Complications in the guided bone regeneration technique associated with the d-PTFE membrane: case report

ABSTRACT Guided bone regeneration aims to gain vertical and horizontal bone volume in atrophic ridges, using different regenerative techniques associated with biomaterials, with occasional post-surgical complications. The objective of the case report was to describe the successive approaches to mini...

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Main Authors: Fabiano Luiz HEGGENDORN, Basílio Pires DE FIGUEIREDO FILHO, Jorge Luis da Silva PIRES, Paulo Gonçalo Pinto dos SANTOS
Format: Article
Language:English
Published: Faculdade São Leopoldo Mandic 2022-11-01
Series:RGO: Revista Gaúcha de Odontologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372022000100818&tlng=en
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author Fabiano Luiz HEGGENDORN
Basílio Pires DE FIGUEIREDO FILHO
Jorge Luis da Silva PIRES
Paulo Gonçalo Pinto dos SANTOS
author_facet Fabiano Luiz HEGGENDORN
Basílio Pires DE FIGUEIREDO FILHO
Jorge Luis da Silva PIRES
Paulo Gonçalo Pinto dos SANTOS
author_sort Fabiano Luiz HEGGENDORN
collection DOAJ
description ABSTRACT Guided bone regeneration aims to gain vertical and horizontal bone volume in atrophic ridges, using different regenerative techniques associated with biomaterials, with occasional post-surgical complications. The objective of the case report was to describe the successive approaches to minimize and eliminate the complications presented in the postoperative period of a patient submitted to the guided bone regeneration technique. In the first surgery, the dense expanded polytetrafluoroethylene membrane (d-PTFE), supported by the tent technique and autogenous platelet graft, was used to perform the guided bone regeneration technique. After three months, the membrane was exposed, with the membrane and the retaining screws removed in the seventh month, with the installation of three Internal Hexagon implants in the areas of teeth 13, 14 and 15. The exposed threads were covered with hydroxyapatites resorbable and covered with d-PTFE membrane. A four-month postoperative panoramic radiograph suggested implant osseointegration. The guided bone regeneration technique associated with the d-PTFE membrane enabled bone neoformation, enabling the installation of osseointegrated implants in an aesthetic and functional position. The exposure of the edges of the membrane allowed the penetration of fluids and contamination, suggesting the worsening of the signs of infection and purulent secretion. On the contrary, the exposure of central areas did not cause inflammatory and infectious signs.
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spelling doaj.art-6a79004871de4edaa79c0899d66bb5f72023-06-28T23:16:54ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372022-11-017010.1590/1981-86372022004620200217Complications in the guided bone regeneration technique associated with the d-PTFE membrane: case reportFabiano Luiz HEGGENDORNhttps://orcid.org/0000-0002-2687-0165Basílio Pires DE FIGUEIREDO FILHOhttps://orcid.org/0000-0003-3991-7505Jorge Luis da Silva PIREShttps://orcid.org/0000-0002-0572-2577Paulo Gonçalo Pinto dos SANTOShttps://orcid.org/0000-0003-3138-1443ABSTRACT Guided bone regeneration aims to gain vertical and horizontal bone volume in atrophic ridges, using different regenerative techniques associated with biomaterials, with occasional post-surgical complications. The objective of the case report was to describe the successive approaches to minimize and eliminate the complications presented in the postoperative period of a patient submitted to the guided bone regeneration technique. In the first surgery, the dense expanded polytetrafluoroethylene membrane (d-PTFE), supported by the tent technique and autogenous platelet graft, was used to perform the guided bone regeneration technique. After three months, the membrane was exposed, with the membrane and the retaining screws removed in the seventh month, with the installation of three Internal Hexagon implants in the areas of teeth 13, 14 and 15. The exposed threads were covered with hydroxyapatites resorbable and covered with d-PTFE membrane. A four-month postoperative panoramic radiograph suggested implant osseointegration. The guided bone regeneration technique associated with the d-PTFE membrane enabled bone neoformation, enabling the installation of osseointegrated implants in an aesthetic and functional position. The exposure of the edges of the membrane allowed the penetration of fluids and contamination, suggesting the worsening of the signs of infection and purulent secretion. On the contrary, the exposure of central areas did not cause inflammatory and infectious signs.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372022000100818&tlng=enBone regenerationBiocompatible materialsDental implants
spellingShingle Fabiano Luiz HEGGENDORN
Basílio Pires DE FIGUEIREDO FILHO
Jorge Luis da Silva PIRES
Paulo Gonçalo Pinto dos SANTOS
Complications in the guided bone regeneration technique associated with the d-PTFE membrane: case report
RGO: Revista Gaúcha de Odontologia
Bone regeneration
Biocompatible materials
Dental implants
title Complications in the guided bone regeneration technique associated with the d-PTFE membrane: case report
title_full Complications in the guided bone regeneration technique associated with the d-PTFE membrane: case report
title_fullStr Complications in the guided bone regeneration technique associated with the d-PTFE membrane: case report
title_full_unstemmed Complications in the guided bone regeneration technique associated with the d-PTFE membrane: case report
title_short Complications in the guided bone regeneration technique associated with the d-PTFE membrane: case report
title_sort complications in the guided bone regeneration technique associated with the d ptfe membrane case report
topic Bone regeneration
Biocompatible materials
Dental implants
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372022000100818&tlng=en
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