02Mar 2018

MANAGEMENT OF DEHISCENCE DURING IMPLANT PLACEMENT WITH SANDWICH TECHNIQUE: A CASE REPORT.

  • MDS, Department of Periodontics and Implantology, Kamineni Institute of Dental Sciences.
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The replacement of single anterior teeth by means of endosseous implants implies the achievement of success in restoring both aesthetic and function. Dental implants are established substitutes for replacing missing teeth. For the successful implant placement, the volume of adequate bone at the recipient site is absolutely essential. Peri-implant dehiscence defects are most often encountered at the site of implant placement that requires bone augmentation. These defects may range from very small lack of marginal bone to large areas of denuded implant surfaces. Recent clinical studies have demonstrated that the application of various bone grafts in conjunction with placement of implants leads to successful coverage of the previously exposed implant surfaces. The present case report highlights the bone augmentation of the peri-implant dehiscence defect by novel Calcium phosphosilicate, Hydroxyapatite with collagen bone graft and GBR membrane while performing the first-stage implant surgery for a single edentulous area.


  1. Abed AM, Pestekan RH, Yaghini J, Razavi SM, Tavakoli M, Amjadi M . A comparison of two types of decalcified freeze-dried bone allograft in treatment of dehiscence defects around implants in dogs. Dent Res J 2011:8 :132?137.2.
  2. Tallgren A. Positional changes of complete dentures. A 7-year longitudinal study. ActaOdontol Scand 1969;27:539-561.
  3. Carmagnola D, Berglundh T, Araujo M, Albrektsson T, Lindhe J. Bone healing around implants placed in a jaw defectaugmented with Bio-Oss: an experimental study in dogs. J Clin Periodontol 2000;27:799?805.
  4. Lam, R.V. Contour changes of the alveolar process following extraction. J Prosthetic Dent 1960;10: 25?32.
  5. Fritz, M.E., Jeffcoat, M.K., Reddy, M., Koth, D., Braswell, D., Malmquist, J. & Lemons, J. Guided bone regeneration of large mandibular defects in a primate model. J Periodontol 2000;71:484?1489.
  6. Simion, M., Dahlin, C., Trisi, P. & Piattelli, A. Qualitative and quantitative comparative study on different filling materials used in bone tissue regeneration: a controlled clinical study. Int J Periodontics Restorative Dent1994;14:199?215.
  7. Wang, H.L., Misch, C. & Neiva, R.F. ??Sandwich?? bone augmentation technique: rationale and report of pilot cases. Int J Periodontics Restorative Dent 2004;24:232?245.
  8. Goldberg, V.M. & Stevenson, S. Natural history of autografts and allografts. Clinical Orthopedic Related Research 1987; 225: 7?16.
  9. Lyford, R.H., Mills, M.P., Knapp, C.I., Scheyer,E.T. & Mellonig, J.T. Clinical evaluation of freeze-dried block allografts for alveolar ridge augmentation: a case series. Int J Periodontics Restorative Dent 2003; 23: 417?425.
  10. Gelb, D.A.Immediate implant surgery: three-year retrospective evaluation of 50 consecutive cases. Int J Oral Maxillofac Implants1993; 8 : 388?399.
  11. Lundgren, D., Sennerby, L., Falk, H., Friberg, B. & Nyman, S. The use of a new bioresorbable barrier for guided bone regeneration in connection with implant installation. Case reports. Clinical Oral Implants Research 1994; 5: 177?184.
  12. Buser D, Dula K, Belser UC, Hirt HP, Berthold H. Localized ridge augmentation using guided bone regeneration. I. Surgical procedure in the maxilla. Int J Periodontics Restorative Dent 1994; 13:29?45.
  13. Oda T, Sawaki Y, Ueda M Experimental alveolar ridge augmentation by distraction osteogenesis using a simple device that permits secondary implant placement. Int J Oral Maxillofac Implants 2000;15:95?102.
