Resorbable Membrane Pouch Technique for Single-Implant Placement in the Esthetic Zone: A Preliminary Technical Case Report
The conventional protocol for lateral guided bone regeneration (GBR) in esthetic areas requires the securing of resorbable collagen membranes using titanium cortical bone pins to immobilize bone grafts. These procedures are highly invasive and can increase patient morbidity and discomfort. Herein, w...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Bioengineering |
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| Online Access: | https://www.mdpi.com/2306-5354/9/11/649 |
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| author | Akiyoshi Funato Chihiro Ishikura Koji Naito Akira Hasuike |
| author_facet | Akiyoshi Funato Chihiro Ishikura Koji Naito Akira Hasuike |
| author_sort | Akiyoshi Funato |
| collection | DOAJ |
| description | The conventional protocol for lateral guided bone regeneration (GBR) in esthetic areas requires the securing of resorbable collagen membranes using titanium cortical bone pins to immobilize bone grafts. These procedures are highly invasive and can increase patient morbidity and discomfort. Herein, we introduce a minimally invasive novel resorbable membrane pouch technique, wherein collagen membranes can be immobilized by securing them to the periosteum without the need of titanium pins. We describe 11 cases of single-immediate- or delayed-implant placement in the atrophic maxilla esthetic zone. All implants were successful and functional without pain or inflammation and with optimal soft-tissue health and esthetics. Radiographic evaluation with cone-beam computed tomography (CBCT) and esthetic assessment using the pink esthetic score (PES) were performed. At the time of implant placement, the average augmented bone width was 2.8 ± 0.6 mm on CBCT analysis. In all cases, resorption of the augmented bone was confirmed with an average of −1.3 ± 0.8 mm. Soft-tissue outcomes were scored 1 year after permanent restoration. The PES score 1 year after treatment was 11.9 ± 1.4. The resorbable membrane pouch technique with immediate or delayed implant placement for buccal dehiscence in the esthetic area can be predictable and is minimally invasive. |
| first_indexed | 2024-03-09T19:16:33Z |
| format | Article |
| id | doaj.art-cfa7f0dbac84495f835520e5568c600f |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-09T19:16:33Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-cfa7f0dbac84495f835520e5568c600f2023-11-24T03:46:44ZengMDPI AGBioengineering2306-53542022-11-0191164910.3390/bioengineering9110649Resorbable Membrane Pouch Technique for Single-Implant Placement in the Esthetic Zone: A Preliminary Technical Case ReportAkiyoshi Funato0Chihiro Ishikura1Koji Naito2Akira Hasuike3Nagisa Dental Clinic, Kanazawa 920-0031, JapanNagisa Dental Clinic, Kanazawa 920-0031, JapanDIABUILDING Dental Clinic, Tokyo 104-0033, JapanDepartment of Periodontology, Nihon University School of Dentistry, Tokyo 101-8310, JapanThe conventional protocol for lateral guided bone regeneration (GBR) in esthetic areas requires the securing of resorbable collagen membranes using titanium cortical bone pins to immobilize bone grafts. These procedures are highly invasive and can increase patient morbidity and discomfort. Herein, we introduce a minimally invasive novel resorbable membrane pouch technique, wherein collagen membranes can be immobilized by securing them to the periosteum without the need of titanium pins. We describe 11 cases of single-immediate- or delayed-implant placement in the atrophic maxilla esthetic zone. All implants were successful and functional without pain or inflammation and with optimal soft-tissue health and esthetics. Radiographic evaluation with cone-beam computed tomography (CBCT) and esthetic assessment using the pink esthetic score (PES) were performed. At the time of implant placement, the average augmented bone width was 2.8 ± 0.6 mm on CBCT analysis. In all cases, resorption of the augmented bone was confirmed with an average of −1.3 ± 0.8 mm. Soft-tissue outcomes were scored 1 year after permanent restoration. The PES score 1 year after treatment was 11.9 ± 1.4. The resorbable membrane pouch technique with immediate or delayed implant placement for buccal dehiscence in the esthetic area can be predictable and is minimally invasive.https://www.mdpi.com/2306-5354/9/11/649dental implantresorbable membrane pouch techniquescase reportconnective-tissue graft |
| spellingShingle | Akiyoshi Funato Chihiro Ishikura Koji Naito Akira Hasuike Resorbable Membrane Pouch Technique for Single-Implant Placement in the Esthetic Zone: A Preliminary Technical Case Report Bioengineering dental implant resorbable membrane pouch techniques case report connective-tissue graft |
| title | Resorbable Membrane Pouch Technique for Single-Implant Placement in the Esthetic Zone: A Preliminary Technical Case Report |
| title_full | Resorbable Membrane Pouch Technique for Single-Implant Placement in the Esthetic Zone: A Preliminary Technical Case Report |
| title_fullStr | Resorbable Membrane Pouch Technique for Single-Implant Placement in the Esthetic Zone: A Preliminary Technical Case Report |
| title_full_unstemmed | Resorbable Membrane Pouch Technique for Single-Implant Placement in the Esthetic Zone: A Preliminary Technical Case Report |
| title_short | Resorbable Membrane Pouch Technique for Single-Implant Placement in the Esthetic Zone: A Preliminary Technical Case Report |
| title_sort | resorbable membrane pouch technique for single implant placement in the esthetic zone a preliminary technical case report |
| topic | dental implant resorbable membrane pouch techniques case report connective-tissue graft |
| url | https://www.mdpi.com/2306-5354/9/11/649 |
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