Early implant failure treatment: GBR with collagen membrane and bioactive glass.
Journal name: Journal of Indian Society of Periodontology
Original article title: Treatment of an early failing implant by guided bone regeneration using resorbable collagen membrane and bioactive glass
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Prakash S. Talreja, G. V. Gayathri, D. S. Mehta
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Treatment of an early failing implant by guided bone regeneration using resorbable collagen membrane and bioactive glass
Year: 2013 | Doi: 10.4103/0972-124X.107490
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Implant failures in dentistry can be categorized into early failures, which occur prior to prosthetic treatment, and late failures, which take place after prosthetic rehabilitation. Early failures are typically attributed to complications that interfere with the healing process following implant placement. Radiographically, early failure manifests as progressive bone loss during the initial healing period, typically within 4 to 6 weeks. This case report discusses an instance of early progressive bone loss observed six weeks after the placement of a non-submerged single-piece mini implant, along with the treatment protocols that were followed to manage the situation effectively.
Salvaging Early Failing Implants: Guided Bone Regeneration
In the reported case involving a 35-year-old female patient, early signs of implant failure were characterized by peri-implant bleeding on probing, pocket formation, and grade-1 mobility after six weeks of implant placement. The treatment protocol included thorough mechanical debridement, chemical detoxification with citric acid, and subsequent guided bone regeneration (GBR) therapy utilizing a collagen membrane and bioactive glass as grafting material. Post-operative evaluations after six months revealed complete healing, with a significant resolution of the osseous defect, demonstrating that this approach may effectively address early implant failure.
Conclusion
The successful management of early failing implants through surgical intervention, including mechanical debridement, antimicrobial therapy, and guided bone regeneration, underscores the importance of early detection and treatment to control progressive bone loss. This case illustrates that through appropriate interventions, it is possible to reverse early biological implant failures and achieve satisfactory clinical outcomes. Future research should focus on refining treatment protocols, optimizing case selection, and ensuring long-term follow-ups to improve the reliability and effectiveness of implant therapies.
FAQ section (important questions/answers):
What are the main causes of early implant failure?
Early implant failure is often due to excessive surgical trauma, bacterial contamination, micromotion, and local or systemic host characteristics, as well as the operator's experience. Signs can include progressive bone loss and infection during the healing phase.
How is early failing dental implant treated?
Treatment involves mechanical debridement, antimicrobial therapy, and guided bone regeneration (GBR) using a barrier membrane and bone graft material. In this case, a combination of bioactive glass and collagen membrane was used to stimulate bone regeneration.
What is guided bone regeneration (GBR)?
GBR is a surgical procedure that uses a barrier membrane to protect the blood clot and enable bone regeneration in an area around an implant. This technique helps to create a secluded space, promoting healing and preventing competition from other tissues.
What were the outcomes of the treatment in the reported case?
After six months, complete resolution of the osseous defect was observed. The patient showed healthy mucosa with no implant mobility, and radiographs confirmed successful bone regeneration around the implant.
Why was a mini implant chosen for this case?
A mini implant was selected due to insufficient bone volume for a standard-diameter implant and the patient's preference against expensive augmentative procedures. The plan included early loading to align with the patient's treatment timeline.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Early implant failure treatment: GBR with collagen membrane and bioactive glass.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Surface:
Surface refers to the outer layer or boundary of an object. In dental implants, the surface characteristics such as roughness and coating play important roles in osseointegration, influencing how well the implant interacts with the bone and surrounding tissues. A textured surface can enhance stability and promote better healing outcomes.
2) Glass:
Glass, in the context of this report, relates to bioactive glass, which is used as a grafting material. Bioactive glass aids in bone regeneration by stimulating the body’s natural healing processes and providing a scaffold for new bone growth. Its chemical composition supports integration with surrounding bone tissues.
3) Miṇi (Mini):
The term mini refers to mini dental implants, which have a smaller diameter compared to standard implants. These implants are particularly useful in areas with limited bone volume, allowing for placement without extensive pre-surgical augmentation. They provide a viable option for patients seeking less invasive procedures and quicker recovery.
4) India:
India is the location where the clinical case was conducted, specifically at the Bapuji Dental College and Hospital in Karnataka. The geographical context is important as it frames the healthcare practices, availability of dental materials, and the demographic characteristics of the patient population within the region being discussed.
5) Antibiotic (Antibacterial):
Antibiotics are critical in managing infections, particularly in the surgical setting. In this case report, antibiotics were used pre- and post-operatively to prevent or treat possible infections that could compromise the implant’s success. Their role is significant in supporting healing and ensuring the integrity of dental implant procedures.
6) Grafting:
Grafting refers to the surgical procedure of placing bone or bone-like materials in a defect to facilitate the regeneration of lost bone. In this report, grafting with bioactive glass was performed to restore bone around a failing implant. Successful grafting helps ensure the stability and longevity of dental implants.
7) Surrounding:
Surrounding describes the tissues and structures that exist next to or in close proximity to the dental implant. Understanding the condition of the surrounding gum and bone is vital for assessing the health of an implant, as any infection or compromise in these areas can lead to implant failure.
