Keywords
connective tissue graft
Hydroxyapatite
alveolar ridge augmentation.
How to Cite
Abstract
Surgical reconstruction of atrophies residual ridges by use of connective tissue grafts plus hydroxyapatite is an option that allows the implant fixation in an esthetic and functional manner, offers a predictable outcome with low rates of morbidity and a remarkable gain of bone and soft tissue, Thanks to its high biocompatibility, high capacity for regeneration of tissue, a perfect integration and high performance, low risk of infection and the absence of signs of rejection. In this paper we present the case of a patient with marked bone loss in the anterior maxillary secondary to periodontal inflammatory processes with the subsequent loss of teeth premature organs, which leads to a loss of bone. It underwent surgery taking pieces of connective tissue donated by the same patient with the subsequent use of porous hydroxyapatite in the receiving area, thus increasing the roll which was atrophic. Furthermore, a successful response to biological materials and procedure, with an adequate clinical and radiographic response, it is recommended to use this material in the treatment of bone defects in vestibular aspects for its biocompatibility, because of its similarity to the bone. Whereas that open new horizons with the use of this material in this kind of condition.References
Magne P, Magne M, Belser U. The diagnostic template: Key element of a comprehensive esthetic treatment concept. Int J Periodontics Restorative Dent 1996; 16: 561-569.
Laskin DM. Cirugía bucal y maxilofacial. México DF: Edit. Médica Panamericana; 1988:316-46.
Gay Escoda C, Berini Aytés L. Cirugía bucal. Madrid: Ergón SA; 1999:1-316.
Seibert J. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing. Compend Contin Educ Dent. 1983;4:437-53.
Allen EP, Gainza CS, Farthing GG, Newbold DA. Improved technique for localized ridge augmentation. A report of 21 cases. J Periodontol. 1985;56:195-9.
Sclar AG. Clasification of alveolar ridge defects in esthetic implant therapy. In Soft tissue and esthetic considerations in implant therapy, Kimberly Drive: Quintessence Publishing Co; 2003:36-41.
Studer S, Naef R, Schärer P. Amélioration esthetique des pertes de substance. Intérêt de la chirugie mucogingivale. Clinic. 1998; 19:547-61.
Simion M, Trisi P, Piatelli A. Vertical ridge augmentation using a membrane technique associated with osseointegrated implants. Int J Periodontics Restorative Dent. 1994;14:497-511.
Nevins R, Melloning JT. The advantage of localized ridge augmentation prior to implant placement: A two stage event. Int J Periodontics Restorative Dent. 1994;14:97-111.
Buser D, Dula K, Hirt HP, Schenk RK. Lateral ridge augmentation using autografts and barrier membranes: A clinical study with 40 partially edentulous patients. J Oral Maxillofac Surg. 1996; 54:420-32.
Nyman S. Bone regenerationusing the principle of guided tissue regeneration. J Clin Periodontol. 1991; 18, 494-8
Marx RE, Carlson ER, Eichstaedt RM, et al. Platelet-rich plasma. Growth factor enhancement for bone graft. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.1998;85:638–646.
Kassolis JD, Rosen PS, Reynolds MA. Alveolar ridge and sinus augmentation utilizing platelet-rich plasma in combination with freezedried bone allograft: Case series. J Periodontol. 2000;71:1654–1660.
Caplanis N, Sigurdsson TJ, Rohrer MD, Wikesjö UME. Efect of allogeneic, freeze-dried, demineralized bone matrix on guided bone regeneration in supraalveolar peri-implant defects in dogs. Int J Oral Maxillofac Implants 1997: 12: 634–642.
Rachmiel A, Srouji S, Peled M.Alveolar ridge augmentation by distraction osteogenesis. Int J Oral Maxillofac Surg. 2001 Dec; 30(6):510-7.
Arx T. Von. Hardt N, Wallkamm B. The TIME technique: a new technique for localized alveolar ridge augmentation prior to placement of dental implants. Int J Oral Maxillofac Implants 1996: 1: 387– 394.
Caplanis N, Sigurdsson TJ, Rohrer MD, Wikesjö UME. Efect of allogeneic, freeze-dried, demineralized bone matrix on guided bone regeneration in supraalveolar peri-implant defects in dogs. Int J Oral Maxillofac Implants 1997: 12: 634–642.
Rachmiel A, Srouji S, Peled M.Alveolar ridge augmentation by distraction osteogenesis.Int J Oral Maxillofac Surg. 2001 Dec; 30(6):510-7.
