Randomized controlled trial on lateral augmentation using two collagen membranes: morphometric results on mineralized tissue compound.

Autor: Friedmann A; Department of Periodontology, School of Dentistry, Faculty of Health, University of Witten, Witten, Germany. anton.friedmann@uni-wh.de, Gissel K, Soudan M, Kleber BM, Pitaru S, Dietrich T
Jazyk: angličtina
Zdroj: Journal of clinical periodontology [J Clin Periodontol] 2011 Jul; Vol. 38 (7), pp. 677-85. Date of Electronic Publication: 2011 May 10.
DOI: 10.1111/j.1600-051X.2011.01738.x
Abstrakt: Background: Guided bone regeneration is considered an effective tool for gaining mineralized tissue either at exposed implant surface or in deficient alveolar ridge areas before implant placement.
Material and Methods: Customized casts obtained following impression taking at surgery and re-entry allowed for morphometric assessment of alveolar ridge alterations 6 months after one-stage augmentation of bone dehiscences. In a randomized pilot study using biphasic calcium phosphate tests (n=17) received treatment with ribose cross-linked collagen membranes (RCLM), whereas controls (n=20) received non-cross-linked membranes. The primary endpoint was to quantify the effect of membrane type on dimensional changes in bone margins at crestal level of endosseous implants.
Results: Soft tissue dehiscencies occurred at 70.5% and 55% frequency for tests and controls, respectively. Gain in clinically hard newly mineralized tissue at the crestal level was significantly higher in test group in lateral (1.8 versus 0.7 mm; p=.046) and in vertical dimensions (1.1 versus 0.2 mm; p=.035) compared with controls. Second measurement obtained at the border of reflected flap revealed no significant difference between groups (3.0 versus 2.1 mm; p=0.57) for lateral dimension.
Conclusions: Both collagen devices were effective in bone augmentation. RCLMs supported mineralization process and remodelling even in sites showing compromised healing as indicated by morphometric outcome.
(© 2011 John Wiley & Sons A/S.)
Databáze: MEDLINE
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