Alessandro Cucchi1, Andrea Chierico2, Filippo Fontana3, Fabio Mazzocco4, Carla Cinquegrana5, Fabrizio Belleggia6, Paolo Rossetti7, Carlo Maria Soardi8, Marzio Todisco9, Roberto Luongo10, Luca Signorini11, Marco Ronda12, Roberto Pistilli13. 1. Researcher, Unit of Oral and Maxillofacial Surgery, Department of Biomedical and Neuromotor Science (DIBINEM), University of Bologna, Bologna, Italy. 2. Private Practice, San Pietro in Cariano, Verona, Italy. 3. Assistant Professor, Unit of Oral and Maxillofacial Surgery, IRCCS Cà Granda Foundation, University of Milan, Milan, Italy. 4. Private Practice, Padova, Italy. 5. Resident, Unit of Oral and Maxillofacial Surgery, Department of Biomedical and Neuromotor Science (DIBINEM), University of Bologna, Bologna, Italy. 6. Private Practice, Roma, Italy. 7. Private Practice, Milan, Italy. 8. Private Practice, Brescia, Italy. 9. Private Practice, Desenzano, Brescia, Italy. 10. Adjunct Instructor, Hashman Department of Periodontology and Implant Dentistry, College of Dentistry, New York University, New York, NY. 11. Private Practice, Rome, Italy. 12. Private Practice, Genova, Italy. 13. Assistant Professor, Oral and Maxillofacial Unit, San Camillo-Forlanini Hospital, Rome, Italy.
Abstract
INTRODUCTION: In the past 10 years, long-term studies have demonstrated that guided bone regeneration (GBR) is a successful and reliable technique for vertical and horizontal ridge augmentation, but strict and rigorous protocols must be adopted. MATERIAL AND METHODS: Because no reports have yet been published with statements and clinical recommendations for GBR, a closed meeting of all authors was organized to discuss this matter during a GBR symposium held in Bologna (Italy) in October 2016. The authors focused on the findings of systematic and narrative reviews, prepared before the meeting, covering aspects of the clinical management of GBR techniques. Successively, a discussion based on the scientific evidence and on the experts' opinions led to the formulation of statements, clinical recommendations, and implications for future research. RESULTS: To avoid complications and to optimize outcomes, the following factors should be considered by clinicians: patient selection; analysis of defect type; blood supply; antibiotic treatment; flap passivation; delayed implant placement; combination of autogenous bone and xenograft or allograft; rigorous fixation of membranes; removal after 6 to 9 months; analysis of complications; soft-tissue management; and high care in scarred sites and in esthetic areas. CONCLUSIONS: The present consensus report reviewed the scientific evidence and provided specific guidelines and recommendations for clinical practice and the different approaches to GBR techniques to ensure surgical success and predictable outcomes.
INTRODUCTION: In the past 10 years, long-term studies have demonstrated that guided bone regeneration (GBR) is a successful and reliable technique for vertical and horizontal ridge augmentation, but strict and rigorous protocols must be adopted. MATERIAL AND METHODS: Because no reports have yet been published with statements and clinical recommendations for GBR, a closed meeting of all authors was organized to discuss this matter during a GBR symposium held in Bologna (Italy) in October 2016. The authors focused on the findings of systematic and narrative reviews, prepared before the meeting, covering aspects of the clinical management of GBR techniques. Successively, a discussion based on the scientific evidence and on the experts' opinions led to the formulation of statements, clinical recommendations, and implications for future research. RESULTS: To avoid complications and to optimize outcomes, the following factors should be considered by clinicians: patient selection; analysis of defect type; blood supply; antibiotic treatment; flap passivation; delayed implant placement; combination of autogenous bone and xenograft or allograft; rigorous fixation of membranes; removal after 6 to 9 months; analysis of complications; soft-tissue management; and high care in scarred sites and in esthetic areas. CONCLUSIONS: The present consensus report reviewed the scientific evidence and provided specific guidelines and recommendations for clinical practice and the different approaches to GBR techniques to ensure surgical success and predictable outcomes.
Authors: Alessandro Cucchi; Alessandro Bianchi; Paolo Calamai; Lisa Rinaldi; Francesco Mangano; Elisabetta Vignudelli; Giuseppe Corinaldesi Journal: BMC Oral Health Date: 2020-08-05 Impact factor: 2.757