Guided bone regeneration in the anterior maxilla after tooth extraction and implant removal with sticky bone and L-PRF membrane in two surgical approaches
DOI:
https://doi.org/10.33448/rsd-v10i11.19456Keywords:
Bone regeneration; Transplantation, autologous; Platelet-rich fibrin; Biocompatible materials.Abstract
The main requirement for the insertion of dental implants is a good bone and gum condition and guided bone regeneration (GBR) combines grafts and membranes to increase such parameters in tissue deficiencies and thus achieve treatment success. This clinical case reports the oral rehabilitation of the anterosuperior area by the association of bone graft, autologous membrane and implantodontic therapy. Female patient, 45 years old, normosystemic, reported aesthetic complaint and implant mobility in the maxilla. Upon clinical and radiographic examination, an implant was diagnosed in the region of tooth 11 with unfavorable esthetics, mobility, inadequate prosthesis and bone loss, and tooth 22 with suppuration, fracture line and periapical radiolucency. The treatment consisted of removal of the implant and tooth 22, with immediate GBR using filling with Bio-Oss® and liquid leukocyte- and platelet-rich fibrin (L-PRF) and coating with L-PRF membrane. After 7 months, the second GBR was performed with the installation of 2 dental implants. After 6 months, healers were placed and 20 days after the adaptation of the provisional implant-supported single prostheses. There was a good gain in thickness and mucogingival limit, bone dimensions in height and thickness, and the case continues to be followed up until the final prosthesis is completed. This case suggests that sticky bone and L-PRF membrane can contribute to multiple GBR in the anterior maxillary region, favoring bone gain and osseointegration.
References
Araújo, L. K., Antunes, G. S., Melo, M. M. & Castro-Silva, I. I. (2020). Brazilian dentists´ perceptions of using bone grafts: an inland survey. Acta odontologica latinoamericana, 33 (3), 165–173. https://pubmed.ncbi.nlm.nih.gov/33523080/.
Araújo, L. K., Cunha, A. L. A., Menezes, Y. A. T., Lopes, M. S., Maciel, J. A. C. & Castro-Silva, I. I. (2021). Membranas osteopromotoras em Odontologia: tendências científicas e análise do mercado brasileiro. Editora Científica Digital: 1–18. https://dx.doi.org/10.37885/210605075.
Canellas, J. V. S., Soares, B. N., Ritto, F. G., Vettore, M. V., Vidigal Júnior, G. M., Fischer, R. G. & Medeiros, P. J. D. A. (2021). What grafting materials produce greater alveolar ridge preservation after tooth extraction? A systematic review and network meta-analysis. Journal of Cranio-Maxillofacial Surgery, 2021. https://doi.org/10.1016/j.jcms.2021.06.005
Carvalho, A. P., Coutinho, D. C. O., Araújo, C. R. G., Pelegrine, A. A., Cota, L. O. M. & Martins-Júnior, P. A. (2020). Bone fenestration repair with leukocyte-platelet-rich fibrin after placement of implants in the anterior maxilla: a case report. General Dentistry, 68 (4): 56–60. https://pubmed.ncbi.nlm.nih.gov/32597779/
Castro-Silva, I. I. (2018). Platelet-rich fibrin for bone tissue regeneration. Otorhinolaryngology-Head and Neck Surgery, 3 (2), 1–1. https://www.oatext.com/pdf/OHNS-3-171.pdf.
Castro-Silva, I. I., Araújo, L. K., Souza, F. F. P., Ponte, J. S., Sousa, E. M., Jimenez, H. G. Q., Ferreira, F. V., Alcantara, L. G., Diniz, M. B. S., Menezes, Y. A. T., Azevedo, C. H., Maciel, J. A. C. & Melo, M. M. (2021). Pesquisa odontológica brasileira em regeneração óssea guiada: um estudo bibliométrico de quatro décadas. Research, Society and Development, 10 (2), e25510212504. https://rsdjournal.org/index.php/rsd/article/view/12504.
Castro-Silva, I. I., Lima, F. M. S. & Granjeiro, J. M. (2014). Enxertos ósseos na odontologia brasileira: cenário, desafios e perspectivas na visão da gestão em saúde. Revista Fluminense de Odontologia, 2014 (39), 63–71. https://doi.org/10.22409/ijosd.v1i39.213.
