Fig. 1. Clinical photographs of the both treatment groups after the initial surgery, 1 week post-op and at the re-entry. a) In the test group, no primary wound closure was achieved (left) and the barrier was left exposed for secondary intention healing. After 1 week, the matrix remained exposed (middle) showing no signs of infection. For months later, the exposed area was covered by a keratini...
Groups
Grafted ridge width
Ridge width at the re-entry
Grafted ridge reduction (mm)
Exposed (test)
...
Groups
Initial ridge width (mm)
Ridge width at re-entry (mm)
Ridge width gain (mm)
Exposed (tests)
...
Groups
Subject no.
Sex
Site
Age
Exposed (test) group
...
Eskan, M.A., Girouard, ME., Morton, D. et al. The effect of membrane exposure on lateral ridge augmentation: a case-controlled study.
Int J Implant Dent 3, 26 (2017). https://doi.org/10.1186/s40729-017-0089-z
Download citation
Received: 01 March 2017
Accepted: 16 June 2017
Published: 22 June 2017
DOI: https://doi.org/10.1186/s40729-017-0089-z
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
Sisli, Istanbul, Turkey
Mehmet A. Eskan
Sherbrooke, Québec, Canada
Marie-Eve Girouard
Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
Dean Morton
Department of Oral Health and Rehabilitation, Division of Periodontics, University of Louisville School of Dentistry, Louisville, KY, 40292, USA
Henry Greenwell
Clinic Eska, Terrace Fulya, Tesvi...
We like to thank to Dr. Lorenz Uebersax for his help during the preparation of this article.
MAE and MEG have made substantial contributions in completing all the surgical parts and collecting all the parameters from the subjects. HG was involved in analyzing, interpreting, and supervising the study. DM revised it critically and helped in finalizing the manuscript and giving important intellectua...
Falk H, Laurell L, Ravald N, Teiwik A, Persson R. Guided tissue regeneration therapy of 203 consecutively treated intrabony defects using a bioabsorbable matrix barrier. Clinical and radiographic findings. J Periodontol. 1997;68:571–81.
Eickholz P, Kim TS, Steinbrenner H, Dorfer C, Holle R. Guided tissue regeneration with bioabsorbable barriers: intrabony defects and class II furcations. J Peri...
Rachana C, Sridhar N, Rangan AV, Rajani V. Horizontal ridge augmentation using a combination approach. J Indian Soc Periodontol. 2012;16:446–50.
Kleinheinz J, Buchter A, Kruse-Losler B, Weingart D, Joos U. Incision design in implant dentistry based on vascularization of the mucosa. Clin Oral Implants Res. 2005;16:518–23.
Beitlitum I, Artzi Z, Nemcovsky CE. Clinical evaluation of particulate ...
Agarwal G, Thomas R, Mehta D. Postextraction maintenance of the alveolar ridge: rationale and review. Compend Contin Educ Dent. 2012;33:320–324, 326. quiz 327, 336.
Horvath A, Mardas N, Mezzomo LA, Needleman IG, Donos N. Alveolar ridge preservation. A systematic review. Clin Oral Investig. 2013;17:341–63.
Buser D, Dula K, Belser U, Hirt HP, Berthold H. Localized ridge augmentation using guid...
Within the limits of this case-controlled study, it can be concluded that lateral ridge augmentation procedures in atrophic alveolar ridges using bioresorbable matrix barriers without achieving primary flap closure or in the case of early exposures can still lead to clinically satisfying ridge width gain that allows for the placement of dental implants. However, exposures seem to limit the ridge w...
The microbial contamination of the matrix barrier during exposure could be another important factor that might hamper bone formation within the underlying graft. This factor has not been investigated in the present study. However, it has been reported by other groups that the resorbable matrix barrier per se might be less prone to bacterial contamination and can be better cleaned using disinfectan...
