Guided Tissue Regeneration (GTR) Using Collagen Membrane with Polylactic Acid Frame (PLA): Case Report

2021 ◽  
Vol 5 (8) ◽  
pp. 03-08
Author(s):  
Donizete Heliano Oliveira Borges ◽  
Talita Soares ◽  
Lucas Alves Ferreira ◽  
Francisco Jose Corrêa Braga ◽  
Felipe Andres Ortiz Poblete ◽  
...  
2019 ◽  
Vol 21 (4) ◽  
pp. 336
Author(s):  
Danielle Alves Pinto Baia ◽  
André Augusto Franco Marques ◽  
Emílio Carlos Sponchiado-Júnior ◽  
Lucas Da Fonseca Roberti Garcia ◽  
Mariana Travi Pandolfo ◽  
...  

AbstractNon-surgical endodontic retreatment should always be the first option for reintervention when the initial endodontic treatment fails. The surgical treatment, called periradicular surgery, will be the procedure of choice when there is no success after the conventional endodontic retreatment. The purpose of this article is to describe clinical case of endodontic surgery, associated with guided tissue regeneration (GTR). A male patient, 24 years old, was referred for endodontic surgery on tooth 12 after two unsuccessful endodontic interventions. During the surgery, osteotomy, lesion curettage, apicectomy, retrograde obturation with Mineral Trioxide Aggregate (MTA), and filling of the bone failure with lyophilized bone and reabsorbable collagen membrane were performed. After six months of follow-up, the patient did not present any type of painful symptomatology. The endodontic surgery, associated with a technique of guided tissue regeneration, was efficient to solve this clinical case. Keywords: Endodontics. Apicoectomy. Guided Tissue Regeneration. Resumo O retratamento endodôntico não cirúrgico deve sempre ser a primeira opção de reintervenção quando o tratamento endodôntico inicial falha. Já o tratamento cirúrgico, ou cirurgia parendodôntica, será o procedimento de escolha quando não há sucesso após o retratamento endodôntico convencional. O objetivo deste artigo é descrever um caso clínico de cirurgia parendodôntica, associada à regeneração tecidual guiada (RTG). O paciente, gênero masculino, 24 anos, foi encaminhado para cirurgia parendodôntica no dente 12 após duas intervenções endodônticas sem sucesso. Durante a cirurgia foram realizadas manobras de osteotomia, curetagem da lesão, apicectomia, obturação retrógrada com Mineral Trióxido Agregado (MTA), além de preenchimento da falha óssea com osso liofilizado e membrana de colágeno reabsorvível. Após seis meses de acompanhamento do caso, o paciente não apresentou nenhum tipo de sintomatologia dolorosa. A cirurgia parendodôntica, associada à técnica de regeneração tecidual guiada, foi eficiente para solucionar este caso clínico. Palavras-chave: Endodontia. Apicectomia. Regeneração Tecidual Guiada.


2003 ◽  
Vol 74 (7) ◽  
pp. 1071-1079 ◽  
Author(s):  
Charles S. Zahedi ◽  
S. Asghar Miremadi ◽  
Gérard Brunel ◽  
Eric Rompen ◽  
Jean-Pierre Bernard ◽  
...  

1999 ◽  
Vol 27 (3) ◽  
pp. 245-253 ◽  
Author(s):  
Qiqing Zhang ◽  
Kangde Yao ◽  
Lingrong Liu ◽  
Yong Sun ◽  
Lianlai Xu ◽  
...  

2015 ◽  
Vol 16 (6) ◽  
pp. 512-518 ◽  
Author(s):  
Maria Lúcia Rubo de Rezende ◽  
Paula de Oliveira Cunha ◽  
Carla Andreotti Damante ◽  
Adriana CP Santana ◽  
Sebastião LA Greghi ◽  
...  

ABSTRACT Aim To report a well succeeded use of cyanoacrylate adhesive for fixating a resorbable membrane during a guided tissue regeneration procedure (GTR). Background The immobilization of membranes in GTR is essential for establishing proper environment for cell differentiation and tissue regeneration. However, some membranes are very difficult to be kept in position by sutures and its fixation by mini screws or pins may be time consuming and expensive. Case description A 47-year-old woman presenting a vertical bone defect at the palatal aspect of the left central incisor was treated by GTR using particulate autogenous bone graft associated to a collagen membrane. The membrane was glued to the bone surrounding the defect and to the tooth surface with cyanoacrylate adhesive. The postoperative period was uneventful and 4 years later, excellent results in terms of radiographic filling of the defect and reduction of the probing depth were seen. For illustrative purposes, histological findings obtained during a previous experiment in calvaria of guinea pigs is shown, characterizing a foreign body granuloma and proving that the cyanoacrylate adhesive is a safe tool in GTR. Conclusion The use of a membrane glued with cyanoacrylate to immobilize membranes in GTR is viable and safe from both technical and biological standpoints and may be advantageous for clinical and research purposes. Clinical significance The alternative method for membrane fixation shown in this case report can contribute to simplify the technique in GTR procedures. How to cite this article de Rezende MLR, de Oliveira Cunha P, Damante CA, Santana ACP, Greghi SLA, Zangrando MSR. Cyanoacrylate Adhesive as an Alternative Tool for Membrane Fixation in Guided Tissue Regeneration. J Contemp Dent Pract 2015;16(6):512-518.


2017 ◽  
Vol 9 (2) ◽  
pp. 37-43
Author(s):  
Harsha. M B

BACKGROUND: Gingival recession (GR), often an aesthetic concern to the patient, is also associated with root sensitivity, and has a predilection to root caries. The purpose of this case series was to evaluate a bioabsorbable collagen membrane for root coverage with guided tissue regeneration (GTR) procedure, in localized gingival recession defects. METHODS: Three cases presented in this case series, showing a localized Miller’s Class I or Class II gingival recession were treated for root coveragewith GTR-based collagen membrane. The graft was completely covered with coronally advanced flap and followed up to 6th month postoperatively. RESULTS: Six months following the procedure, the root coverage was found to be 100% in all three cases. The root coverage obtained appeared structurally and functionally stable. CONCLUSION: It may be concluded that the resorbable collagen membrane could be reliably used in the treatment of gingival recession.


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