scholarly journals Implant placement with guided bone regeneration in esthetic zone- A case report

2021 ◽  
Vol 4 (1) ◽  
pp. 61-66
Author(s):  
A Maharjan ◽  
S Joshi ◽  
A Verma ◽  
RS Gorkhali
Keyword(s):  
Case Report ◽  
Bone Regeneration ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Guided Bone Regeneration ◽  
Surgical Approaches ◽  
Implant Placement ◽  
Narrow Ridge ◽  
Common Technique

Alveolar ridge deficiency is considered a major limitation for successful implant placement, as well as for the long-term success rate, especially in the anterior maxillary region. Implants placed without regard for prosthetic position often results in dental restorations that are functionally and esthetically compromised. Adequate peri-implant bone support is essential for immediate and long-term implant stability, as well as for future esthetic outcome. To achieve this goal, augmentation of lost bone is often necessary. A variety of surgical approaches have been proposed to enhance the alveolar bone volume. Guided bone regeneration (GBR) is the most common technique for localized bone augmentation. GBR, by application of cell occlusive membranes that mechanically exclude non-osteogenic cell populations from the surrounding soft tissues, has become a well-documented and highly successful procedure for localized augmentation of the atrophic jaw before or simultaneously with implant placement. This case report presents simultaneous approach of guided bone regeneration and implant placement in the maxillary anterior region with narrow ridge defect.

scholarly journals Management of Retrograde Peri-Implantitis Using an Air-Abrasive Device, Er,Cr:YSGG Laser, and Guided Bone Regeneration

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Nikolaos Soldatos ◽  
Georgios E. Romanos ◽  
Michelle Michaiel ◽  
Ali Sajadi ◽  
Nikola Angelov ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Density ◽  
Bone Regeneration ◽  
Guided Bone Regeneration ◽  
Etiologic Factor ◽  
Ridge Preservation ◽  
X Rays ◽  
Case Description ◽  
Implant Placement ◽  
Maxillary Molar

Background. The placement of an implant in a previously infected site is an important etiologic factor contributing to implant failure. The aim of this case report is to present the management of retrograde peri-implantitis (RPI) in a first maxillary molar site, 2 years after the implant placement. The RPI was treated using an air-abrasive device, Er,Cr:YSGG laser, and guided bone regeneration (GBR). Case Description. A 65-year-old Caucasian male presented with a draining fistula associated with an implant at tooth #3. Tooth #3 revealed periapical radiolucency two years before the implant placement. Tooth #3 was extracted, and a ridge preservation procedure was performed followed by implant rehabilitation. A periapical radiograph (PA) showed lack of bone density around the implant apex. The site was decontaminated with an air-abrasive device and Er,Cr:YSGG laser, and GBR was performed. The patient was seen every two weeks until suture removal, followed by monthly visits for 12 months. The periapical X-rays, from 6 to 13 months postoperatively, showed increased bone density around the implant apex, with no signs of residual clinical or radiographic pathology and probing depths ≤4 mm. Conclusions. The etiology of RPI in this case was the placement of an implant in a previously infected site. The use of an air-abrasive device, Er,Cr:YSGG, and GBR was utilized to treat this case of RPI. The site was monitored for 13 months, and increased radiographic bone density was noted.

Simultaneous Implant Placement and Guided Bone Regeneration Using a Platelet-Rich Fibrin Membrane: Case Report

2017 ◽  
Vol 7 (1) ◽  
pp. 19-24
Author(s):  
Yung-Ting Hsu ◽  
Yu-Hsiang Chou ◽  
Tzu-Hsuan Yang ◽  
Yi-Min Wu ◽  
Chiung-Lin Huang ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Regeneration ◽  
Guided Bone Regeneration ◽  
Platelet Rich Fibrin ◽  
Implant Placement ◽  
Fibrin Membrane

scholarly journals Implant Site Guided Bone Regeneration and Pontic Site Ridge Preservation: A Case Report