Although numerous studies in the literature show successful outcomes of the GBR procedure [6, 31], the most common clinical complication in GBR procedures is early membrane exposure [9]. There is a general clinical impression that the ridge augmentation results are compromised in the case of early membrane exposures [32, 33]. In this case-controlled study, which was based on a patient subset from ...
To assess if the baseline situations of the patients in the two treatment groups were comparable and well balanced, the distribution of gender, age, and the initial ridge measurements were compared. There were three women and four men in each group. The median age for the test and control group was 50 and 62 years old, respectively (Table 1). The initial alveolar mean ridge widths before lateral...
Means ± SD was calculated for all parameters. The statistical significance difference of means between the groups was tested using an exact two-sample Fisher-Pitman permutation test; since the sample size seemed too small to test for normality, p
Fourteen subjects were retrospectively recruited for this case-controlled study. In test group (seven patients), primary closure was not achieved and membrane was left exposed at the initial surgery or it became exposed during the first week of healing. In the control group (seven patients), primary wound closure was achieved and no exposure of the membrane occurred until the placement of a dental...
Various resorbable membranes exist in the market composing of dura mater, poly-lactic acid, polyglycolic acid, polyurethane, or mostly collagen. Still, even resorbable membranes show frequent events of membrane exposures after GBR procedures. For example, between 22 and 32% of early membrane exposure have been reported for collagen membrane by several authors [15,16,17,18]. A major drawback of col...
It has been reported that unpreserved alveolar ridges can show substantial horizontal and/or vertical ridge deficiency [1, 2] that lack the sufficient alveolar ridge dimensions to allow the ideal positioning of the implant and enhance long-term prognosis of the clinical outcomes [3]. Guided bone regeneration (GBR) is a predictable technique for augmenting the alveolar ridge width that has been use...
The effect of membrane exposure on guided bone regeneration (GBR) for lateral ridge augmentation has been poorly addressed. This case-controlled study aimed to investigate potential effect of membrane exposure lateral ridge augmentation and subsequent implant placement.
A total of 14 patients that did receive lateral ridge augmentation procedure using allogeneic cancellous graft particulate in co...
Fig. 1. Clinical photographs of the both treatment groups after the initial surgery, 1 week post-op and at the re-entry. a) In the test group, no primary wound closure was achieved (left) and the barrier was left exposed for secondary intention healing. After 1 week, the matrix remained exposed (middle) showing no signs of infection. For months later, the exposed area was covered by a keratini...
Groups
Grafted ridge width
Ridge width at the re-entry
Grafted ridge reduction (mm)
Exposed (test)
...
Groups
Initial ridge width (mm)
Ridge width at re-entry (mm)
Ridge width gain (mm)
Exposed (tests)
...
Groups
Subject no.
Sex
Site
Age
Exposed (test) group
...
Eskan, M.A., Girouard, ME., Morton, D. et al. The effect of membrane exposure on lateral ridge augmentation: a case-controlled study.
Int J Implant Dent 3, 26 (2017). https://doi.org/10.1186/s40729-017-0089-z
Download citation
Received: 01 March 2017
Accepted: 16 June 2017
Published: 22 June 2017
DOI: https://doi.org/10.1186/s40729-017-0089-z
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
Sisli, Istanbul, Turkey
Mehmet A. Eskan
Sherbrooke, Québec, Canada
Marie-Eve Girouard
Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
Dean Morton
Department of Oral Health and Rehabilitation, Division of Periodontics, University of Louisville School of Dentistry, Louisville, KY, 40292, USA
Henry Greenwell
Clinic Eska, Terrace Fulya, Tesvi...
We like to thank to Dr. Lorenz Uebersax for his help during the preparation of this article.
MAE and MEG have made substantial contributions in completing all the surgical parts and collecting all the parameters from the subjects. HG was involved in analyzing, interpreting, and supervising the study. DM revised it critically and helped in finalizing the manuscript and giving important intellectua...
Falk H, Laurell L, Ravald N, Teiwik A, Persson R. Guided tissue regeneration therapy of 203 consecutively treated intrabony defects using a bioabsorbable matrix barrier. Clinical and radiographic findings. J Periodontol. 1997;68:571–81.
