Post-extraction vertical guided bone regeneration with a titanium-reinforced polytetrafluoroethylene membrane

Carla B. Duque Uriostegui; Pier Luigi Gallo

doi:10.18203/2349-2902.isj20251027

Authors

Carla B. Duque Uriostegui National Institute of Orthodontics and Implantology, State of Mexico, Mexico
Pier Luigi Gallo Private Practice, Bogata, Colombia

DOI:

https://doi.org/10.18203/2349-2902.isj20251027

Keywords:

Guided bone regeneration, Dental implants, Autologous bone, Xenograft, d-PTFE membrane

Abstract

Tooth loss can lead to resorption of the alveolar bone, affecting soft tissue support and altering the facial profile. The long-term success of dental implants depends on adequate bone dimensions, so guided bone regeneration (GBR) is crucial to increase bone volume prior to implant placement. GBR is a technique that promotes new bone formation in bone defects to create adequate support for dental implants. It uses a combination of autologous bone and xenograft to optimize the graft's osteogenic and osteoconductive properties. However, its main limitation is the bone's maturation time, which is usually between 6 and 9 months. A 58-year-old patient with tooth loss due to severe bone destruction required GBR for dental implant placement. The combination of the physical barrier of d-PTFE (polytetrafluoroethylene) and the structural strength of titanium provides a favorable environment for bone regeneration, but it is crucial to consider the potential complications associated with these membranes, such as soft tissue injury and membrane exposure.

Metrics

Metrics Loading ...

References

Li S, Zhao J, Xie Y, Taoran T, Tianxu Z, Xiaoxiao C, et al. Hard tissue stability after guided bone regeneration: a comparison between digital titanium mesh and resorbable membrane. Int J Oral Sci. 2021;13(1):37. DOI: https://doi.org/10.1038/s41368-021-00143-3

Bassir SH, Alhareky M, Wangsrimongkol B, Jia Y, Karimbux N. Systematic review and meta-analysis of hard tissue outcomes of alveolar ridge preservation. Int J Oral Maxillofac Implants. 2018;33(5):979-94. DOI: https://doi.org/10.11607/jomi.6399

Windisch P, Orban K, Giovanni ES, Anton S, Balint M. Vertical-guided bone regeneration with a titanium-reinforced d-PTFE membrane utilizing a novel split-thickness flap design: a prospective case series. Clin Oral Investig. 2021;25(5):2962-80. DOI: https://doi.org/10.1007/s00784-020-03617-6

Gottlow J, Nyman S, Karring T, Lindhe J. New attachment formation as the result of controlled tissue regeneration. J Clin Periodontol. 1984;11(8):494-503. DOI: https://doi.org/10.1111/j.1600-051X.1984.tb00901.x

Nyman S. Bone regeneration using the principle of guided tissue regeneration. J Clin Periodontol 1991;18(6):494-8. DOI: https://doi.org/10.1111/j.1600-051X.1991.tb02322.x

Dahlin C, Linde A, Gottlow J, Nyman S. Healing of bone defects by guided tissue regeneration. Plast Reconstr Surg. 1988;81(5):672-6. DOI: https://doi.org/10.1097/00006534-198805000-00004

Polimeni G, Koo K, Qahash M, Xiropaidis Ax, Andreas VX, Jasim MA, et al. Prognostic factor for alveolar regeneration: bone formation at teeth and titanium implants. J Clin Periodontl. 2004;31(11):927-32. DOI: https://doi.org/10.1111/j.1600-051X.2004.00590.x

Elgali I, Omar O, Dahlin CP. Thomsen. Guided bone regeneration: materials and biological mechanisms revisited. Europ J Oral Sci. 2017:125(5);315-37. DOI: https://doi.org/10.1111/eos.12364

Wang HL, Boyapati L. Guided bone regeneration and guided tissue regeneration for periodontal regeneration. Periodontol 2000. 2008;48(1):72-88.

Sanz M, Tonetti MS, Needleman I, opportunity T, guide E. Working Group 2 of the IX European Workshop on Periodontology. J Clin Periodontol. 2012;39(12):1-4.

Zhang M, Zhou Z, Yun J, Liu R, Li J, Chen Y, et al. Effect of Different Membranes on Vertical Bone Regeneration: A Systematic Review and Network Meta-Analysis. BioMed Res Int. 2022;2022. DOI: https://doi.org/10.1155/2022/7742687

Lundgren AK, Lundgren D, Nyman S, Sennerby L, Gottlow J, Lindhe J. Barrier membranes of expanded polytetrafluoroethylene (e-PTFE) for the treatment of human periodontal fenestrations. J Clin Periodontol. 1994;21(8):547-53.

Simion M, Baldoni M, Rossi P, Zaffe D. Vertical ridge augmentation using a membrane technique associated with an osseointegrated implant. Int J Periodontics Restorative Dent. 1992;12(6):450-62.

Houses J, Guide W, Guide W, Guide T, Guide T. Clinical performance and histologic evaluation of a new bioresorbable membrane for guided bone regeneration. Int J Oral Maxillofac Implants. 1996;11(6):749-58.