8) Measurement:
Measurement relates to the clinical evaluations and imaging techniques used to assess the bone and implant site. In this case, computed tomography (C.T.) scans provided detailed measurements necessary for implant placement. Accurate measurements help in ensuring proper fit, stability, and avoiding complications during and after the procedure.
9) Dressing:
Dressing refers to the protective covering applied to a surgical site after procedures. In this context, periodontal dressing was used to aid healing at the site of GBR surgery. It protects the treated area from physical irritation and bacterial contamination, promoting a stable environment for recovery.
10) Bleeding:
Bleeding during dental procedures, especially around implants, can indicate underlying issues such as infection or inflammation. Monitoring bleeding on probing after surgery is essential to evaluate the health of the implant site and ensures that any complications can be addressed promptly to avoid further bone loss.
11) Filling (Filled):
Filled describes the condition of the defect after grafting material has been placed. After surgery, the peri-implant defect should be adequately filled with bioactive glass to facilitate bone regeneration. Successful filling is indicative of the effectiveness of the procedure and the potential for successful healing.
12) Hygiene (Hygienic):
Hygiene reflects the oral health practices of the patient, which are crucial for the success of dental implants. Good oral hygiene minimizes the risk of infection and complications during the healing period. Regular monitoring of the patient's hygiene practices is vital for implant longevity.
13) Table:
Table refers to the presentation of clinical data or scales used for assessing implant mobility (like Misch’s Clinical Implant Mobility Scale). Using a structured table helps clinicians evaluate implant stability systematically, which is crucial for determining the need for further intervention in cases of early failure.
14) Silk:
Silk relates to the material used for sutures in the surgical process. Non-resorbable silk sutures provided stability in closing the surgical site. Choosing appropriate suture materials is crucial for ensuring proper healing and minimizing the risk of complications post-surgery.
15) Sign:
Sign in a clinical context refers to observable indicators of a condition, such as bleeding on probing or mobility of an implant. Recognizing signs of implant failure allows for early intervention strategies to prevent further complications and improve the overall success rate of dental implants.
16) Science (Scientific):
Scientific denotes the research and evidence-based practices underlying dental procedures. The techniques employed in treating the failing implant, such as GBR and the use of grafting materials, are grounded in scientific research, highlighting the importance of clinical evidence in modern dentistry to improve patient outcomes.
17) Karnataka:
Karnataka is the state in India where the described case took place. Regional factors such as patient demographics, available resources, and local medical practices contribute to the context of dental treatments conducted in this area. Understanding the local healthcare landscape is essential for proper patient management.
18) Incision:
Incision refers to the surgical cut made to access the underlying tissues during a procedure. The quality of the incision impacts the success of the surgery, influencing healing time and complications. Properly made incisions ensure better visibility and access to the implant site for effective treatment.
19) Chennai:
Chennai, a city in India, is referenced here as the manufacturing location for the resorbable collagen membrane used in the procedure. The origin of materials used in dental surgery can affect quality and availability, and knowing their source supports informed decision-making in clinical practice.
20) Disease:
Disease in this context refers to any pathological condition affecting oral health, particularly the periodontitis history of the patient. Understanding the patient’s disease history is essential in planning for implant placement, as prior periodontal issues can significantly affect implant success and overall treatment planning.
21) Animal:
Animal refers to the various preclinical and clinical studies conducted on animal models to assess the efficacy of dental materials and healing processes. Such studies form the foundation of evidence-based practices in dentistry, enabling practitioners to apply successful techniques in human patients.
22) Field:
Field represents the broader domain of dentistry and implantology encompassing the research, practice, and clinical application of dental implants. Continuous advancements in this field are essential for improving techniques, materials, and patient outcomes in dental implant therapy.
23) Blood:
Blood is essential in the context of surgery as it supplies nutrients and oxygen to healing tissues. Proper blood flow around the implant site promotes healing and integration. Surgical interventions aim to maintain healthy blood flow to facilitate effective regenerative processes post-surgery.
24) Study (Studying):
Study refers to the clinical investigations and research efforts aimed at understanding implant success, techniques, and materials used. A scientific study underlines the importance of evidence-based practices, allowing for continuous improvement in treatment protocols and patient care in the field of dentistry.
25) Diet:
Diet pertains to the nutritional intake of the patient, which can influence healing after surgical procedures. After surgery, patients are often advised on dietary modifications to minimize stress on the implant site and facilitate recovery. Proper dietary choices can enhance healing and overall treatment outcomes.
26) Hand:
Hand suggests the skills and dexterity required from the surgeon during the dental implant procedure. Surgeons need to exhibit precision and control when performing surgeries, including placing implants and conducting GBR, as these skills directly impact the success and safety of the treatment.
27) Shand (Sand):
Sand refers to the granular material often used in the context of dental implant surfaces that may be sandblasted to promote better integration with bone. This process enhances surface area and roughness, improving osseointegration, which is essential for the long-term success of dental implants.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Early implant failure treatment: GBR with collagen membrane and bioactive glass.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Surgical intervention, Clinical examination, Early detection, Antimicrobial therapy, Collagen membrane, Bioactive Glass, Intraoral periapical radiograph, Operator experience, Mechanical Debridement.