Ho Choi</name><name sortKey="Jung, Ui Won" sort="Jung, Ui Won" uniqKey="Jung U" first="Ui-Won" last="Jung">Ui-Won Jung</name><name sortKey="Lee, Jung Seok" sort="Lee, Jung Seok" uniqKey="Lee J" first="Jung-Seok" last="Lee">Jung-Seok Lee</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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