Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지
DOI QR코드

DOI QR Code

Guided bone regeneration using K-incision technique

  • Cho, Young-Dan (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Ku, Young (Department of Periodontology, Seoul National University School of Dentistry)
  • Received : 2018.05.02
  • Accepted : 2018.06.04
  • Published : 2018.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The present study describes 3 patients with chronic periodontitis and consequent vertical resorption of the alveolar ridge who were treated using implant-based restoration with guided bone regeneration (GBR). Methods: After extraction of a periodontally compromised tooth, vertical bone augmentation using a K-incision was performed at the healed, low-level alveolar ridge. Results: The partial-split K-incision enabled soft tissue elongation without any change in buccal vestibular depth, and provided sufficient keratinized gingival tissue during GBR. Conclusions: Within the limits of this study, the present case series demonstrated that the novel K-incision technique was effective for GBR and allowed normal implant-based restoration and maintenance of a healthy periodontal condition. However, further long-term follow-up and a large-scale randomized clinical investigation should be performed to evaluate the feasibility of this technique.

Keywords

References

  1. Satloff D. Dental implant success. J Am Dent Assoc 2002;133:1040, 1042.
  2. Zarb GA, Albrektsson T. Consensus report: towards optimized treatment outcomes for dental implants. J Prosthet Dent 1998;80:641. https://doi.org/10.1016/S0022-3913(98)70048-4
  3. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416. https://doi.org/10.1016/S0300-9785(81)80077-4
  4. Jivraj S, Chee W. Treatment planning of implants in posterior quadrants. Br Dent J 2006;201:13-23. https://doi.org/10.1038/sj.bdj.4813766
  5. Buser D, Dula K, Belser UC, Hirt HP, Berthold H. Localized ridge augmentation using guided bone regeneration. II. surgical procedure in the mandible. Int J Periodontics Restorative Dent 1995;15:10-29.
  6. Handelsman M. Surgical guidelines for dental implant placement. Br Dent J 2006;201:139-52. https://doi.org/10.1038/sj.bdj.4813947
  7. Garaicoa-Pazmino C, Suarez-Lopez del Amo F, Monje A, Catena A, Ortega-Oller I, Galindo-Moreno P, et al. Influence of crown/implant ratio on marginal bone loss: a systematic review. J Periodontol 2014;85:1214-21. https://doi.org/10.1902/jop.2014.130615
  8. Birdi H, Schulte J, Kovacs A, Weed M, Chuang SK. Crown-to-implant ratios of short-length implants. J Oral Implantol 2010;36:425-33. https://doi.org/10.1563/AAID-JOI-D-09-00071
  9. Glantz PO, Nilner K. Biomechanical aspects of prosthetic implant-borne reconstructions. Periodontol 2000 1998;17:119-24. https://doi.org/10.1111/j.1600-0757.1998.tb00129.x
  10. Lee KJ, Kim YG, Park JW, Lee JM, Suh JY. Influence of crown-to-implant ratio on periimplant marginal bone loss in the posterior region: a five-year retrospective study. J Periodontal Implant Sci 2012;42:231-6. https://doi.org/10.5051/jpis.2012.42.6.231
  11. Sanz I, Garcia-Gargallo M, Herrera D, Martin C, Figuero E, Sanz M. Surgical protocols for early implant placement in post-extraction sockets: a systematic review. Clin Oral Implants Res 2012;23 Suppl 5:67-79.
  12. Vignoletti F, Matesanz P, Rodrigo D, Figuero E, Martin C, Sanz M. Surgical protocols for ridge preservation after tooth extraction. A systematic review. Clin Oral Implants Res 2012;23 Suppl 5:22-38.
  13. Greenstein G, Greenstein B, Cavallaro J, Tarnow D. The role of bone decortication in enhancing the results of guided bone regeneration: a literature review. J Periodontol 2009;80:175-89. https://doi.org/10.1902/jop.2009.080309
  14. Nobre AM, Malo PS, Oliveira SH. The influence of implant location and position characteristics on periimplant pathology. Eur J Prosthodont Restor Dent 2014;22:125-9.
  15. Renvert S, Persson GR. Periodontitis as a potential risk factor for peri-implantitis. J Clin Periodontol 2009;36 Suppl 10:9-14. https://doi.org/10.1111/j.1600-051X.2009.01416.x
  16. Warrer K, Buser D, Lang NP, Karring T. Plaque-induced peri-implantitis in the presence or absence of keratinized mucosa. An experimental study in monkeys. Clin Oral Implants Res 1995;6:131-8. https://doi.org/10.1034/j.1600-0501.1995.060301.x
  17. Souza AB, Tormena M, Matarazzo F, Araujo MG. The influence of peri-implant keratinized mucosa on brushing discomfort and peri-implant tissue health. Clin Oral Implants Res 2016;27:650-5. https://doi.org/10.1111/clr.12703
  18. Halperin-Sternfeld M, Zigdon-Giladi H, Machtei EE. The association between shallow vestibular depth and peri-implant parameters: a retrospective 6 years longitudinal study. J Clin Periodontol 2016;43:305-10. https://doi.org/10.1111/jcpe.12504
  19. Romanos GE. Periosteal releasing incision for successful coverage of augmented sites. A technical note. J Oral Implantol 2010;36:25-30. https://doi.org/10.1563/AAID-JOI-D-09-00068
  20. Hur Y, Tsukiyama T, Yoon TH, Griffin T. Double flap incision design for guided bone regeneration: a novel technique and clinical considerations. J Periodontol 2010;81:945-52. https://doi.org/10.1902/jop.2010.090685
  21. Lee D, Sohn B, Kim KH, Kim S, Koo KT, Kim TI, et al. Effects of untreated periodontitis on osseointegration of dental implants in a beagle dog model. J Periodontol 2016;87:1141-8. https://doi.org/10.1902/jop.2016.160121

Cited by

  1. Supplemental periodontal regeneration by vertical ridge augmentation around dental implants. A preclinical in vivo experimental study vol.30, pp.11, 2018, https://doi.org/10.1111/clr.13525
  2. Mechanical-chemical coupled modeling of bone regeneration within a biodegradable polymer scaffold loaded with VEGF vol.19, pp.6, 2018, https://doi.org/10.1007/s10237-020-01339-y
  3. Effectiveness of dental implantation with the partial split-flap technique on vertical guided bone regeneration: a retrospective study vol.51, pp.None, 2018, https://doi.org/10.5051/jpis.2103780189