REGENERAÇÃO ÓSSEA GUIADA DE ALVÉOLOS DE EXTRAÇÃO DENTÁRIO- UMA REVISÃO

2016 ◽  
Vol 1 (45) ◽  
Author(s):  
Bruno Pires Miranda

Resumo O osso é um tecido conjuntivo especializado, vascularizado e dinâmico que se modifica ao longo do organismo. Quando lesado, possui uma capacidade única de regeneração e reparação sem a presença de cicatrizes, mas em algumas situações devido tamanho do defeito ósseo não se regenera por completo. Assim, se faz necessária a realização de procedimentos de regeneração óssea guiada. Para isso, o implantodontista deve conhecer as bases biológicas da regeneração óssea guiada alveolar e suas indicações. Nesta revisão foram abordadas indicações, vantagens e tipos de biomateriais utilizados para preenchimento do alvéolo dentário imediatamente após a extração dentária sempre que o objetivo for à reabilitação através da instalação de implantes. Mesmo este, biomateriais, apresentando inúmeras qualidades, estudos ainda devem ser feitos a fim de obter a cada dia, um material sintético compatível com o tecido ósseo perdido em quantidades adequadas sem necessitar de cirurgias extra-bucais.ABSTRACT Bone is a specialized vascularized connective tissue that dynamic changes throughout the body. When injured, it has a unique ability to regenerate and repair without the presence of scars, but in some situations due to size of the bone defect does not regenerate completely. Thus, it is necessary to perform guided bone regeneration procedures. For this, the implant dentistry must know the biological bases of alveolar guided bone regeneration and its indications. In this review were addressed indications, advantages and types of biomaterials used for filling the tooth socket immediately after the tooth extraction whenever the goal is rehabilitation through implants installation. Even this, biomaterials, having several qualities, further studies must be done to obtain each day, a synthetic material compatible with the bone tissue lost in proper amounts without the need of extra-oral surgery.

Author(s):  
Luis Amante

Purpose: The usage of non-resorbable membranes in guided bone regeneration (GBR) has been widely described in the literature as a valid treatment option to address horizontal and vertical alveolar bone defects in implant dentistry. It’s also consensual that factors such as the stability of the membrane, the surgical technique, the gingival biotype, the blood supply and the postoperative care, play an essential role on the success and predictability of the augmentation. The purpose of this article is to describe a clinical case where a non-resorbable membrane was used following the immediate placement of two dental implants in the maxilla. Case report: This case report describes a clinical case where the upper right lateral incisor and the upper right canine where extracted followed by the immediate placement of two dental implants. A Titanium membrane was used on the socket of the lateral incisor to stabilize a xenograft placed in the buccal alveolar defect. The membrane used was directly connected to the implant connection which facilitated its surgical placement stability and removal. After 4 months, upon removing the membrane, it was evident that there was a satisfactory horizontal bone regeneration. The impressions stage followed and two screw-retained porcelain bonded crowns were finally fitted. Conclusion: The authors have found that the usage of a non-resorbable membrane allowed a predictable horizontal bone augmentation in this clinical case. The results obtained were quite rewarding for both clinicians and patient and remain functional and stable as confirmed with the two-year clinical follow up and CBCT scan results.


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