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Special Issue "Guided Bone Regeneration in Oral Surgery"

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A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dentistry".

Deadline for manuscript submissions: closed (1 October 2023) | Viewed by 3460

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Special Issue Editors

Prof. Fabrizio Bambini

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Guest Editor

Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, Ancona, Italy
Interests: oral surgery; oral pathology; implant dentistry
Special Issues, Collections and Topics in MDPI journals

Dr. Roberto Rossi

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Guest Editor

Studio Dentistico Dott. Roberto Rossi, Genoa, Italy
Interests: guided tissue regeneration; guided bone regeneration; esthetic dentistry; implant dentistry

Dr. Andrea Grassi

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Guest Editor

Studio Odontoiatrico Associato Martini e Grassi, Reggio Emilia, Italy
Interests: biomaterials; socket preservation; socket reconstruction; periosteal inhibition; humane fibrine glue; dentine graft; immediate implant placement

Special Issue Information

Dear Colleagues,

Research in dentistry has been very productive in the past 40 years and many new materials and technologies have been developed, leading to innovative and more minimalistic and invasive therapies. The work of clinicians is of paramount importance to translate previous research into clinical practice, and evidence-based dentistry is the foundation of every clinical practice. This Special Issue will focus on the new techniques and advances in guided bone regeneration. More than thirty years have passed since the first publications on the topic and many different materials and methods have been tested since then. The goal of this Special Issue is to update the dental community with the latest information in order to provide clinicians with approaches that are predictable, minimally invasive and easily reproducible.

Prof. Fabrizio Bambini
Dr. Roberto Rossi
Dr. Andrea Grassi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

bone regeneration
bone augmentation
guided tissue regeneration
soft and hard tissue augmentation

Published Papers (5 papers)

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Open AccessArticle

Odontogenic Sinusitis with Oroantral Communication and Fistula Management: Role of Regenerative Surgery

Lorenzo Sabatino

Michele Antonio Lopez

and

Medicina 2023, 59(5), 937; https://doi.org/10.3390/medicina59050937 - 12 May 2023

Viewed by 1150

Abstract

Objective: The aim of this study is to show our experience with the correct management of patients suffering from odontogenic sinusitis with oroantral communication and fistula. Methods: According to the inclusion criteria, 41 patients were enrolled in this retrospective study with a diagnosis of odontogenic sinusitis with oroantral communication and fistula; 1 patient with pre-implantological complication, 14 with implantological complications, and 26 with classical complications. Results: Two patients were treated with a fractioned combined approach, 13 patients were treated with an oral approach only, and 26 patients were treated with a combination. There was a complete resolution of the symptoms and closure of the fistula in all the patients enrolled. Conclusions: In our study, in all 41 patients, there was a surgical success. The best option is to use a multidisciplinary approach for patients suffering from odontogenic sinusitis. Full article

(This article belongs to the Special Issue Guided Bone Regeneration in Oral Surgery)

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Open AccessCase Report

Possible Applications for a Biodegradable Magnesium Membrane in Alveolar Ridge Augmentation–Retrospective Case Report with Two Years of Follow-Up

Daniel Palkovics

Patrick Rider

Svenja Rogge

Željka Perić Kačarević

and

Peter Windisch

Medicina 2023, 59(10), 1698; https://doi.org/10.3390/medicina59101698 - 22 Sep 2023

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Abstract

Background and Objectives: A rigid, resorbable magnesium membrane was recently developed, combining the advantages of resorbable and non-resorbable membranes. Our aim was to describe the application of this membrane for guided bone regeneration (GBR). Materials and Methods: This case report described the treatment and 3D evaluation of two cases utilizing a resorbable magnesium barrier membrane. In Case #1, GBR was performed with a bilayer tunnel flap. The magnesium barrier was placed fixed subperiosteally through remote vertical incisions. In Case #2, GBR was performed using a split-thickness flap design. Volumetric and linear hard tissue alterations were assessed by 3D cone-beam computed tomography subtraction analysis, as well as with conventional intraoral radiography. Results: Case #1 showed a volumetric hard tissue gain of 0.12 cm³, whereas Case #2 presented a 0.36 cm³ hard tissue gain. No marginal peri-implant hard tissue loss could be detected at the two-year follow-up. Conclusions: The application of conventional resorbable collagen membranes would be difficult in either of the cases presented. However, the rigid structure of the magnesium membrane allowed for the limitations of conventional resorbable membranes to be overcome. Full article

(This article belongs to the Special Issue Guided Bone Regeneration in Oral Surgery)

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Open AccessCase Report

The “White Layer Approach”: A Graftless Gingival Augmentation Technique following Vertical GBR with Occlusive Titanium Barriers