Sánchez Martínez A, Berini Aytés L, Gay Escoda C. Los diferentes tipos de hidroxiapatita y sus aplicaciones en la cirugía bucal. An Esp Odontoestomatol 1998; 9:633-8. Revista de la Facultad de Ciencias de la Salud 53 Díaz A., Fonseca M. y Covo E.
Zafiropoulos GG, Hoffmann O, Kasaj A, Willershausen B, Weiss O, Van Dyke TE. Treatment of intrabony defects using guided tissue regeneration and autogenous spongiosa alone or combined with hydroxyapatite/ beta-tricalcium phosphate bone substitute or bovine-derived xenograft. J Periodontol. 2007;78(11):2216-25
Chang R, Su C, Chang C. Astereomorphological study of bone regeneration following Hydroxyapatite of DFDBA implantation using SEM with EDTAKOH method. Int J Oral Maxillofac Surg 2000;29(2):21-3.
Majluf M I. The use of hydroxyapatite in modern dentristry. Rev Dent Chile 1991;82(1):30-5.
Zeller D, Hiatt WR, Moore DL, Fain DH. Use of preformed hydroxyapatite block for grafting in genioplasty procedures. Int J Oral Maxillofac Surg 1986; 15:665-68.
Kashimoto K. Observation on implants of porous hydroxyapa tite granules in periodontal osseous defects. Kokubyo Gakkai Zasshi 1990; 57(1):116-
Llambés F, Silvestre FJ, Caffesse R. Vertical guided bone regeneration with bioabsorbable barriers. J Periodontol. 2007 Oct;78(10):2036-
Browaeys H, Bouvry P, De Bruyn H. A literature review on biomaterials in sinus augmentation procedures. Clin Implant Dent Relat Res. 2007 Sep;9(3):166-77.
Blijdorp PA. The hydroxylapatite bone interface studies in human byopsy. Int J Oral Maxillofac Surg 1988; 17:354-57.
Masuda T. Histological investigations for improvement of jaw bone structure for applications of hidroxylapatite dental implants. Kokubyo Gakkai Zasshi 1989; 56(2):289-313.
Tucker, M.R. Advanced Preprosthetic Surgery. Chapter 14, 2000. pp. 335-
Van Sickels JE, Montgomery MT. Review of surgical ridge augmentation procedures for the atrophied mandible. J Prosthet Dent 1984,5:5-10.
Karring T, Lang NP, Löe H. Role connective tissue in determining epithelial specifity. J Dent Research 1972; 51: 1303-4.
Edel A. Clinical evaluation of free connective tissue grafts used to increase the width of keratinised gingiva. J Clin Periodontol 1974; 1: 185-196
Peñarrocha-Diago M, Gómez-Adrián MD, Balaguer-Martínez J, García-Mira B. Mandibular connective tissue pedicle flaps in implant dentistry: report of three cases. J Oral Implantol. 2007;33(3):127-32.
Lai YL, Chou IC, Liaw YC, Chen HL, Lin YC, Lee SY. Triple immediate therapy (ridge expansion, soft tissue augmentation, and provisional restoration) of maxillary anterior single implant. J Periodontol. 2007 Jul;78(7):1348-53.
Langer S, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol, 1985; 56:715-720.
Goldstein M, Brayer L, Schwartz Z. A Critical Evaluation of Methods for root coverage. Crit Rev Oral Biol Med 1996; 7(1): 87-98
Wolford LM. Coraline porous hydroxiapatite as bone graft substitute in ortognatic. J Oral Maxillofac Surg 1987; 45:34-42.
Kent JN. Biointegrated hydroxyapatite coated dental implants: 5 years clinical observations. JADA 1990; 12(1):138-44.
Louis PJ, Gutta R, Said-Al-Naief N, Bartolucci AA. Reconstruction of the maxilla and mandible with particulate bone graft and titanium mesh for implant placement. J Oral Maxillofac Surg. 2008 Feb;66(2):235-45.
Frane JW. Hydroxiapatita as biomaterial for alveolar ridge aumentations. Int J Oral Maxillofac Surg. 1987; 16:642-55.
Guillemin G, Patat JL, Fournie J, Chetail M. The use of coral as a bone graft substitute. J Biomed Mater Res 1987; 21:557-67.
Kent JN. Alveolar ridge augmentations using non reabsorbable hydroxyapatite with or without autogenous cancellous bone. J Oral Maxillofac Surg 1983; 41:629-42