Abstract
Objective: To evaluate the predictability and success rate of implants installed in extraction sites, where the Guided Bone Regeneration (GBR) technique for bone preservation and implant placement was performed. Methods: This is a retrospective study, which included medical records of patients from the clinic of the Specialization in Implantology course from the educational institution, who underwent GBR in the tooth socket with indicated extraction, who delivered the tomographic exams, and had implants installed in these places, from 2007 to 2016. Forty-two participants were included in the research, totaling 55 sites divided into two groups: maxilla and mandible. Results: Two cases (3.7%) of non-bone formation were found after GBR, in the posterior region of the maxilla, with a success rate of 96.3% for predictability of implant placement in GBR sites. Of the 53 implants installed where there was sufficient bone formation, 3 (5.7%) did not return to the clinic and, therefore, 50 were evaluated, with 48 presenting clinical osseointegration with a success rate of 96%. Conclusion: There is predictability of GBR procedures in post-extraction sockets for the installation of osseointegrated implants.
References
BRÅNEMARK PI, et al. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand. J. Plast. Reconstr.Surg. 1969; 3(2): 81-100.
CLEMENTINI M, et al. Success rate of dental implants inserted in autologous bone graft regenerated areas: A systematic review. Oral &Implantology. 2011; 3(4): 3-10.
ADELL R, et al. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981; 10(6): 387-416.
BRÅNEMARK PI, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. 1977; 16: 1-132.
TALLARICO M, et al. Patient- centered rehabilitation of single, partial, and complete edentulism with cemented- or screw-retained fixed dental prosthesis: The First Osstem Advanced Dental Implant Research and Education Center Consensus Conference 2017. Eur J Dent. 2018; 12(4): 617-626.
ALBREKTSSON T e JOHANSSON C. Osteoinduction, osteoconduction and osseointegration. EurSpine J. 2001; 10: 96-101.
BARBERÁ-MILLÁN J, et al. Evaluation of the primary stability in dental implants placed in low density bone with a new drilling technique, Osseodensification: an in vitro study. Med Oral Patol Oral Cir Bucal. 2021; 26(3): 361-67.
SHADID RM, et al. Does the Implant Surgical Technique Affect the Primary and/or Secondary Stability of Dental Implants? A Systematic Review. International Journal of Dentistry; 2014: 17.
SOEHREN SE e VAN SWOL RL. The healing extraction site: a donor area for periodontal grafting material. J Periodontol. 1979; 50(3): 128-33.
LUCAS RRS, et al. Fatores que afetam a osseointegração dos implantes – Uma revisão. Revista Fluminense de Odontologia, 2013; 1(39): 3-10.
SCHROPP L, et al. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. The international Journal of Periodontics & Restorative Dentistry. 2003; 23: 313-323.
VIGNOLETTI F, et al. Surgical protocols for ridge preservation after tooth extraction. A systematic review. Clin Oral Impl. 2012; 23: 22-38.
FERNANDES GVO. Álveolo Fresco em Implantodontia: ROG x Implante Imediato. Revisão de Literatura. Monografia. (Curso de Especialização em Implantodontia). Universidade Federal Fluminense, Niterói, Rio de Janeiro, 2011.
BARBOZA EP e CAÚLA AL. Diagnoses, clinical classification, and proposed treatment of spontaneous early exposure of submerged implants. Implant Dent., 2002; 11(4): 331-7.
MELCHER AH. Repair of wounds in the periodontium of the rat. Influence of the periodontal ligament on osteogenesis. Arch Oral Biol., 1970; 15: 1183-1204.
MISCH CE. Implantes Dentais Contemporâneos. 3. ed. Rio de Janeiro: Elsevier; 2009. 1119 p.
MURRAY C, et al. Experimental and clinical study of new growth of bone in a cavity. American Journal Surgery, 1957; 93: 385-387.
ELGALI I, et al. Guided bone regeneration: materials and biological mechanisms revisited. Eur J Oral Sci., 2017; 125(5): 315-337.
DARBY I, et al. Ridge preservation techniques for implant therapy. Int J Oral Maxillofac Implants. 2009; 24: 260–271.
BORNSTEIN MM, et al. A retrospective analysis of patients referred for implant placement to a specialty clinic: indications, surgical procedures, and early failures. Int J Oral Maxillofac Implants, 2008; 23: 1109-1116.
DONOS N, et al. Clinical outcomes of implants following lateral bone augmentation: systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). J Clin Periodontol., 2008; 35: 173- 202.
CLEMENTINI M, et al. Success rate of dental implants inserted in horizontal and vertical guided bone regenerated areas: a systematic review. Int J Oral Maxillofac Surg., 2012; 41: 847-852.
JENSEN SS e TERHEYDEN H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone- substitute materials. Int J Oral Maxillofac Implants, 2009; 24: 218-236.
HAMMERLE CH, et al. A systematic review of the survival of implants in bone augmented with barrier membranes (guided bone regeneration) in partially edentulous patients. J Clin Periodontol., 2002; 29: 226- 231; 232-223.
TURKYILMAZ I, MCGLUMPHY EA. Influence of bone density on implant stability parameters and implant success: a retrospective clinical study. BMC Oral Health, 2008; 8(32): 1-8.
MISCH CE, et al. A bone quality- based implant system: first year of prosthetic loading. J Oral Implantol., 1999; 25(3): 185-97.
MORASCHINI V, et al. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg., 2015; 44(3): 377-88.
ESPOSITO M, et al. Biological factors contributing to failures of osseointegrated oral implants (I) Success criteria and epidemiology, 1998; 106: 527-551.
KALSI AS, et al. Alveolar ridge preservation: why, when and how. British dental journal. 2019; 227(4).
MAJZOUB J, et al. The Influence of Different Grafting Materials on Alveolar Ridge Preservation: a Systematic Review. J Oral Maxillofac Res., 2019; 10(3): 1-13.
XINBO YU, et al. Effects of post-extraction alveolar ridge preservation versus immediate implant placement: A systematic review and meta-analysis. The Journal of evidence-based dental practice, 2022; 22(3): 1-17.
OGAWA T, et al. Effectiveness of the socket shield technique in dental implant: A systematic review. Journal of Prosthodontic Research, 2022; 66(1): 12-18.
RADI IA, et al. Prognosis of dental implants in patients with low bone density: A systematic review and meta-analysis. J Prosthet Dent., 2018; 120(5): 668-677.
CLEMENTINI M, et al. Immediate versus delayed positioning of dental implants in guided bone regeneration or onlay graft regenerated areas: a systematic review. Int J Oral Maxillofac Surg., 2013; 42: 643-650.
CABALLÉ-SERRANO J, et al. On the search of the ideal barrier membrane for guided bone regeneration. J Clin Exp Dent., 2018; 10(5): 477-83.
