Guided Bone Regeneration using Fibrin Glue in Dehiscence or Fenestration Defects Occurred by Maxillary Anterior Implants: Case Report

상악 전치부 임플란트 식립에 의한 열개 및 천공형 골결손 발생 시 조직 접착제를 이용한 골유도 재생술: 증례보고

  • Chee, Young-Deok (Department of Oral & Maxillofacial Surgery, Sanbon Dental Hospital, College of Dentistry, Wonkwang University) ;
  • Seon, Hwa-Gyeong (Department of Oral & Maxillofacial Surgery, Sanbon Dental Hospital, College of Dentistry, Wonkwang University)
  • 지영덕 (원광대학교 치과대학 산본치과병원 구강악안면외과) ;
  • 선화경 (원광대학교 치과대학 산본치과병원 구강악안면외과)
  • Received : 2012.07.25
  • Accepted : 2012.09.25
  • Published : 2012.09.30

Abstract

Dental implants are universal restorative method on edentulous site in oral cavity and generally recognized by patients as well as clinicians. Rapid bone resorption of labial portion of maxillary anterior area is performed due to dental trauma, chronic periodontitis, and so on. Accordingly, Implants on maxillary anterior alveolar ridge with narrow labiopalatal width would lead to bony defects of dehiscence or fenestration. In this case, guided bone regeneration procedure is used to augment maxillary anterior alveolar ridge. It can have mechanical and biological advantages to mix tissue adhesive with bone graft materials in guided bone regeneration procedure. In these cases, when the dehiscence or fenestration defects was occurred by dental implants on maxillary anterior alveolar ridge with narrow labiopalatal width, guided bone regeneration procedures were performed with various combination of particle bone graft materials(allograft, xenograft, and alloplast) mixed with fibrin glue, excepting autogerous bone. We reported that all of 4 cases showed favorable alveolar ridge augmentations.

