Complication rates of guided bone regeneration using titanium-reinforced PTFE membranes: a retrospective analysis.
Bone augmentation
Complication
GBR
Guided bone regeneration
PTFE
Titanium-reinforced polytetrafluoroethylene
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
30 Oct 2024
30 Oct 2024
Historique:
received:
09
08
2024
accepted:
21
10
2024
medline:
31
10
2024
pubmed:
30
10
2024
entrez:
30
10
2024
Statut:
epublish
Résumé
This study analyzed complication rates of guided bone regeneration (GBR) using titanium-reinforced polytetrafluoroethylene (PTFE) membranes for alveolar ridge augmentation. 84 patients treated with GBR using titanium-reinforced PTFE membranes (91 sites) were retrospectively analyzed. Complications such as membrane exposure and early removal were analyzed concerning patient age, defect site position, size, simultaneous vs. two-stage implant placement, smoking, and the use of bone grafts (BG) and substitutes (BS). Early removal due to membrane exposure was necessary in 14/91 sites (15.4%). No correlation was found between early removal and patient age (p = 0.917). Analyzing early removal between the upper and lower jaw and between both jaws' anterior and posterior tooth regions revealed no correlations (p = 0.381 and 0.477, respectively). Defect sites sizes of 5-6 mm exhibited the highest rate of membrane exposure, requiring early removal, accounting for 57.1% of these sites (8/14). No correlation was observed between the defect sites size and early removal (p = 0.660). Comparison of simultaneous (74 sites) vs. two-stage implant placement (16 sites) showed no correlation with early removal (p = 0.706). Membrane exposure incidence was 42.9% among smokers (27 patients, 32.1%) and 57.1% among non-smokers (57 patients, 67.9%), without correlation. No correlation was found between the type of BG and BS and early removal (p = 0.500). GBR using titanium-reinforced PTFE membranes is effective for alveolar ridge augmentation and has favorable long-term outcomes. Careful surgical technique and postoperative care can minimize the notable risk of PTFE membrane exposure.
Identifiants
pubmed: 39475990
doi: 10.1007/s00784-024-06007-4
pii: 10.1007/s00784-024-06007-4
doi:
Substances chimiques
Polytetrafluoroethylene
9002-84-0
Titanium
D1JT611TNE
Membranes, Artificial
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
616Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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