Surgical Management of Oro-Antral Communications Using Resorbable GTR Membrane and FDMB Sandwich Technique: A Clinical Study
Identifieur interne : 001C52 ( Pmc/Checkpoint ); précédent : 001C51; suivant : 001C53Surgical Management of Oro-Antral Communications Using Resorbable GTR Membrane and FDMB Sandwich Technique: A Clinical Study
Auteurs : G. Sandhya ; P. Bal Reddy [Inde] ; K. A. Jeevan Kumar ; B. Sridhar Reddy [Inde] ; N. Prasad [Inde] ; G. Kiran [Inde]Source :
- Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2012.
Abstract
The paper describes a new technique for closure of the oro-antral communication, in which both hard (bone) and soft tissue closure was achieved. The technique uses a Guided Tissue Regeeration (GTR) membrane and Freez Dried Mineralized Bone (FDMB) allograft for closure of the defect. Aim of the study was to assess the advantages of the surgical management of oro-antral communications using resorbable GTR membrane and FDMB sandwich technique.
A total 10 patients were selected in whom dental extractions were complicated by formation of oro-antral communication (OAC). The resorbable guided tissue regeneration membrane (PERIOCOL-GTR) and freeze dried mineralized bone allograft material was used. Some cancellous granules of freeze dried bone allograft was sandwiched between sheaths of appropriately trimmed collagen membrane which was previously sutured together on three sides using 3/0 resorbable polyglycolic acid suture (vicryl). The fourth side was then adequately closed using the same suture after the bone graft had been inserted, thus creating a closed sandwich. The prepared sandwich was then tucked into the OAC in such a way that it formed a convexity towards the sinus and a concavity towards the alveolar bone. The rough surface of the sandwich is faced to the alveolar bone and additional bone graft is filled into this concavity. Suturing done without tension. Post-operative orthopantomogram was taken to radiologically quantify the amount of bone grafting/augmentation and closure of oro-antral fistula.
There was an average of 11.84 mm bone formation after 6 months, the average width preserved and obtained was 6.9 mm. By the end of 4 months there was evidence of bone formation in 7 subjects and in three subjects bony trabeculae formed was almost similar to the adjacent bone. By the end of 6 months follow-up of 7 subjects showed trabeculae indistinguishable from the adjacent bone.
The study was done in 10 patients with a follow-up period of 6 months and found to be excellent in the formation of new bone. The technique is simple and excellent for closure of the oro-antral communications especially when subsequent placement of end osseous implant is considered without the need of donor site surgery for bone grafting.
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DOI: 10.1007/s12663-012-0437-8
PubMed: 24431851
PubMed Central: 3777032
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Bal Reddy</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad</wicri:regionArea><wicri:noRegion>Hyderabad</wicri:noRegion></affiliation></author><author><name sortKey="Kumar, K A Jeevan" sort="Kumar, K A Jeevan" uniqKey="Kumar K" first="K. A. Jeevan" last="Kumar">K. A. Jeevan Kumar</name><affiliation><nlm:aff id="Aff3">Department of Oral & Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Sreepuram, Narkatpally, Nalgonda District, Andhra Pradesh India</nlm:aff><wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry></affiliation></author><author><name sortKey="Sridhar Reddy, B" sort="Sridhar Reddy, B" uniqKey="Sridhar Reddy B" first="B." last="Sridhar Reddy">B. 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Sandhya</name><affiliation><nlm:aff id="Aff1">Indo American Cancer Institute, Hyderabad, Andhra Pradesh India</nlm:aff><wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry></affiliation></author><author><name sortKey="Reddy, P Bal" sort="Reddy, P Bal" uniqKey="Reddy P" first="P. Bal" last="Reddy">P. Bal Reddy</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad</wicri:regionArea><wicri:noRegion>Hyderabad</wicri:noRegion></affiliation></author><author><name sortKey="Kumar, K A Jeevan" sort="Kumar, K A Jeevan" uniqKey="Kumar K" first="K. A. Jeevan" last="Kumar">K. A. Jeevan Kumar</name><affiliation><nlm:aff id="Aff3">Department of Oral & Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Sreepuram, Narkatpally, Nalgonda District, Andhra Pradesh India</nlm:aff><wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry></affiliation></author><author><name