Abstract

uccessful implant osseointegration is dependent primarily upon adequate bone quantity and quality at the desired implant site. But often times the implant candidate, after proper clinical examination and evaluation of the patient's diagnostic information, lacks adequate bone quantity or volume for implant placement. Often times, the patient's has adequate height of bone but lacks bone width. The ability to predictably generate horizontal bone or bone width in preparation for dental implants, or guided bone regeneration (GBR) is an important and necessary procedure, in implant site preparation. Successful bone regeneration depends upon several factors. The first of which is to prevent soft tissue in growth into the bone graft material.

Highlights

  • Successful implant osseointegration is dependent primarily upon adequate bone quantity and quality at the desired implant site

  • The use of guided bone regeneration to increase horizontal width in preparation for placement of dental implants is presented in the literature [1,2,3,4,6]

  • The barrier membranes used for guided bone regeneration include two categories either resorbable or non-resorbable, with the non-resorbable membranes being pure titanium mesh or titanium reinforced membranes [5,712]

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Summary

Introduction

Successful implant osseointegration is dependent primarily upon adequate bone quantity and quality at the desired implant site. The first of which is to prevent soft tissue in growth into the bone graft material [1,2]. This can be achieved with a barrier membrane which can be resorbable or non-resorbable [3,4,5]. The third factor is that there must be no mobility of the graft [1,3,6] In this particular case presentation, these factors or principals were achieved using a Cytoplast® titanium reinforced membrane which is rigid and tents the membrane to allow space for bone regeneration, not allowing the barrier membrane to collapse into the graft. Tenting of the membrane by the titanium frame within the membrane and stabilization of the membrane with tacks provides the optimum potential for bone regeneration

Case Presentation
Four months later a new CBCT of the maxillary arch
Discussion
The obvious advantage of a resorbable membrane

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