  14. Cordaro L, Sarzi AD, Cordaro M .Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement. Clin Oral Implants Res 2002;13:103?111
  15. Dahlin, C., Linde, A., Gottlow, J. & Nyman, S. Healing of bone defects by guided bone regeneration. Plastic Reconstructive Surgery 1988; 81: 672?676.
  16. H?mmerle, C.H. Membranes and bone substitutes in guided bone regeneration. In: Lang, N.P., Karring, T. & Lindhe, J., Proceedings of the 3rd European Workshop on Periodontology, Berlin: Quintessence Publishing Co.1999;483.
  17. Wang HL, Boyapati L. ??PASS?? principles for predictable bone regeneration. Implant Dent 2006;15:8-17.
  18. Becker W, Lekholm U, Dahlin C, Becker BE, Donath K.The effect of clinical loading?? on bone regenerated by gtam barriers: a study in dogs. J Oral Maxillofac Implants 1994;9:305?313.
  19. Nowzari H, Slots J. Microbiologic and clinical study of polytetrafluoroethylene membranes for guided bone regeneration around implants. Int J Oral Maxillofac Implants 1995;10:67?73.
  20. Lorenzoni M, Pertl C, Keil C, Wegscheider WA. Treatment of peri-implant defects with guided bone regeneration: a comparative clinical study with various membranes and bone grafts. Int J Oral Maxillofac Implants 1998;13:639?646
  21. Jung RE, Zwahlen R, Weber FE, Molenberg A, Van Lenthe GH, Hammerle CH .Evaluation of an in situ formed synthetic hydrogel as a biodegradable membrane for guided bone regeneration. Clin Oral Implants Res 2006; 17:426?433
  22. Froum S, Cho SC, Rosenberg R, Rohrer M, Tarnow D. Histological comparison of healing extraction sockets implanted with bioactive glass or demineralized freeze-dried bone allograft. A pilot study. J Periodontol 2002; 73:94-10.
  23. Lee A, Brown D, Wang HL. Sandwich bone augmentation for predictable horizontal bone augmentation. Implant Dent 2009;18:282-290.
  24. Hench LL, Wilson J. Surface active biomaterials. Science 1984; 226: 630?666.
  25. Bembi NN, Bembi S, Mago J, Baweja GK, Baweja PS. Comparative Evaluation of Bioactive Synthetic NovaBone Putty and Calcified Algae-derived Porous Hydroxyapatite Bone Grafts for the Treatment of Intrabony Defects. Int J Clin Pediatr Dent 2016;9:285-290.
  26. Bowen JA, Mellonig IT, Gray JL, Towle HT. Comparison of decalcified freeze-dried bone allograft and porous particulate hydroxyapatite in human periodontal osseous defects. J Periodontol 1989; 60:647-654.
  27. Lee A, Brown D, Wang HL. Sandwich bone augmentation for predictable horizontal bone augmentation. Implant Dent 2009; 18:282-290.
  28. Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000 2008;47:51-66.
  29. Sim CP, Lang NP. Factors influencing resonance frequency analysis assessed by Osstell mentor during implant tissue integration: I. Instrument positioning, bone structure, implant length. Clin Oral Implants Res 2010;21:598-604.
  30. Albrektsson T, Zarb GA, Worthington P. 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.
  31. Han J, Lulic M, Lang NP. Factors influencing resonance frequency analysis assessed by Osstell mentor during implant tissue integration: II. Implant surface modifications and implant diameter. Clin Oral Implants Res 2010:21:605-611.
  32. Huwiler MA, Pjetursson BE, Bosshardt DD, Salvi GE & Lang NP. Resonance frequency analysis in relation to jawbone characteristics and during early healing of implant installation. Clin Oral Implants Res 2007;18:275-28.

[Sarika P. S, Rajababu P, Jagadish Reddy and Vidya Sagar S. (2018); MANAGEMENT OF DEHISCENCE DURING IMPLANT PLACEMENT WITH SANDWICH TECHNIQUE: A CASE REPORT. Int. J. of Adv. Res. 6 (Mar). 178-184] (ISSN 2320-5407). www.journalijar.com


P.S.Sarika
MDS

DOI:


Article DOI: 10.21474/IJAR01/6664      
DOI URL: http://dx.doi.org/10.21474/IJAR01/6664