PRILOZI ◽  
2021 ◽  
Vol 42 (2) ◽  
pp. 103-108
Author(s):  
Darko Veljanovski ◽  
Denis Baftijari ◽  
Zoran Susak ◽  
Aneta Atanasovska Stojanovska
Keyword(s):  
Soft Tissue ◽  
Bone Regeneration ◽  
Soft Tissues ◽  
Guided Bone Regeneration ◽  
Autogenous Bone ◽  
Collagen Membrane ◽  
Ridge Preservation ◽  
Bovine Bone ◽  
Implant Placement ◽  
Barrier Membrane

Abstract Guided bone regeneration (GBR) is a therapeutic modality to achieve bone regeneration with the use of barrier membranes. The use of deproteinized bovine bone material (DBBM) for ridge preservation allows the preservation of the edentulous ridge dimensions. Here, we present a case of horizontal GBR using DBBM and a resorbable membrane, with simultaneous implant placement. Simultaneously, ridge preservation of the pontic area, using DBBM within a “socket seal” procedure was performed. Two implants were places at sites 23 and 26 to support a fixed partial denture (FPD). The mesial implant showed exposed buccal threads, which were then covered with autogenous bone particles and small size granules of DBBM. The collagen membrane was stabilized with periosteal mattress suture. Six months postoperatively, CBCT images revealed a stable buccal bone layer at the implant site, indicating a successful GBR procedure. At this point in time, tooth 24 was atraumatically extracted. A ridge preservation was done utilizing DBBM, and a soft tissue graft form the tuber. A ceramic-metal FPD with excellent “white aesthetics” and a harmonic transition zone to the soft tissue was fabricated. At 3 years follow up, the peri-implant bone levels were stable, and the clinical outcomes were excellent. It is concluded that a GBR procedure, utilizing DBBM and a collagen barrier membrane with simultaneous implant placement, as well as ridge preservation using DBBM, are predictable therapeutic methods. However, gentle manipulation of the soft tissues, and wound stability, with tension-free passive closure of the wound margins are prerequisites for a long-term clinical success.

scholarly journals Modified Procedure in a Socket-Shield technique in the aesthetic zone - Case report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Hélder Moura
Keyword(s):  
Case Report ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Socket Preservation ◽  
Implant Placement ◽  
Soft Tissue Volume ◽  
Dental Rehabilitation ◽  
Immediate Implant ◽  
The Aesthetic ◽  
Atraumatic Extraction

Purposes: After tooth extraction alveolar socket bone undergoes a remodelling process. The horizontal and the vertical bone losses complicate dental rehabilitation with implants. Socket-Shield technique maintain the periodontal attachment including cementum, periodontal ligament and bundle bone. In this report this technique was indicated to replace the lost teeth. Case report: A socket shield technique was used for immediate implant placement on a non-restorable teeth by failure of crowns in teeth 12, 11 and 21. Through a osteotomy and manipulation of soft tissues with provisionals it was possible to correct the gingival contours and zeniths. Conclusions: Atraumatic extraction and socket preservation technique decreases the alveolar bone resorption by maintaining the hard and the soft tissue volume. Provisionalization allows management of the soft tissues around the implants. This treatment offers a predictable aesthetic and functional result .

scholarly journals Immediate implant placement with guided bone regeneration using a non-resorbable membrane - Case report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Luis Amante
Keyword(s):  
Case Report ◽  
Bone Regeneration ◽  
Dental Implants ◽  
Clinical Case ◽  
Alveolar Bone ◽  
Guided Bone Regeneration ◽  
Lateral Incisor ◽  
Placement Stability ◽  
Immediate Placement ◽  
Implant Dentistry

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.

scholarly journals Three dimensional guided bone regeneration and immediate implant placement with an individualized CAD CAM titanium mesh – A case report

2019 ◽  
Vol 30 (S19) ◽  
pp. 518-518
Author(s):  
Francesco Orlando ◽  
Bruno Barbaro ◽  
Carlo Alberto Vitelli ◽  
Francesco Tironi ◽  
Caterina Frascolino ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Regeneration ◽  
Three Dimensional ◽  
Guided Bone Regeneration ◽  
Titanium Mesh ◽  
Implant Placement ◽  
Cad Cam ◽  
Immediate Implant
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