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2019, Number 4

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Rev Odont Mex 2019; 23 (4)

Horizontal guided bone regeneration in the esthetic area with bone lamina. A case report and review

Zaragoza-Cisneros ML, Moreno-Vargas YA, Munive-Martínez MA

Language: Spanish
References: 40
Page: 256-266
PDF size: 376.65 Kb.


ABSTRACT

Introduction: Dental implantology is a field backed by scientific and clinical evidence, with a success rate of 98%, provided that there is a sufficient bone base. The maxillary anterior area is a critical location, where both functionality and esthetics must be taken into account. The treatment for a horizontal ridge defect should be chosen well, as there may be limitations and complications. In recent years, the bone lamina technique has been succesfully used. It consists of a barrier of heterologous cortical pig bone. Objective: To assess the success of a horizontal guided bone regeneration (GBR) using bone lamina in the maxillary anterior area prior to dental implant placement. Material and methods: A female patient with horizontal defect in the maxillary anterior area underwent placement of dental implants. The regenerative technique of choice was bone lamina. The patient was subsequently assessed at five months by conical beam computed tomography (CBCT) to determine bone augmentation and plan future dental implants. Results: A bone increase was observed in the area of tooth #21: 6.5 mm in apical, 5.9 mm in middle, and 4.6 mm in crestal region. For the area of tooth #22, the increase was 6.9 mm in apical, 6 mm in middle, and 5.6 mm in crestal region. Conclusion: The bone lamina seems to meet the specific design criteria of a GBR for the reconstruction of horizontal defects in the maxillary anterior area, avoiding the disadantages and complications of alternative techniques reported in the literature.


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