EVALUATION OF THE EFFECT OF I-GEN TITANIUM MEMBRANE AROUND IMMEDIATE DENTAL IMPLANTS REPLACING POSTERIOR MANDIBULAR TOOTH WITH BUCCAL BONE DEFECT

Document Type : Original Article

Authors

1 Instructor at Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

2 Professor at Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

Abstract

INTRODUCTION: Reconstruction of the oral supporting tissues lost by disease or trauma is essential to tooth replacement with dental implant therapy. This treatment requires evidence based augmentative procedures combined with up-to-date and current techniques. Guided bone regeneration (GBR) aims to initialize this process of alveolar ridge reconstruction by utilizing biologically active and supportive materials best coupled to the body’s healing processes. The use of non resorbable, titanium membranes can achieve GBR by ensuring graft stability and space maintenance so as to ensure optimal neovascularization. OBJECTIVES: evaluate the use of I-Gen titanium membrane used with immediately placed implant replacing a posterior mandibular tooth with buccal bone defect. MATERIALS AND METHODS: This study was conducted clinically on 10 patients indicated for extraction of a posterior tooth with buccal bone defect, tooth was extracted and an immediate implant, bone graft and I gen titanium membrane were placed. Patients were evaluated clinically and radiographically by using panoramic radiograph and cone beam computed tomography (CBCT). RESULTS: In this study no severe pain was recorded postoperatively. No signs of inflammation or swelling were observed in almost all of the patients along the follow up period. Sufficient bone thickness which is a minimum of 2 mm was formed in the targeted defect with good stability of the implants after 6 months. CONCLUSIONS: I gen titanium mesh should be considered as a valuable option for GBR in small and medium sized bone defects.