Eickholz P, Kim TS, Steinbrenner H, Dorfer C, Holle R. Guided tissue regeneration with bioabsorbable barriers: intrabony defects and class II furcations. J Peri...
Rachana C, Sridhar N, Rangan AV, Rajani V. Horizontal ridge augmentation using a combination approach. J Indian Soc Periodontol. 2012;16:446–50.
Kleinheinz J, Buchter A, Kruse-Losler B, Weingart D, Joos U. Incision design in implant dentistry based on vascularization of the mucosa. Clin Oral Implants Res. 2005;16:518–23.
Beitlitum I, Artzi Z, Nemcovsky CE. Clinical evaluation of particulate ...
Agarwal G, Thomas R, Mehta D. Postextraction maintenance of the alveolar ridge: rationale and review. Compend Contin Educ Dent. 2012;33:320–324, 326. quiz 327, 336.
Horvath A, Mardas N, Mezzomo LA, Needleman IG, Donos N. Alveolar ridge preservation. A systematic review. Clin Oral Investig. 2013;17:341–63.
Buser D, Dula K, Belser U, Hirt HP, Berthold H. Localized ridge augmentation using guid...
Within the limits of this case-controlled study, it can be concluded that lateral ridge augmentation procedures in atrophic alveolar ridges using bioresorbable matrix barriers without achieving primary flap closure or in the case of early exposures can still lead to clinically satisfying ridge width gain that allows for the placement of dental implants. However, exposures seem to limit the ridge w...
The microbial contamination of the matrix barrier during exposure could be another important factor that might hamper bone formation within the underlying graft. This factor has not been investigated in the present study. However, it has been reported by other groups that the resorbable matrix barrier per se might be less prone to bacterial contamination and can be better cleaned using disinfectan...
Although numerous studies in the literature show successful outcomes of the GBR procedure [6, 31], the most common clinical complication in GBR procedures is early membrane exposure [9]. There is a general clinical impression that the ridge augmentation results are compromised in the case of early membrane exposures [32, 33]. In this case-controlled study, which was based on a patient subset from ...
To assess if the baseline situations of the patients in the two treatment groups were comparable and well balanced, the distribution of gender, age, and the initial ridge measurements were compared. There were three women and four men in each group. The median age for the test and control group was 50 and 62 years old, respectively (Table 1). The initial alveolar mean ridge widths before lateral...
Means ± SD was calculated for all parameters. The statistical significance difference of means between the groups was tested using an exact two-sample Fisher-Pitman permutation test; since the sample size seemed too small to test for normality, p
Fourteen subjects were retrospectively recruited for this case-controlled study. In test group (seven patients), primary closure was not achieved and membrane was left exposed at the initial surgery or it became exposed during the first week of healing. In the control group (seven patients), primary wound closure was achieved and no exposure of the membrane occurred until the placement of a dental...
Various resorbable membranes exist in the market composing of dura mater, poly-lactic acid, polyglycolic acid, polyurethane, or mostly collagen. Still, even resorbable membranes show frequent events of membrane exposures after GBR procedures. For example, between 22 and 32% of early membrane exposure have been reported for collagen membrane by several authors [15,16,17,18]. A major drawback of col...
It has been reported that unpreserved alveolar ridges can show substantial horizontal and/or vertical ridge deficiency [1, 2] that lack the sufficient alveolar ridge dimensions to allow the ideal positioning of the implant and enhance long-term prognosis of the clinical outcomes [3]. Guided bone regeneration (GBR) is a predictable technique for augmenting the alveolar ridge width that has been use...
The effect of membrane exposure on guided bone regeneration (GBR) for lateral ridge augmentation has been poorly addressed. This case-controlled study aimed to investigate potential effect of membrane exposure lateral ridge augmentation and subsequent implant placement.
A total of 14 patients that did receive lateral ridge augmentation procedure using allogeneic cancellous graft particulate in co...