Acknowledgement

Supported by : 원광대학교

References

  1. Caton JG, Greenstein G. Factors related to periodontal regeneration. Periodontol 2000 1993;1:9-15
  2. Gottlow J. Guided tissue regeneration using bioresorbable and non-resorbable devices: Initial healing and long-term results. J Periodontol 1993;64(11 suppl): 1157-1165
  3. Nemcovsky CE, Artzi Z. Comparative study of buccal dehiscence defects in immediate, delayed, and late maxillary implant placement with collagen membranes: Clinical healing between placement and second-stage surgery. J Periodontol 2002;73:754-761
  4. Jensen SS, Terheyden H. Bone augmentation procedures in localized defects in the alveolar ridge; clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants 2009;24 Suppl:218-236
  5. Garg AK. Bone biology, harvesting, grafting for dental implants. J a Majors Co.; 2004
  6. Linde A, Alberius P, Dahlin C et al. Osteopromotion: A soft-tissue exclusion principle using a membrane for bone healing and bone neogenesis. J Periodontol 1993;64(11 Suppl):1116-1128
  7. Yukna CN, Yukna RA. Multi-center evaluation of bioabsorbable collagen membrane for guided tissue regeneration in human Class II furcations. J Periodontol 1996;67:650-657
  8. Homminga GN, Bulstra SK, Bouwmeester PS et al. Perichondral grafting for cartilage lesions of the knee. J Bone Joint Surg Br 1990;72:1003-1007
  9. Scotti C, Pozzi A, Mangiavini L et al. Healing of meniscal tissue by cellular fibrin glue: an in vivo study. Knee Surg Sports Traumatol Arthrosc 2009;17:645-651
  10. Ono K, Shikata J, Shimizu K et al. Bone-fibrin mixture in spinal surgery. Clin Orthop Relat Res 1992;275:133-139
  11. Matras H. Fibrin sealant in maxillofacial surgery. Dvelopmental and indications. A review of the past 12 years. Fac Plast Surg 1985;2:297-313
  12. Schwarz N, Redl H, Zeng L et al. Early osteoinduction in rats is not altered by fibrin sealant. Clinical Orthopaedics & Related Research. 1993;293:353-359
  13. Langer R, Vacanti JP. Tissue engineering. Science 1993;260:920-926
  14. Chiapasco M, Zaniboni M. Clinical outcomes of GBR procedures to correct peri-implant dehiscences and fenestrations: a systematic review. Clin Oral Implants Res 2009 Sep;20 Suppl 4:113-23
  15. Kim YK, Yun PY, Lim SC et al. Guided bone regeneration using Regenaform$^((R))$ and Ossix$^((R))$ membrane: Three case reports. J Kor Oral Maxillofac Surg 2007;33:648-653
  16. Kim YK, Lee HJ, Kim KW et al. Guided bone regeneration using autogenous teeth: Case reports. J Korean Assoc Oral Maxillofac Surg 2011;37:142-147
  17. Keller J, Anderassen TT, Joyce F et al. Fixation of osteochondral fractures: fibrin sealant tested in dogs. Acta Orthopaedica Scandinavia 1985;56:323-326
  18. Schlag G, Redl H, Schwarz N et al. The influence of fibrin sealant on demineralized bone matrixdependent osteoinduction. A quantitative and qualitative study in rats. Clinical Orthopaedics & Related Research. 1989;238:282-287
  19. Ito K, Yamada Y, Naiki T et al. Simultaneous implant placement and bone regeneration around dental implants using tissue-engineered bone with fibrin glue, mesenchymal stem cells and platelet-rich plasma. Clin Oral Impl Res 2006;17:579-586
  20. Dahlin C, Alberius P, Lindhe A. Osteopromotion for cranioplasty. An experimental study in rats using a membrane technique. J Neurosurg 1991;74(3):487-491
  21. Melcher AH. On the repair potential of periodontal tissues. J Periodontol 1976;47:256-260
  22. Nyman S, Gottlow J, Karring T et al. The regenerative potential of periodontal ligament. An experimental study in the monkey. J Clin Periodontol 1982;9:257-65
  23. Gottlow J, Nyman S, Karring T et al. New attachment formation as the result of controlled tissue regeneration. J Clin Periodontol 1984;11:494-503
  24. Mayfield L, Nobreus N, Attstrom R et al. Guided bone regeneration in dental implant treatment using a bioabsorbable membrane. Clin Oral Impl Research 1997;8:10-17
  25. Jung RE, Glauser R, Scharer P et al. The effect of rhBMP-2 on guided bone regeneration in humans. A randomized, controlled clinical and histomorphometric study. Clin Oral Impl Research 2003;14:556-568
  26. Schliephake H, Neukam FW, Scheller H et al. Local ridge augmentation using bone grafts and osseointegrated implants in the rehabilitation of partial edentulism: Preliminary results. Int J Oral Maxillofac Implants 1994;9:557-564
  27. Hammerle CH, Jung RE. Bone augmentation by means of barrier membranes. Periodontol 2000 2003;33:36-53
  28. Hammerle CH, Jung RE, Feloutzis A. A systematic review of the survival of implants in bone sites augmented with barrier membranes(guided bone regeneration) in partially edentulous patients. J Clin Periodontol 2002;29(Suppl 3):226-231
  29. Mayfield L, Skoglund A, Nobreus N et al. Clinical and radiolographic evaluation, following delivery of fixed reconstructions at GBR treated titanium fixtures. Clin Oral Impl Research 1998;9:292-302
  30. Lekovic V, Kenney EB, Weinlaender M, Han T, Klokkevold P, Nedic M, et al. A bone regenerative approach to alveolar ridge maintenance following tooth extraction. Report of 10 cases. J Periodontol 1997 Jun;68(6):563-70
  31. Carlsson H, Thilander H, Hedegard B. Histologic changes in the upper alveolar process after extractions with or without insertion of an immediate full denture. Acta Odontol Scand 1967;25:21-43
  32. John V, Gossweiler M. Implant treatment planning and rehabilitation of the anterior maxilla: Part I. J Indiana Dent Assoc 2001;80:20-24
  33. Chang YY, Kang DH, Park JC et al. Treatment of dehiscence or fenestration defect on maxillary anterior implants using guided bone regeneration : Case report. J Korean Acad Implant Dent 2011;30(1):44-49
  34. Schenk RK, Buser D, Hardwick WR, Dahlin C. Heeling pattern of bone regeneration in membraneprotected defects: a histologic study in the canine mandible. Int J Oral Maxillofac Implants 1994;9:13-29