Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Guided bone regeneration using two types of non-resorbable barrier membranes

두 가지 유형의 비흡수성 차단막을 이용한 골유도재생술의 비교연구

  • Lee, Ji-Young (Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital) ;
  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital) ;
  • Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
  • Received : 2010.04.29
  • Accepted : 2010.06.29
  • Published : 2010.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Introduction: Guided bone regeneration (GBR) is a common procedure for the treatment of bone defects and bone augmentation. The nonresorbable barriers are well-documented barriers for GBR because of their stability and malleability. However, few GBR studies have focused on the different types of non-resorbable barriers. Therefore, this study examined the clinical results of different non-resorbable barriers for GBR; expanded polytetrafluoroethylene (e-PTFE) (TR-Gore Tex, Flagstaff, AZ, USA), and high-density polytetrafluoroethylene (d-PTFE) (Cytoplast membrane, Oraltronics, Bremen, Germany). Materials and Methods: The analysis was performed on patients treated with GBR and implant placement from January 2007 to October 2007 in the department of the Seoul National University Bundang Hospital. The patients were divided into two groups based on the type of non-resorbable barrier used, and the amount of bone regeneration, marginal bone resorption after prosthetics, implant survival rate and surgical complication in both groups were evaluated. Results: The implants in both groups showed high survival rates, and the implant-supported prostheses functioned stably during the follow-up period. During the second surgery of the implant, all horizontal defects were filled with new bone, and there was no significant difference in the amount of vertical bone defect. Conclusion: In bone defect areas, GBR with non-resorbable barriers can produce favorable results with adequate postoperative management. There was no significant difference in bone regeneration between e-PTFE and d-PTFE.