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References

1. Lin CL, Kuo YC, Lin TS. The effects of dental implants length and bone quality on biomechanical responses in bone around implants: A 3-d nonlinear finite element analysis. Biomed Eng Appl Basis Comm 2005; 17: 44-9. 
2. Ferrara A, Gallic M, Mauro G, Macaluso G. Immediate provisional restoration of post extraction implant for maxillary single tooth replacement. Int J Periodontics Restorative Dent 2006; 26(4): 371-7. 
3. Shwuartz-Arad D, Yaniv Y, Levin L, Kraffer I. A radiographic evaluation of of cervical bone loss associated with immediate and delayed implants placed for fixed restorations in edentulous jaws. J Periodontol 2004; 5: 652- 7. 
4. Convani U, Cornelini R, Barone A. Buccolingual bone remodeling around implants placed in to immediate extraction sockets. A case series. J Periodontol 2003;74(2): 168-73.
 5. Yukna RA, Castellon P, Saenz- Nasr AM, Owens K, Simmons J, Thunthy KH, et al. Evaluation of hard tissue replacement composte graft material. A ridge preservation / Augmentation material in conjuction with immediate hydrxyapatite – coated dental implants. J Periodontol 2003; 74: 679-86. 
6. Her S, Kang T, Fien MJ. Titanium mesh as an alternative to a membrane for ridge augmentation. J Oral Maxillofac Surg 2012; 70: 803-10. 
7. Celletti R, Davarpanah M, Etienne D, Pecora G, Tecucianu JF, Djukanovic D, et al. Guided tissue regeneration around dental implants in immediate extraction sockets:comparison of e-PTFE and a new titanium membrane. Int J Periodontics Restorative Dent 1994; 14: 242-53. 
8. Misch CM. Bone augmentation of the atrophic posterior mandible for dental implants using rhBMP-2 and titanium mesh: clinical technique and early results. Int J Periodontics Restorative Dent. 2011; 31:581–9. 
9. Rakhmatia YD, Ayukawa Y, Furuhashi A, Koyano K. Current barrier membranes: titanium mesh and other membranes for guided bone regeneration in dental applications, J Prosthodont Res. 2013;57(1):3–14. 
10. Khojasteh A, Soheilifar S, Mohajerani H, Nowzari H. The effectiveness of barrier membranes on bone regeneration in localized bony defects: a systematic review, Int J Oral Maxillofac Implants 2013;28(4):1076–89. 
11. Merli M, Merli I, Raffaelli E, Pagliaro U, Nastri L, Nieri M. Bone augmentation at implant dehiscences and fenestrations. A systematic review of randomised controlled trials, Eur J Oral Implantol. 2016;9(1):11–32. 
12. Steflik DE, Koth DL, Robinson FG, Mckinney RV, Davis BC, Morris CF, et al. Crystal sapphire endosteal dental implant in humans: ten-year results. J Oral Implantol. 1995; 21(1): 8-18 
13. Glavind L, Loe H. Errors in clinical assessment of periodontal destruction. J Periodontol 1967; 2: 180-6. Quoted from: El Sayed E, Khalil A, Saleh M. Clinical and radiographical evaluation of immediate implant versus delayed implant after socket preservation of upper anterior teeth. ADJ 2015; 40: 79-85. 
14. Muhlemann HR. Psychological and chemical mediators of gingival health. J Prev Dent. 1977; 4: 6-15. Quoted from: Ahad M, Ahmad MA, Imran M, Ahmad MS, Shayan M, Jan SM. Prevalence and Severity of Periodontal Disease in Type 2 Diabetes Mellitus (Non–Insulin Dependent Diabetes Mellitus) Patients in Srinagar City. IOSR-JDMS 2016; 15(6):74-81. 
15. Lee S, Gantes B, Riggs M, Crigger M. Bone density assessments of dental implant sites: 3. Bone quality evaluation during osteotomy and implant placement. Int J Oral Maxillofac Implants 2007; 22: 208-12. 
16. Grunder U, Gracis S, Capelli M. Influence of the 3-D boneto-implant relationship on esthetics. Int J Periodontics Restorative Dent. 2005;25(2):113-9. 
17.Jung GU, Jeon JY, Hwang KG, Park CJ. Preliminary evaluation of a three-dimensional, customized, and preformed titanium mesh in peri-implant alveolar bone regeneration. J Korean Assoc Oral Maxillofac Surg. 2014;40(4):181-7. 
18. Meffert RM, Langer B, Fritz ME. Dental implants: A Review. J Periodontol 1992; 63: 859-70. 
19. le Noble F, le Noble J. Bone biology: Vessels of rejuvenation. Nature 2014; 507: 313-4. 
20. Mammoto A, Connor KM, Mammoto T, Yung CW, Huh D, Aderman CM, et al. A mechanosensitive transcriptional mechanism that controls angiogenesis. Nature 2009; 457: 1103-8 
21. Dahlin C, Sennerby L, Lekholm U, Linde A, Nyman S.Generation of new bone around titanium implants using a membrane technique: an experimental study in rabbits. Int J Oral Maxillofac Implants 1989;4(1):19-25. 
22. Megagen (online). i-Gen GBR membrane for ideal generation. Megagen; (updated 2014; cited 2014 October). http://megagen.co.uk/wp-content/uploads/2014/12/igengbr-membrane.pdf 
23. McCracken M, Lemons JE, Rahemtulla F, Prince CW, Feldman D. Bone response to titanium alloy implants placed in diabetic rats. Int J Oral Maxillofac Implants 2000; 15: 345-54. 
24.Brogniez V, D'Hoore W, Gregoire V, Munting E, Reychler H. Implants placed in an irradiated dog mandible: a morphometric analysis. Int J Oral Maxillofac Implants 2000; 15: 511-8. 
25. Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977; 16: 1-132. Quoted from: Cattaneo MV, Wise DL, Trantolo DJ, Lewandrowski KU, Gresser JD. Biomaterials Engineering and Devices: Human Applications: Vol. 2. Orthopedic, Dental, and Bone Graft Applications. New York, USA: Springer Science & Business Media, 2000. 346. 
26. Eriksson AR, Albrektsson T. Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. J Prosthet Dent 1983; 50: 101-7. 
27. Tschernitschek H, Borchers L, Geurtsen W. Nonalloyed titanium as a bioinert metal--a review. Quintessence Int 2005; 36: 523-30. 
28.Jepsen S, Rühling A, Jepsen K, Ohlenbusch B, Albers HK. Progressive peri-implantitis. Incidence and prediction of peri-implant attachment loss. Clin Oral Implants Res 1996; 7: 133-42.
29. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986; 1:11–25. 
30. Han TJ, Park KP. Surgical aspect of dental implants. In: Newman MG, Takei HH, Carranza FA. Carranza's clinical periodontology. 9th ed. Philadelphia: W.B. Saunders Co., 2002. p 898. 
31. Konstantinidis I, Kumar T, Kher U, Stanitsas PD, Hinrichs JE, Kotsakis GA. Clinical results of implant placement in resorbed ridges using simultaneous guided bone regeneration: a multicenter case series. Clin Oral Investig. 2015;19(2): 553-9. 
32.Rasia dal Polo M, Poli PP, Rancitelli D, Beretta M, Maiorana C. Alveolar ridge reconstruction with titanium meshes: a systematic review of the literature. Med Oral Patol Oral Cir Bucal. 2014; 19(6): e639-46. 
33. Watzinger F, Luksch J, Millesi W, Schopper C, Neugebauer J, Moser D, et al. Guided bone regeneration with titanium membranes: a clinical study. Br J Oral Maxillofac Surg. 2000;38(4):312-5.

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