sortKey="Sridhar Reddy, B" sort="Sridhar Reddy, B" uniqKey="Sridhar Reddy B" first="B." last="Sridhar Reddy">B. Sridhar Reddy</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad</wicri:regionArea><wicri:noRegion>Hyderabad</wicri:noRegion></affiliation></author><author><name sortKey="Prasad, N" sort="Prasad, N" uniqKey="Prasad N" first="N." last="Prasad">N. Prasad</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad</wicri:regionArea><wicri:noRegion>Hyderabad</wicri:noRegion></affiliation></author><author><name sortKey="Kiran, G" sort="Kiran, G" uniqKey="Kiran G" first="G." last="Kiran">G. Kiran</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad</wicri:regionArea><wicri:noRegion>Hyderabad</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Maxillofacial & Oral Surgery</title><idno type="ISSN">0972-8279</idno><idno type="eISSN">0974-942X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The paper describes a new technique for closure of the oro-antral communication, in which both hard (bone) and soft tissue closure was achieved. The technique uses a Guided Tissue Regeeration (GTR) membrane and Freez Dried Mineralized Bone (FDMB) allograft for closure of the defect. Aim of the study was to assess the advantages of the surgical management of oro-antral communications using resorbable GTR membrane and FDMB sandwich technique.</p><p>A total 10 patients were selected in whom dental extractions were complicated by formation of oro-antral communication (OAC). The resorbable guided tissue regeneration membrane (PERIOCOL-GTR) and freeze dried mineralized bone allograft material was used. Some cancellous granules of freeze dried bone allograft was sandwiched between sheaths of appropriately trimmed collagen membrane which was previously sutured together on three sides using 3/0 resorbable polyglycolic acid suture (vicryl). The fourth side was then adequately closed using the same suture after the bone graft had been inserted, thus creating a closed sandwich. The prepared sandwich was then tucked into the OAC in such a way that it formed a convexity towards the sinus and a concavity towards the alveolar bone. The rough surface of the sandwich is faced to the alveolar bone and additional bone graft is filled into this concavity. Suturing done without tension. Post-operative orthopantomogram was taken to radiologically quantify the amount of bone grafting/augmentation and closure of oro-antral fistula.</p><p>There was an average of 11.84 mm bone formation after 6 months, the average width preserved and obtained was 6.9 mm. By the end of 4 months there was evidence of bone formation in 7 subjects and in three subjects bony trabeculae formed was almost similar to the adjacent bone. By the end of 6 months follow-up of 7 subjects showed trabeculae indistinguishable from the adjacent bone.</p><p>The study was done in 10 patients with a follow-up period of 6 months and found to be excellent in the formation of new bone. The technique is simple and excellent for closure of the oro-antral communications especially when subsequent placement of end osseous implant is considered without the need of donor site surgery for bone grafting.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Maxillofac Oral Surg</journal-id><journal-id journal-id-type="iso-abbrev">J Maxillofac Oral Surg</journal-id><journal-title-group><journal-title>Journal of Maxillofacial & Oral Surgery</journal-title></journal-title-group><issn pub-type="ppub">0972-8279</issn><issn pub-type="epub">0974-942X</issn><publisher><publisher-name>Springer India</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24431851</article-id><article-id pub-id-type="pmc">3777032</article-id><article-id pub-id-type="publisher-id">437</article-id><article-id pub-id-type="doi">10.1007/s12663-012-0437-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Paper</subject></subj-group></article-categories><title-group><article-title>Surgical Management of Oro-Antral Communications Using Resorbable GTR Membrane and FDMB Sandwich Technique: A Clinical Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sandhya</surname><given-names>G.</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Reddy</surname><given-names>P. Bal</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Kumar</surname><given-names>K. A. Jeevan</given-names></name><address><email>jeevan1983@yahoo.com</email><email>drjeevan1983@gmail.com</email></address><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Sridhar Reddy</surname><given-names>B.</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Prasad</surname><given-names>N.