Keywords

References

  1. Kim YK, Kim SG, Lim SC, Lee HJ, Yun PY. A clinical study on the bone formation using a demineralized bone matrix and resorbable membrane. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e6-11.
  2. Bernabe PF, Gomes-Filho JE, Cintra LT, Moretto MJ, Lodi CS, Nery MJ, et al. Histologic evaluation of the use of membrane, bone graft, and MTA in apical surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:309-14. https://doi.org/10.1016/j.tripleo.2009.07.019
  3. Kim YK, Yun PY, Kim SG, Oh DS. In vitro scanning electron microscopic comparison of inner surface of exposed and unexposed non-resorbable membranes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e5-e11.
  4. Rominger JW, Triplett RG. The use of guided tissue regeneration to improve implant osseointegration. J Oral Maxillofac Surg 1994;52:106-12. https://doi.org/10.1016/0278-2391(94)90388-3
  5. Barber HD, Lignelli J, Smith BM, Bartee BK. Using a dense PTFE membrane without primary closure to achieve bone and tissue regeneration. J Oral Maxillofac Surg 2007;65:748-52. https://doi.org/10.1016/j.joms.2006.10.042
  6. Dahlin C, Sennerby L, Lekholm U, Linde A, Nyman S. Generation of new bone around titanium implants using a membrane technique : an experimental study in rabbits. Int J Oral Maxillofac Implants 1989;4:19-25.
  7. Aichelmann-Reidy ME, Yukna RA, Evans GH, Nasr HF, Mayer ET. Clinical evaluation of acellular allograft dermis for the treatment of human gingival recession. J Periodontol. 2001;72:998-1005. https://doi.org/10.1902/jop.2001.72.8.998
  8. Eickholz P, Kim TS, Holle R. Regenerative periodontal surgery with non-resorbable and biodegrabable barriers: results after 24 months. J Clin Periodontol 1998;25:666-76. https://doi.org/10.1111/j.1600-051X.1998.tb02504.x
  9. Teparat T, Solt CW, Claman LJ, Beck FM. Clinical comparison of bioabsorbable barriers with non resorbable barriers in guided tissue regeneration in the treatment of human intrabony defects. J Periodontol 1998;69:632-41. https://doi.org/10.1902/jop.1998.69.6.632
  10. Dahlin C, Lekholm U, Becker W, Becker B, Higuchi K, Callens A, et al. Treatment of fenestration and dehiscence bone defects around oral implant using guided tissue regeneration technique: a prospective multicenter study. Int J Oral Maxillofac Implants 1995;10:312-8.
  11. Buser D, Bragger U, Lang NP, Nyman S. Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Implant Res 1990;1:22-32. https://doi.org/10.1034/j.1600-0501.1990.010104.x
  12. Herr Y. Periodontology-based implantology. Seoul: Myungmoon Publishing; 2006.
  13. Bartee BK. Evaluation of new polytetrafluoroethylene guided tissue regeneration membrane in healing extraction sites. Compend Contin Educ Dent. 1998 Dec;19(12):1256-8
  14. Bartee BK. Evaluation of new polytetrafluoroethylene guided tissue regeneration membrane in healing extraction sites. Compend Contin Educ Dent. 1998 Dec;19(12):1260
  15. Bartee BK. Evaluation of new polytetrafluoroethylene guided tissue regeneration membrane in healing extraction sites. Compend Contin Educ Dent. 1998 Dec;19(12):1262-4.
  16. Pretzl B, Kim TS, Holle R, Eickholz P. Long-term results of guided tissue regeneration therapy with non-resorbable and bioabsorbable barriers. IV. A case series of infrabony defects after 10 years. J Periodontol 2008;79:1491-9. https://doi.org/10.1902/jop.2008.070571
  17. Bartee BK. The use of high-density polytetrafluoroethylene membrane to treat osseous defects: clinical reports. Implant Dent 1995;4:21-6. https://doi.org/10.1097/00008505-199504000-00004
  18. Bartee BK, Carr JA. Evaluation of high-density polytetrafluoroethylene (n-PTFE) membrane as a barrier material to facilitate guided bone regeration in the rat mandible. J Oral Implantol 1995;21:88-95.
  19. Barber HD, Lignelli J, Smith BM, Bartee BK. Using dense PTFE membrane without primary closure to achieve bone and tissue regeneration. J Oral Maxillofac Surg 2007;65:748-52. https://doi.org/10.1016/j.joms.2006.10.042
  20. Piattelli A, Scarano A, Paolantonio M. Bone formation inside the material interstices of e-PTFE membranes: a light microscopical and histochemical study in man. Biomaterials 1996;17:1725-31. https://doi.org/10.1016/0142-9612(96)87653-8
  21. Strietzel FP, Khongkhunthian P, Khattiya R, Patchanee P, Reichart PA. Healing pattern of bone defects covered by different membrane types- A histologic study in the porcine mandible. J Biomed Mater Res B Appl Biomater 2006;78:35-46.
  22. Walters SP, Greenwell H, Hill M, Drisko C, Pickman K, Scheetz JP. Comparison of porous and non porous teflon membranes plus a xenograft in the treatment of vertical osseous defects: a clinical reentry study. J Periodontol 2003;74:1161-8. https://doi.org/10.1902/jop.2003.74.8.1161

Cited by

  1. Polytetrafluoroethylene (PTFE): A resin material for possible use in dental prostheses and devices vol.38, pp.1, 2019, https://doi.org/10.4012/dmj.2018-088
  2. Comparing Properties of Variable Pore-Sized 3D-Printed PLA Membrane with Conventional PLA Membrane for Guided Bone/Tissue Regeneration vol.12, pp.10, 2010, https://doi.org/10.3390/ma12101718
  3. Open-Healing Socket Preservation with a Novel Dense Polytetrafluoroethylene (dPTFE) Membrane: A Retrospective Clinical Study vol.56, pp.5, 2020, https://doi.org/10.3390/medicina56050216
  4. Allogeneic Demineralized Dentin Matrix Graft for Guided Bone Regeneration in Dental Implants vol.10, pp.13, 2010, https://doi.org/10.3390/app10134661
  5. Low temperature polytetrafluoroethylene (PTFE) coating improves the appearance of orthodontic wires without changing their mechanical properties vol.39, pp.5, 2020, https://doi.org/10.4012/dmj.2019-227
  6. Guided bone regeneration vol.46, pp.5, 2010, https://doi.org/10.5125/jkaoms.2020.46.5.361
  7. A Retrospective Analysis of Treatment Outcomes Following Guided Bone Regeneration at Sites Exhibiting Severe Alveolar Ridge Atrophy vol.32, pp.6, 2010, https://doi.org/10.1097/scs.0000000000007735
  8. Digital light processing-based 3D printing of polytetrafluoroethylene solid microneedle arrays vol.11, pp.6, 2010, https://doi.org/10.1557/s43579-021-00121-0