Csönge, L., Bozsik, A., Tóth-Bagi, Z., Gyuris, R. & Kónya, J. (2021). Regenerative medicine: characterization of human bone matrix gelatin (BMG) and folded platelet-rich fibrin (FPRF) membranes alone and in combination (sticky bone). Cell Tissue Bank, 2021. https://doi.org/10.1007/s10561-021-09925-9(01
Fouda, A. A. H. (2020). The impact of the alveolar bone sites on early implant failure: a systematic review with meta-analysis. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 46 (3), 162–173. https://pubmed.ncbi.nlm.nih.gov/32606277/.
Hass Junior, O. L, Meirelles, L. S., Scolari, N., Becker, O. E., Melo, M. F. S. & Oliveira, R. B. (2016). Bone grafting with granular biomaterial in segmental maxillary osteotomy: A case report. Internacional Journal of Surgery Case Reports, 25 (2016), 238–242. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942733/pdf/main.pdf
Huang, S.-S., Tan, R.-C. & Kuang, X.-L. (2020). Changes of bone mass after implantation of Bio-Ossbone powder combined with platelet-rich fibrin forguided bone regeneration in alveolar bone defects. Shanghai Kou Qiang Yi Xue, 29 (4): 427–430. https://pubmed.ncbi.nlm.nih.gov/33089296/
Kerhwald, R., Petronilho, V. G., Castro, H. S., Lima, F. F., Gottardo, V. D. & Queiroz, P. M. (2021). Uso de fibrina rica em plaqueta em enxerto ósseo e implantes dentários. Research, Society and Development, 10 (1): e56510112210. http://dx.doi.org/10.33448/rsd-v10i1.12210
Levin, L. (2008). Dealing with dental implant failures. Journal of Applied Oral Science, 16 (3), 171–175. https://doi.org/10.1590/S1678-77572008000300002.
Liu, Y., Sun, X., Yu, J., Wang, J., Zhai, P., Chen, S., Liu, M. & Zhou, Y. (2019). Platelet-Rich Fibrin as a Bone Graft Material in Oral and Maxillofacial Bone Regeneration: Classification and Summary for Better Application. BioMed Research International, 2019, e3295756. https://www.hindawi.com/journals/bmri/2019/3295756/#introduction.
Liu, J., Kerns, D. G. (2014). Mechanisms of Guided Bone Regeneration: A Review. The Open Dentistry Journal, 8 (suppl. 1), 56–65. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4040931/pdf/TODENTJ-8-56.pdf
Massuda, C. K. M., Souza, R. V., Roman-Torres, C. V. G., Marao, H. F., Sendyk, W. R. & Pimentel, A. C. (2020). Aesthetic tissue augmentation with an association of synthetic biomaterial and L-PRF. Research, Society and Development, 9 (7): e578974502. http://dx.doi.org/10.33448/rsd-v9i7.4502
Mattos, T. B., Gulinelli, J. L., Santos, P. L., Bragança, R., Cerdeira, F. & Mayrink, L. E. M. (2016). Reabilitação imediata em área estética em alvéolo com grande comprometimento ósseo. Full Dentistry Science, 7 (26), 35–40. http://www.sgponline.com.br/editoraplena /fullscience/sgp/Biblioteca/DOC/422_957_PT_35-40_reabilitacao_imediata.pdf
Meloni, S. M., Jovanovic, S. A., Pisano, M., Riu, G. D., Baldoni, E. & Tallarico, M. (2018). One-stage horizontal guided bone regeneration with autologous bone, anorganic bovine bone and collagen membranes: Follow-up of a prospective study 30 months after loading. European Journal of Oral Implantology, 11 (1): 89–95. https://pubmed.ncbi.nlm.nih.gov/29557403/
Moraes Júnior, E. F. & Carvalho, E. B. S. (2021). Regeneração óssea guiada vertical e horizontal na região anterior da mandíbula, associada à I-PRF e matriz de L-PRF – relato de caso. Implant News, 6 (1). https://revistaimplantnews.com.br/regeneracao-ossea-guiada-vertical-e-horizontal-na-regiao-anterior-da-mandibula-associada-a-i-prf-e-matriz-de-l-prf-relato-de-caso/
Pereira, A. S., Shitsuka, D. M., Parreira, F. J. & Shitsika, R. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/ bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Ponte, J. S., Araújo, M. A. D., Araújo, L. K. & Castro-Silva, I. I. (2019). Platelet-Rich Fibrin: A Versatile Purpose for Alveolar Ridge Preservation. Dental Oral Biology and Craniofacial Research, 2 (3), 1–3. https://www.sciencerepository.org/articles/platelet-rich-fibrin-a-versatile-purpose-for-alveolar-ridge-preservation_DOBCR-2019-3-105.pdf.
