Guided Bone Regeneration using a Combination of Novel Biomaterial and Type I Collagen for Isolated Ridge Defect to facilitate Delayed Implant Therapy: A Solitary Case Report

R. Paramashivaiah, P. K. Vardhan, M. L. Venkatesh
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Abstract

Introduction: Ridge augmentation has attained a key role in implant placement to recreate the natural contour of the hard and soft tissues that may have been lost as a consequence of extraction. Ridge augmentation procedures require bone to be regenerated outside the existing bony walls or housing and are therefore often considered to be one of the most challenging surgical procedures. Materials and methods: In the current case, a Seibert’s class III defect was treated, followed by implant placement after 6 months. The bony deficit was managed with guided bone regeneration (GBR) techniques utilizing bone grafting material and membrane. Second surgery and the subsequent morbidity involved in the removal of nonresorbable membranes were tackled with the use of resorbable collagen membranes. Different bone graft materials are used routinely in combination with these membranes to facilitate space maintenance and to prevent membrane collapse. Particulate xenograft was used, as it restores the natural tissue architecture for placement of implant at a later stage. At the time of implant placement, the ridge was found to have the required dimensions. Conclusion: Ridge augmentation using a combination of membrane and xenograft for Seibert’s class III ridge defect is a predictable treatment option. It improves the restorative aspect of implant placement in compromised areas.
结合新型生物材料和I型胶原蛋白引导骨再生治疗孤立骨嵴缺损,促进延迟种植治疗:一例单独报告
嵴增强在种植体植入中发挥了关键作用,可以重建因拔牙而丢失的硬组织和软组织的自然轮廓。脊隆手术需要在现有骨壁或骨壳外进行骨再生,因此通常被认为是最具挑战性的外科手术之一。材料和方法:在本病例中,治疗了Seibert III类缺损,6个月后进行了种植体植入。骨缺损采用骨移植材料和骨膜引导骨再生(GBR)技术。第二次手术和随后的并发症涉及到不可吸收膜的去除与可吸收胶原膜的使用解决。不同的骨移植材料通常与这些膜结合使用,以促进空间维护并防止膜塌陷。使用颗粒异种移植物,因为它可以恢复自然组织结构,以便在后期放置植入物。在种植体放置时,发现脊具有所需的尺寸。结论:采用膜和异种移植物相结合的嵴增强术治疗Seibert III级嵴缺损是一种可预测的治疗选择。它提高了种植体放置在受损区域的修复方面。
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