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
Ridge Preservation and Augmentation Using Regenerative Materials

Ridge Preservation and Augmentation Using Regenerative Materials
Courtesy of AEGIS Communications

Author(s): Maurice Salama, DMD;J. Daulton Keith Jr., DDS, FICD
View Article>>
A Novel Combined Surgical Approach to Vertical Alveolar Ridge Augmentation with Titanium Mesh, Resorbable Membrane, and rhPDGF-BB: A Retrospective Consecutive Case Series

A Novel Combined Surgical Approach to Vertical Alveolar Ridge Augmentation with Titanium Mesh, Resorbable Membrane, and rhPDGF-BB: A Retrospective Consecutive Case Series
This report demonstrates the remarkable efficacy of guided bone regeneration using a combination of titanium mesh, resorbable collagen membrane, and rhPDGF for vertical ridge augmentation, thus expanding the indications for implant therapy and allowing recovery of the three-dimensional esthetic architecture in a severely absorbed alveolar ridge.

Author(s): Akiyoshi Funato, D.D.S.;Tomohiro Ishikawa, DDS;Hajime Kitajima, DDS; Masahiro Yamada, DDS, PhD; Hidetada Moroi, DMD
View Article>>
Bone Augmentation of the Atrophic Posterior Mandible for Dental Implants Using rhBMP-2 and Titanium Mesh: Clinical Technique and Early Results

Bone Augmentation of the Atrophic Posterior Mandible for Dental Implants Using rhBMP-2 and Titanium Mesh: Clinical Technique and Early Results
The purpose of the case series was to evaluate the use of recombinant human bone morphogenetic protein 2/acelluar collagen sponge (rhBMP-2/ACS) and titanium mesh for augmentation of the atrophic posterior mandible prior to implant insertion.

Author(s): Craig M Misch, DDS, MDS
View Article>>
Related Videos
The Science and Technology Supporting Graft Material Selection Premium Member Content

The Science and Technology Supporting Graft Material Selection
A wide variety of grafting materials is currently available. Understanding the right indications and the possible limitations of certain materials can be challenging. The main objective of this course is to provide guidelines for selection of the adequate materials to be used for specific indications in order to maximize treatment predictability.

Presented By:: Rodrigo Neiva, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Understanding and Prevention of Peri-implant Recession Premium Member Content

Understanding and Prevention of Peri-implant Recession
Dr. Gerd Körner outlines the multi-variable causes that may be responsible for recession around implant restorations.

Presented By:: Dr. med. dent. Gerd Körner
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Complete Management of the Implant Site: From Simple Cases to Complex Situations Premium Member Content

Complete Management of the Implant Site: From Simple Cases to Complex Situations
The health and the structure of the peri-implant tissue is vital for a long term prognosis of aesthetic and functional dental treatments. The prevalence of peri-implant diseases and recessions is a problem that must be overcome by a perfect treatment planning, along with a step-by-step design of the future restorations. When the clinician places an implant, he must consider the 3D positioning regarding the hard and soft tissue. When one decide to restore an implant, he must be aware of the gingival volume and it’s position. In this presentation, we want to show fully documented cases, from bone grafting, soft tissue enhancement, to final restorations.

Presented By:: Mihnea Cafadaru, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations Premium Member Content

Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations
There are several advantages to using titanium mesh for space maintenance including strength, ease of use, low cost and biocompatibility. This webinar will discuss the use of rhBMP-2 for managing horizontal and vertical bone deficiencies with various scaffolds.

Presented By:: Craig M Misch, DDS, MDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
The Use of SonicWeld Ultrasonically Fabricated Barriers for Enhanced Outcomes in Guided Bone Regeneration Premium Member Content

The Use of SonicWeld Ultrasonically Fabricated Barriers for Enhanced Outcomes in Guided Bone Regeneration
This video will outline the basic science, clinical techniques and outcomes of the SonicWeld technique.

Presented By:: Kevin George Murphy, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Bone Graft Solutions in the Treatment of a Defective & Deficient Ridges; Advantages of Combined Therapy Premium Member Content

Bone Graft Solutions in the Treatment of a Defective & Deficient Ridges; Advantages of Combined Therapy
More patients are treated with implants than ever before. Unfortunately, many have insufficient bone available to support an implant prosthesis. This presentation describes the utilization of several different augmentation approaches for the severely resorbed ridge and dentally handicapped fully endentulous patient. Current concepts related to autogenous bone harvest, 3D bone augmentation combined with blood born bioactive modifiers and digital planning are defined. Video and high resolution images are utilized to further describe these approaches.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
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