Fabio Perret

Erik D’Aprile

and

Luca De Stavola

Medicina 2023, 59(10), 1694; https://doi.org/10.3390/medicina59101694 - 22 Sep 2023

Viewed by 677

Abstract

Guided bone regeneration surgery always leads to a deformation of the soft tissues consequent to passivation of the flap. In this article, a graftless technique for the restoration of the vestibular depth and for the augmentation of adherent soft tissue, called the “white layer approach”, is proposed after a vertical GBR procedure in posterior areas. Six patients (five males and one female) with vertical bone atrophy were enrolled in the study and underwent three-dimensional bone augmentation with titanium barriers. After 6 months, during the second-stage surgery, a 0.5 mm thick layer of white pseudo-periosteum was observed underneath the titanium barrier and over the newly formed bone. The buccal portion of the pseudo-periosteum was left intentionally exposed, in order to promote the spontaneous formation of new adherent gingiva and the restoration of the original depth of the fornix. The implant insertion was then planned 3 months after the WLA in a conventional procedure. The buccal adherent soft tissue height was measured from the crestal point to the most apical point, using a periodontal probe, before the barrier removal at 3 months after the white layer approach (WLA). In all patients, a gain in adherent soft tissue varying from 5 to 8 mm was observed; the average adherent soft tissue gain (ASTG) was 6.75 mm. The vertical bone height was measured by CT scans at baseline and before the implant placement, and showed an average vertical bone gain (AVBG) of 4.08 mm. Within the limitations of this study, vertical GBR with titanium occlusive barriers (OTB) associated with the white layer approach (WLA) may represent a simplified technique for hard and soft tissue augmentation in posterior areas, even without a free gingival graft. Full article

(This article belongs to the Special Issue Guided Bone Regeneration in Oral Surgery)

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Open AccessCase Report

Lateral Peri-Implantitis: Successful Management via Guided Bone Regeneration at Mandibular First Molar Implant

and

Medicina 2023, 59(9), 1691; https://doi.org/10.3390/medicina59091691 - 21 Sep 2023

Viewed by 317

Abstract

Infections occurring around implants are divided into marginal peri-implantitis and retrograde peri-implantitis (RPI). Marginal peri-implantitis starts in the crestal bone and progresses to the apical portion, and RPI starts in the apical bone and progresses to the coronal portion. However, lateral peri-implantitis (LPI) occurring on the side of the implant body has not yet been reported, and the cause is unclear. This 63-year-old male patient is a case of unusual bone resorption that occurred in the lateral portion of the implant body 26 months after lateral bone augmentation. The origin of LPI was an infection at the site of laterally augmented bone. Rather than implant removal, this report demonstrates an alternative treatment option of guided bone regeneration after the enucleation and detoxification of the implant surface with successful clinical and radiographic results for 2 years. Full article

(This article belongs to the Special Issue Guided Bone Regeneration in Oral Surgery)

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Open AccessCase Report

The Bone Bridge Technique Utilizing Bone from the Lateral Wall of the Maxillary Sinus for Ridge Augmentation: Case Reports of a 1–7 Year Follow-Up

Won-Bae Park

Ji-Young Han

and

Philip Kang

Medicina 2023, 59(9), 1626; https://doi.org/10.3390/medicina59091626 - 08 Sep 2023

Viewed by 348

Abstract

The post-extraction socket of a periodontally compromised tooth/implant is oftentimes accompanied by a very wide-deep alveolar ridge defect. The commonly utilized treatment is ridge preservation followed by delayed implant placement 4 to 6 months after extraction. In the four cases presented in this study, a novel technique of utilizing a bone block obtained from the lateral wall of the maxillary sinus is introduced. Due to the severe localized vertical ridge deficiency, an intraoral autogenous bone block was obtained from the ipsilateral sinus bony window. After the obtained bone block was properly trimmed, it was fixed in the form of a bridge over the vertical defect by the press-fit method. In two cases, the gap between the autogenous bone and defect was filled with a particulate synthetic bone graft, and in another two cases, the gap was left without grafting. All cases were covered with a resorbable collagen membrane. At the time of re-entry after 5 to 6 months, the bone bridge was well incorporated beside the adjacent native bone and helped by the implant placement. Uncovering was performed after 3 to 6 months, and prostheses were delivered after 2 months. Oral function was maintained without any change in the marginal bone level even after the 1- to 7-year post-prosthesis delivery. This case series showed that the bone bridge technique performed using an ipsilateral sinus bony window for a localized vertical deficiency of a post-extraction socket can be used for successful vertical ridge augmentation (VRA). Full article

(This article belongs to the Special Issue Guided Bone Regeneration in Oral Surgery)

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