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

Long-Term Block Graft Stability in Thin Periodontal Biotype Patients - A Clinical and Tomographic Study Long-Term Block Graft Stability in Thin Periodontal Biotype Patients - A Clinical and Tomographic Study

Author(s):

Fernando Verdugo, DDS;Krikor Simonian, DDS;Alon Frydman, DDS;Antonio D'Addona, DDS;José Pontón, PhD

Date Added:

2/8/2012


Summary:

Purpose: To assess the esthetic and functional outcome, as well as the volume maintenance, of autogenous block grafts placed in anterior sextants of thin periodontal biotype subjects over a long-term period. Materials and Methods: Fifteen consecutive patients were followed up yearly for an average of 40 months after autogenous block grafting. Preoperative and postoperative cone beam computed tomographic scans were analyzed to evaluate bone volume maintenance around the implants placed in the grafted sites. Clinical parameters (mucosal recession and implant transparency through the soft tissue) were assessed at prosthesis delivery and follow-up to evaluate the esthetic outcome. Digital photographs were used to confirm clinical outcomes. Results: The average augmentation per site was 2.2 times the initial buccolingual (BL) width, and 97% of the augmented width was maintained after 3.3 years. The difference between preaugmentation and postaugmentation BL width, 3.3 versus 7.4 mm, was statistically significant (P < .0001; CI 95%: 3.4 to 4.9 mm). There was a lack of implant transparency or mucosal recession around the implants in all 15 patients after an average of 40 months. Conclusions: Autogenous block grafting seems to be a predictable treatment modality to reconstruct alveolar ridge defects in the long term. A thin periodontal biotype did not seem to affect the volume of transplanted bone for the population studied.

Related Articles
Recombinant Human Platelet– Derived Growth Factor: A Systematic Review of Clinical Findings in Oral Regenerative Procedures

Recombinant Human Platelet– Derived Growth Factor: A Systematic Review of Clinical Findings in Oral Regenerative Procedures
The use of recombinant human plateletderived growth factor–BB (rhPDGF) has received Food and Drug Administration approval for the treatment of periodontal and orthopedic bone defects and dermal wound healing. Many studies have investigated its regenerative potential in a variety of other oral clinical indications. The aim of this systematic review was to assess the efficacy, safety, and clinical benefit of recombinant human plateletderived growth factor (rhPDGF) use for alveolar bone and/or soft tissue regeneration. Based on the clinical evidence, rhPDGF is safe and provides clinical benefits when used in combination with bone allografts, xenograft, or β-TCP for the treatment of intrabony and furcation periodontal defects and gingival recession or when used with allografts or xenograft for GBR and ARP.

Author(s): L. Tavelli, A. Ravidà, S. Barootchi, L. Chambrone, W.V. Giannobile
View Article>>
A Novel Strategy for Bone Integration and Regeneration: Case Studies

A Novel Strategy for Bone Integration and Regeneration: Case Studies
Ultraviolet light treatment of dental implants immediately prior to placement, or photofunctionalization, is a novel clinical tool with the potential to improve implant therapy. Photofunctionalization improves the surface properties of titanium surfaces by removing hydrocarbons, regenerating hydrophilicity, and optimizing electrostatic properties. We photofunctionalizated dental implants and titanium mesh (Ti mesh) in two complex clinical cases requiring simultaneous guided bone regeneration, sinus elevation, immediate implant placement into the extraction socket, and esthetic consideration

Author(s): Akiyoshi Funato, D.D.S.;Ryohei Tonotsuka, DDS; Hitochi Murabe, DDS; Makoto Hirota, DDS, PhD; Takahiro Ogawa, DDS, PhD
View Article>>
Quantitative Evaluation of Extraction Socket Healing Following the Use of Autologous Platelet-Rich Fibrin Matrix in Humans

Quantitative Evaluation of Extraction Socket Healing Following the Use of Autologous Platelet-Rich Fibrin Matrix in Humans
Advantages of PRFM alone include less surgical time, elimination of techniques and potential healing difficulties associated with membranes, and less resorption during healing, as compared to guided bone regeneration procedures.

Author(s): Barry I. Simon, DDS, MSD; Priyu Gupta, DDS; Shereen Tajbakhsh, DDS
View Article>>
Related Videos
Alveolar Ridge Regenerative Strategies: Clinical Application of Autogenous, Allogeneic and Xenograft Substrates with Bioactive Modifiers and Mesh Premium Member Content

Alveolar Ridge Regenerative Strategies: Clinical Application of Autogenous, Allogeneic and Xenograft Substrates with Bioactive Modifiers and Mesh
This clinical based presentation will feature a CBCT based sequential diagnostic protocol including the latest hard and soft tissue grafting techniques for single tooth to full arch implant reconstruction. The use of autogenous, allograft, and xenograft substrates along with resorbable and nonresorbable mesh will be covered. Foundational tissue engineering principles will be covered and will include the use of PRGF, rhPDGF, and rhBMP-2/ACS.

Presented By::
Presentation Style: Video
Community Rating:
 
Watch Now>>
Diagnosis and Management of a Maxillary Periapical Cyst Premium Member Content

Diagnosis and Management of a Maxillary Periapical Cyst
In this video, Dr. H. Ryan Kazemi discusses diagnosis and treatment for a large maxillary periapical cyst. He presents the use of CBCT for accurate diagnostics, flap design, cyst enucleation technique, and bone grafting.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Management of Narrow and Short Ridge Dimensions in Implant Dentistry: New Minimally Invasive Concepts Premium Member Content

Management of Narrow and Short Ridge Dimensions in Implant Dentistry: New Minimally Invasive Concepts
The management of narrow and short ridge dimensions has posed a great concern for most implantologists. Often large GBR or block augmentation procedures are suggested with high morbidity but this lecture presents more minimally invasive options to restore these ridge challenges. Ridge Expansion with motorized drills as well as the utilization of ultra-short and wider implants to avoid sinus and nerve proximity challenges will be discussed. The role of blood born bioactive modifiers, specifically PRGF (Plasma Rich in Growth Factors) to enhance wound healing will similarly be highlighted.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Is There One or More Reasons to Optimize the PRF &amp; PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics Premium Member Content

Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc... However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Alveolar Ridge Regenerative Strategies: Autogenous Bone vs BMP-2 Premium Member Content

Alveolar Ridge Regenerative Strategies: Autogenous Bone vs BMP-2
This clinical based presentation will compare the use of autogenous bone vs BMP-2 for alveolar ridge reconstruction. The science, indications, advantages and disadvantages of each approach will be featured. Single tooth to full arch reconstruction cases will also be shown along with understanding the application of non-resorbable vs resorbable mesh barriers for alveolar ridge reconstruction.

Presented By::
Presentation Style: Online Self-Study 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:: Maurice Salama, DMD
Presentation Style: Online Self-Study 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
©2021

Preferred Language: English Flag
Contact Us · Login · Register