Guided Bone Regeneration: Novel Use of Fixation Screws as an Alternative to Using the Buccoapical Periosteum for Membrane Stabilization With Sutures-Two Case Reports.

Matthew J Fien, Israel Puterman, Juan Mesquida, Ignacio Ginebreda, Guillermo Bauza
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Abstract

Guided bone regeneration (GBR) requires a stable graft-membrane complex. This article presents a novel technique that uses membrane fixation screws to serve as anchors for membrane stabilization sutures without the need for periosteal dissection and biting of the buccoapical periosteum. This technique may be a viable alternative when there is a preference to avoid the complexities of periosteal suturing and direct membrane fixation using tacks or screws. The technique, which utilizes anchoring screws as mooring lines, can be used at the time of tooth extraction as well as for ridge augmentation of an edentulous site in preparation for future dental implant placement. Two case reports are presented that illustrate the feasibility of the technique, in which the integrity and stability of a resorbable membrane is preserved prior to final closure, suggesting that screws used as anchors for stabilization sutures might be a predictable option when addressing challenging horizontal defects requiring GBR.

引导骨再生:使用固定螺钉替代使用颊龈骨膜和缝合线进行膜固定的新方法--两例病例报告。
引导骨再生(GBR)需要稳定的移植物-膜复合体。本文介绍了一种新技术,即使用膜固定螺钉作为膜稳定缝合的锚,而无需进行骨膜剥离和咬合颊岬骨膜。如果希望避免骨膜缝合的复杂性,并使用大头针或螺钉直接固定骨膜,这种技术可能是一种可行的替代方法。该技术利用锚定螺钉作为系泊线,可在拔牙时使用,也可用于无牙颌部位的牙脊增高,为将来种植牙做准备。报告中的两例病例说明了该技术的可行性,在最终封闭前,可吸收膜的完整性和稳定性得以保留,这表明在处理需要 GBR 的高难度水平缺损时,用螺钉作为稳定缝合线的锚可能是一种可预测的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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