The Role of Blood Clot in Guided Bone Regeneration: Biological Considerations and Clinical Applications with Titanium Foil

In Guided Bone Regeneration (GBR) materials and techniques are essential to achieve the expected results. Thanks to their properties, blood clots induce bone healing, maturation, differentiation and organization. The preferred material to protect the clot in Guided Bone Regeneration is the titanium...

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Main Authors: Lucio Milillo, Fabrizio Cinone, Federico Lo Presti, Dorina Lauritano, Massimo Petruzzi
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/14/21/6642
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author Lucio Milillo
Fabrizio Cinone
Federico Lo Presti
Dorina Lauritano
Massimo Petruzzi
author_facet Lucio Milillo
Fabrizio Cinone
Federico Lo Presti
Dorina Lauritano
Massimo Petruzzi
author_sort Lucio Milillo
collection DOAJ
description In Guided Bone Regeneration (GBR) materials and techniques are essential to achieve the expected results. Thanks to their properties, blood clots induce bone healing, maturation, differentiation and organization. The preferred material to protect the clot in Guided Bone Regeneration is the titanium foil, as it can be shaped according to the bone defect. Furthermore, its exposition in the oral cavity does not impair the procedure. We report on five clinical cases in order to explain the management of blood clots in combination with titanium foil barriers in different clinical settings. Besides being the best choice to protect the clot, the titanium foil represents an excellent barrier that is useful in GBR due to its biocompatibility, handling, and mechanical strength properties. The clot alone is the best natural scaffold to obtain the ideal bone quality and avoid the persistence of not-resorbed granules of filler materials in the newly regenerated bone. Even though clot contraction still needs to be improved, as it impacts the volume of the regenerated bone, future studies in GBR should be inspired by the clot and its fundamental properties.
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spelling doaj.art-e6ff38a4972a45dbb8b1577f00fdbb592023-11-22T21:15:15ZengMDPI AGMaterials1996-19442021-11-011421664210.3390/ma14216642The Role of Blood Clot in Guided Bone Regeneration: Biological Considerations and Clinical Applications with Titanium FoilLucio Milillo0Fabrizio Cinone1Federico Lo Presti2Dorina Lauritano3Massimo Petruzzi4Independent Researcher, 70126 Bari, ItalyIndependent Researcher, 70126 Bari, ItalyB.L. Consulting S.A.S.-Schio-Vicenza, 36015 Schio, ItalyCentre of Neuroscience of Milan, Department of Medicine and Surgery, University of Milano-Bicocca, 20090 Monza, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70126 Bari, ItalyIn Guided Bone Regeneration (GBR) materials and techniques are essential to achieve the expected results. Thanks to their properties, blood clots induce bone healing, maturation, differentiation and organization. The preferred material to protect the clot in Guided Bone Regeneration is the titanium foil, as it can be shaped according to the bone defect. Furthermore, its exposition in the oral cavity does not impair the procedure. We report on five clinical cases in order to explain the management of blood clots in combination with titanium foil barriers in different clinical settings. Besides being the best choice to protect the clot, the titanium foil represents an excellent barrier that is useful in GBR due to its biocompatibility, handling, and mechanical strength properties. The clot alone is the best natural scaffold to obtain the ideal bone quality and avoid the persistence of not-resorbed granules of filler materials in the newly regenerated bone. Even though clot contraction still needs to be improved, as it impacts the volume of the regenerated bone, future studies in GBR should be inspired by the clot and its fundamental properties.https://www.mdpi.com/1996-1944/14/21/6642blood clottitanium foilbone augmentationguided bone regeneration
spellingShingle Lucio Milillo
Fabrizio Cinone
Federico Lo Presti
Dorina Lauritano
Massimo Petruzzi
The Role of Blood Clot in Guided Bone Regeneration: Biological Considerations and Clinical Applications with Titanium Foil
Materials
blood clot
titanium foil
bone augmentation
guided bone regeneration
title The Role of Blood Clot in Guided Bone Regeneration: Biological Considerations and Clinical Applications with Titanium Foil
title_full The Role of Blood Clot in Guided Bone Regeneration: Biological Considerations and Clinical Applications with Titanium Foil
title_fullStr The Role of Blood Clot in Guided Bone Regeneration: Biological Considerations and Clinical Applications with Titanium Foil
title_full_unstemmed The Role of Blood Clot in Guided Bone Regeneration: Biological Considerations and Clinical Applications with Titanium Foil
title_short The Role of Blood Clot in Guided Bone Regeneration: Biological Considerations and Clinical Applications with Titanium Foil
title_sort role of blood clot in guided bone regeneration biological considerations and clinical applications with titanium foil
topic blood clot
titanium foil
bone augmentation
guided bone regeneration
url https://www.mdpi.com/1996-1944/14/21/6642
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