Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study

Author(s):

Hom-Lay Wang, DDS, MSD, PhD;Kenneth Kimble, DDS, MS, Robert Eber, DDS, MS

Date Added:

12/8/2008


Summary:

The use of guided tissue regeneration (GTR) procedures for the treatment of gingival recession has shown encouraging results and is gaining clinical acceptance. However, attaining space maintenance beneath the membrane remains a problem for clinicians. Hence, the purpose of this pilot case study was to evaluate the effect of adjunctive demineralized freeze-dried bone allograft (DFDBA) placement during collagen membrane GTR-based root coverage procedures. Five patients with Miller Class I or II defects were treated with a combination of DFDBA and collagen membrane. Clinical parameters monitored include recession depth, probing attachment level, probing depth, width of keratinized gingiva, and recession width. Measurements were taken at baseline and 6 months. A statistically significant reduction in recession depth (3.1 ± 0.7 mm) was observed at 6 months, representing 93.4% total attainable root coverage. A significant reduction of recession width (3.5 ± 1.2 mm) after 6 months was also noted. Clinically, a statistically significant mean gain of 3.3 ± 0.6 mm in clinical attachment and 0.8 ± 0.9 mm in keratinized gingiva were obtained at 6 months. No statistically significant difference was found in probing depth between baseline and 6 months postoperative. Plaque and gingival indices remained low and showed no statistically significant change throughout the study period. Results from this pilot case study indicate that use of DFDBA during collagen membrane GTR-based root coverage could be beneficial. (Int J Periodontics Restorative Dent 2002;22:118–127.)

Related Articles
The Bio-Derm Ridge Plumping Technique for Pontic Site Development

The Bio-Derm Ridge Plumping Technique for Pontic Site Development
Seibert Class III apicocoronal and buccolingual alveolar ridge defects with associated gingival mucosal atrophy and absence of interdental papillae are common in edentulous areas within the anterior esthetic zone of the maxilla. Normal emergence profiles, critical to achieving esthetic restorations, require restoration of normal hard and soft tissue morphology, including re-establishment of adjacent interdental papillae.

Author(s): Nicholas Toscano, DDS, MS;Dan Holtzclaw, DDS, MS
View Article>>
Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series
To measure the buccal plate reconstruction of extraction sockets with labial plate dehiscence defects using a bone allograft in combination with an absorbable collagen membrane and a custom-healing abutment at the time of tooth removal. Implants placed into sockets with labial plate dehiscence defects demonstrated radiographic reformation of the labial plate dehiscence defect at 6 to 9 months post-treatment. The net gain in labial plate on CBCT in L1 and L2 was 3.0 mm, where 0 mm existed at pre-treatment. The minimum amount of labial plate thickness of 2.0 mm was achieved in all treated sites, evaluated radiographically at 6-9 months post-operatively, in a single procedure, without flap elevation and maintaining the gingival architecture and satisfactory esthetics.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
View Article>>
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up

Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.

Author(s): José Carlos Martins da Rosa, DDS, MS;Ariadene Cristina Pertile de Oliveira Rosa, DDS, MSc; Carlos Eduardo Francishone, DDS, MSc, PhD; Mauricio de Almeida Cardoso, DDS, MSc, PhD; Ana Carolina Alonso, DDS; Leopoldino Capelozza Filho, DDS, MSc, PhD
View Article>>
Related Videos
Titanium Mesh in Anterior Augmentation - Surgical Technique Video Premium Member Content

Titanium Mesh in Anterior Augmentation - Surgical Technique Video
Dr. Akiyoshi Funato describes the utilization of the FT Wing titanium mesh to aid in the reconstruction of lost labial plate in the anterior maxilla.

Presented By:: Akiyoshi Funato, D.D.S.
Presentation Style: Video
Community Rating:
 
Watch Now>>
Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization Premium Member Content

Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization
A unique presentation of a combined surgical techniques and implants provisionalization, simultaneously performed, in the anterior maxilla. With the aid of computerized assisted guides, a surgical template and a temporary bridge for immediate temporization was prepared.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
A Clinical Update in Bone Regeneration: Autogenous Bone vs. BMP-2 Premium Member Content

A Clinical Update in Bone Regeneration: Autogenous Bone vs. BMP-2
For historical and biological reasons autogenous bone has long been considered the gold standard of bone graft materials. For bone augmentation procedures autogenous grafts provided predictable volume gains, favorable bone quality with short healing periods. However, the need to harvest the graft and associated morbidity are inherent disadvantages. The choice of a technique for bone augmentation is dependent on a number of factors including the use of bone substitutes. More recently recombinant human bone morphogenetic protein (rhBMP-2) has been shown to be effective in repairing buccal wall defects from extractions and in sinus bone grafting. The use of rhBMP-2 is currently under clinical investigation as a replacement for autograft in ridge augmentation process.

Presented By:: Craig M Misch, DDS, MDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Growth Factors; The Next Step in Achieving Ideal Regeneration Premium Member Content

Growth Factors; The Next Step in Achieving Ideal Regeneration
The aim of dentistry is to provide esthetics and function for our patients. Using hard and soft tissue regeneration techniques we have the ability to rebuild what has been lost to disease or trauma. Whether we are regenerating lost tissue around teeth or developing an ideal implant site, growth factors are a powerful asset that help make regenerative procedures more predictable while reducing patient morbidity. This webinar review regeneration techniques and will discuss the popular growth factors available today and demonstrate their clinical use.

Presented By:: Avi Schetritt, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery Premium Member Content

BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery
Biological modifiers and growth factors are substances that the body produces naturally in response to injury or disease. The use of these substances in regenerative procedures has made hard and soft tissue regeneration more predictable while accelerating healing and decreasing patient morbidity. This webinar will review the wound healing process and the role that growth factors play in regeneration. BMP, PRP, PRF and PRGF will be reviewed and their clinical applications will be demonstrated. At the end of this webinar the participant will have a good understanding of the differences between these biological modifiers and their benefits.

Presented By:: Avi Schetritt, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry Premium Member Content

Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry
This course will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy. Extraction site management, labial bone enhancement as well as current gingival augmentation techniques will be featured. These highly acclaimed clinicians and educators will team up to provide a glimpse of their upcoming LIVE Synergy VI conference June 27th - 30th, 2013 in Orlando, Florida

Presented By:: Michael A Pikos, DDS;Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free



Contact Us | Privacy Policy | Terms of Use
©2016

Preferred Language: English Flag
Contact Us · Login · Register