Browse > Article

Analysis on cause of failure of guided bone regeneration during implant placement : A retrospective study  

Ko, Sun-Young (Department of Periodontology, School of Dentistry, Chonbuk National University)
Oh, Jun-Ho (Department of Periodontology, School of Dentistry, Chonbuk National University)
Lee, Seung-Jae (Department of Periodontology, School of Dentistry, Chonbuk National University)
Kim, Hyung-Seop (Department of Periodontology, School of Dentistry, Chonbuk National University)
Publication Information
Journal of Periodontal and Implant Science / v.38, no.3, 2008 , pp. 535-542 More about this Journal
Abstract
Purpose: The aim of this retrospective study is to evaluate survival rate of implant and bone formation, to analyze failure contribution factor. Material and Methods: A total of 52 consecutive patients(35 male, 17 female, mean age 49 years) with 104 osseous defects were treated during the period from October 2004 to June 2007 with a simultaneous or staged GBR approach using non-resorbable or resorbable membranes combined with autogenous bone grafts or xenograft(Bio-Oss, Bio-cera, BBP). Result: A total of 32(30,8%) of 104 GBR-treated sites failed the bone formation and a total of 5(5.6%) of 89 implants were removed. Early exposure of the membrane has significantly affected bone formation(p<0.05). Non-resorbable membrane showed more exposure of the membrane and low success rate of bone formation than resorbable membrane(p<0.05). There were no difference between success rate of bone formation and using autogenous bone or graft materials. There were no statistically significant difference between success rate of bone formation and smoking or using PRP. Mandible showed more success rate of bone formation than maxilla(p<0.05). Conclusion: Early exposure of the membrane, membrane type and maxilla/mandible type have influence on success rate of bone formation during GBR.
Keywords
guided bone regeneration; implant failure; implant survival rate;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Schenk RK, Buser D, Hardwick WR, Dahlin C. Healing pattern of bone regeneration in membrane-protected defects: a histologic study in the canine mandible. Int J Oral Maxillofac Implants 1994;9:13-29
2 Nevins M, Mellonig JT, Clem DS 3rd, Reiser GM, Buser DA. Implants in regenerated bone: long-term survival. Int J Periodontics Restorative Dent 1998;18:34-45   PUBMED
3 Dahlin C, Linde A, Gottlow J, Nyman S. Healing of bone defects by guided bone regeneration. Plast Reconstr Surg 1988;81:672-676   DOI   PUBMED   ScienceOn
4 Tolman DE. Reconstructive procedures with endosseous implants in grafted bone: A review of the literature. Int J Oral Maxillofac Implants 1995;10:275-294
5 Machtei EE. The effect of membrane exposure on the outcome of regenerative procedures in humans: A meta-analysis. J Periodontol 2001;72:512-516   DOI   ScienceOn
6 Branemark PI, Zarb GA, Albrektsson T. Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago: Quintessence, 1985
7 Sanchez AR, Sheridan PJ, Kupp LI. Is platelet-rich plasma the perfect enhancement factor? A current review. Int J Oral Maxillofac Implants 2003;18:93-103
8 Marx RE, Carlson ER, Eichstaedt RM et al. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85: 638-646   DOI   ScienceOn
9 Buser D, Dula K, Belser U, Hirt HP, Berthold H. Localized ridge augmentation using guided bone regeneration. 1. Surgical procedure in the maxilla. Int J Periodontics Restorative Dent 1993;13:29-45
10 Strietzel FP, Reichart PA, Kale A et al. Smoking interferes with the prognosis of dental implant treatment: a systematic review and meta-analysis. J Clin Periodontol 2007;34: 523-544   DOI   ScienceOn
11 Zitzmann NU, Scharer P, Marinello CP. Factors influencing the success of GBR: Smoking, timing of implant placement, implant location, bone quality and provisional restoration. J Clin Periodontol 1999;26:673-682   DOI   ScienceOn
12 Hurzeler MB, Kohal RJ, Naghshbandi J et al. Evaluation of a new bioresorbable barrier to facilitate guided bone regeneration around expoesed implant threads. An experimental study in the monkey. Int J Oral Maxillofac Surg 1998;27:315-320   DOI   ScienceOn