</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Kiran</surname><given-names>G.</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><aff id="Aff1"><label></label>Indo American Cancer Institute, Hyderabad, Andhra Pradesh India</aff><aff id="Aff2"><label></label>Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Hyderabad, India</aff><aff id="Aff3"><label></label>Department of Oral & Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Sreepuram, Narkatpally, Nalgonda District, Andhra Pradesh India</aff></contrib-group><pub-date pub-type="epub"><day>2</day><month>10</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>9</month><year>2013</year></pub-date><volume>12</volume><issue>3</issue><fpage>254</fpage><lpage>259</lpage><history><date date-type="received"><day>19</day><month>6</month><year>2012</year></date><date date-type="accepted"><day>13</day><month>8</month><year>2012</year></date></history><permissions><copyright-statement>© Association of Oral and Maxillofacial Surgeons of India 2012</copyright-statement></permissions><abstract id="Abs1"><p>The paper describes a new technique for closure of the oro-antral communication, in which both hard (bone) and soft tissue closure was achieved. The technique uses a Guided Tissue Regeeration (GTR) membrane and Freez Dried Mineralized Bone (FDMB) allograft for closure of the defect. Aim of the study was to assess the advantages of the surgical management of oro-antral communications using resorbable GTR membrane and FDMB sandwich technique.</p><p>A total 10 patients were selected in whom dental extractions were complicated by formation of oro-antral communication (OAC). The resorbable guided tissue regeneration membrane (PERIOCOL-GTR) and freeze dried mineralized bone allograft material was used. Some cancellous granules of freeze dried bone allograft was sandwiched between sheaths of appropriately trimmed collagen membrane which was previously sutured together on three sides using 3/0 resorbable polyglycolic acid suture (vicryl). The fourth side was then adequately closed using the same suture after the bone graft had been inserted, thus creating a closed sandwich. The prepared sandwich was then tucked into the OAC in such a way that it formed a convexity towards the sinus and a concavity towards the alveolar bone. The rough surface of the sandwich is faced to the alveolar bone and additional bone graft is filled into this concavity. Suturing done without tension. Post-operative orthopantomogram was taken to radiologically quantify the amount of bone grafting/augmentation and closure of oro-antral fistula.</p><p>There was an average of 11.84 mm bone formation after 6 months, the average width preserved and obtained was 6.9 mm. By the end of 4 months there was evidence of bone formation in 7 subjects and in three subjects bony trabeculae formed was almost similar to the adjacent bone. By the end of 6 months follow-up of 7 subjects showed trabeculae indistinguishable from the adjacent bone.</p><p>The study was done in 10 patients with a follow-up period of 6 months and found to be excellent in the formation of new bone. The technique is simple and excellent for closure of the oro-antral communications especially when subsequent placement of end osseous implant is considered without the need of donor site surgery for bone grafting.</p></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Oro-antral fistula</kwd><kwd>Bone allograft</kwd><kwd>Buccal sliding flap</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Association of Oral and Maxillofacial Surgeons of India 2013</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Inde</li></country></list><tree><noCountry><name sortKey="Kumar, K A Jeevan" sort="Kumar, K A Jeevan" uniqKey="Kumar K" first="K. A. Jeevan" last="Kumar">K. A. Jeevan Kumar</name><name sortKey="Sandhya, G" sort="Sandhya, G" uniqKey="Sandhya G" first="G." last="Sandhya">G. Sandhya</name></noCountry><country name="Inde"><noRegion><name sortKey="Reddy, P Bal" sort="Reddy, P Bal" uniqKey="Reddy P" first="P. Bal" last="Reddy">P. Bal Reddy</name></noRegion><name sortKey="Kiran, G" sort="Kiran, G" uniqKey="Kiran G" first="G." last="Kiran">G. Kiran</name><name sortKey="Prasad, N" sort="Prasad, N" uniqKey="Prasad N" first="N." last="Prasad">N. Prasad</name><name sortKey="Sridhar Reddy, B" sort="Sridhar Reddy, B" uniqKey="Sridhar Reddy B" first="B." last="Sridhar Reddy">B. Sridhar Reddy</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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