Ponte, J. S. (2020). Avaliação histomorfométrica de alvéolos dentários humanos pós-extração tratados com fibrina autóloga, fosfato de cálcio bifásico ou sua associação. 86 f. Dissertação (Mestrado em Biotecnologia) – Programa de Pós-Graduação em Biotecnologia, Campus de Sobral, Universidade Federal do Ceará. http://www.repositorio.ufc.br/handle/riufc/53198.
Quesada, G. A. T., Brenner, F. B. & Feltraco, L. T. (2011). Análise das membranas de colágeno bovino, comparativamente às membranas de politetrafluoretileno expandido, como barreira de proteção em regenerações ósseas guiadas para posterior colocação de implantes e no tratamento de periimplantes com e sem o uso de enxertos bovinos. Revista Dentística online, 20, 29-38. http://coral.ufsm.br/dentisticaonline/1004.pdf
Riley, D. S., Barber, M. S., Kienle, G. S., Aronson, J. K., von Schoen-Angerer, T., Tugwell, P., Kiene, H., Helfand, M., Altman, D. G., Sox, H., Werthmann, P. G., Moher, D., Rison, R. A., Shamseer, L., Koch, C. A., Sun, G. H., Hanaway, P., Sudak, N. L., Kaszkin-Bettag, M., Carpenter, J. E. & Gagnier, J. J. (2017). CARE guidelines for case reports: explanation and elaboration document. Journal of Clinical Epidemiology, 89, 218–235. https://static1.squarespace.com/static/5db7b349364ff063a6c58ab8/t/5db7bf175f869e5812fd4293/1572323098501/CARE-checklist-English-2013.pdf
Salmen, F. S., Oliveira, M. R., Gabrielli, M. A. C., Piveta, A. C. G., Pereira Filho, V. A. & Gabrielli, M. F. R. (2017). Enxerto ósseo para reconstrução óssea alveolar. Revisão de 166 casos. Revista do Colégio Brasileiro de Cirurgiões, 44 (1), 33–40. https://www.scielo.br/j/rcbc/a/yHWzyxt3TLzcQPjtrGVkNqm/?format=pdf&lang=pt
Sezgin, Y., Uraz, A., Taner, I. L., & Çulhaoğlu, R. (2017). Effects of platelet-rich fibrin on healing of intra-bony defects treated with anorganic bovine bone mineral. Brazilian Oral Research, 31, e15. https://www.scielo.br/j/bor/a/h59SDjyv8MLDDy8WPskbv6r/?lang=en
Shamsoddin, E., Houshmand, B. & Golabgiran, M. (2019). Biomaterial selection for bone augmentation in implant dentistry: A systematic review. Journal of Advanced Pharmaceutical Technology & Research, 10 (2), 46–50. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6474167/.
Silva, J. M. A., Carvalho, M. M. M., Santos, M. O. S., Junior, B. C., Souza, A. S. & Pereira, L. A. (2020). L-PRF E I-PRF associado à hidroxiapatita como material de enxertia na reconstrução de osso alveolar em região anterior de maxila: relato de caso. Brazilian Journal of Health Review, 3 (1), 605–612. https://www.brazilianjournals.com/index.php/BJHR/article/view/6465
Sobral, M. C. (2020). Solutions for atypical problems in the incisors area: a transdisciplinary challenge. Dental Press Journal of Orthodontics, 25 (2), 86–102. https://doi.org/10.1590/2177-6709.25.2.086-102.sar.
Souza, L. E. M., Sartori, I. A. M., Coró, V., Berejuk, H. M. & Bernardes, S. R. (2015). Resources to achieve esthetics in anterior teeth. Revista Gaúcha de Odontologia, 63 (1), 87–94. http://revodonto.bvsalud.org/scielo.php?pid=S1981-86372015000100013&script=sci_arttext&tlng=en.
Takamori, E. R., Teixeira, M. V. T., Menezes, K., Carias, R. B. V. & Borojevic, R. (2018). Fibrina rica em plaquetas: preparo, definição da qualidade, uso clínico. Vigilância Sanitária em Debate, 6 (1), 118–124. https://doi.org/10.22239/2317-269x.01044.
Tomm, A. & Mezzomo, R. J. (2017). Regeneração Óssea Guiada em Região Estética – Revisão de Literatura. Journal of Oral Investigations, 6 (2), 62–73. https://seer.imed.edu.br/index.php/JOI/article/view/1977/html.
Yin, R. K. (2015). O estudo de caso. Planejamento e métodos. (5a ed). Bookman.
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