Donizete Heliano Oliveira Borges¹, Talita Soares¹, Lucas Alves Ferreira¹, Francisco Jose Corrêa Braga², Felipe Andres Ortiz Poblete¹, Sergio Charifker Ribeiro Martins³* and Leandro Lécio de Lima Sousa³

¹Departamento de Odontologia, Universidade de Sete Lagoas - Facset, Brazil
²Departamento e Pesquisa, Consulmat Produtos Técnicos Ltda, Brazil
³ICS, Departamento de Odontologia, UniFunorte - Centro Universitário Faculdades Unidas Norte de Minas, Brazil

*Corresponding Author: Sergio Charifker Ribeiro Martins, ICS, Departamento de Odontologia, UniFunorte - Centro Universitário Faculdades Unidas Norte de Minas, Brazil.

Received: May 27, 2021; Published: : July 07, 2021

Citation: Sergio Charifker Ribeiro Martins., et al. “Guided Tissue Regeneration (GTR) Using Collagen Membrane with Polylactic Acid Frame (PLA): Case Report". Acta Scientific Dental Sciences 5.8 (2021): 03-08.

Abstract

Rehabilitation with implants must seek not only functional repair but also strive for an aesthetically satisfying result. Tooth extraction results in the natural resorption of original hard tissues, with subsequent retraction of the surrounding soft tissues, and this is the surgeon's challenge: to restore function and aesthetics in as few steps as possible. A wide range of techniques and biomaterials are available on the market. It is known that biomaterials must be biocompatible, and among the various alternatives, resorbable biomaterials have the best outcomes with the least number of surgical steps. This clinical case report aimed to present guided tissue regeneration (GTR) with the aid of a collagen membrane with polylactic acid frame (PLA), concomitantly with the installation of two implants. GRT intended to promote new bone formation and guide bone covering with healthy soft tissue. After placing the biomaterials, the implants were positioned at the same surgical time. After 180 days, the osseointegration of the installed implant was in harmony with their surrounding tissues and structures as observed through image examination (panoramic radiography), allowing prosthetic rehabilitation without additional surgical intervention. The use of biomaterials and GTR are extremely valuable for the success and reduction of working time in rehabilitation with implants.

Keywords: Implant; Guided Tissue Regeneration; Membrane; Polylactic Acid

Bibliography

1. Bormann K., et al. “Forty Sandwich Osteotomies in Atrophic Mandibles: A Retrospective Study”. Journal of Oral and Maxillofacial Surgery 6 (2011): 1562-1570.
2. Garcia de Carvalho G., et al. “Antimicrobial photodynamic therapy associated with bone regeneration for peri-implantitis treatment: a case report”. Photodiagnosis and Photodynamic Therapy 30 (2020): 101705.
3. Raghoebar G., et al. “Correction of a malpositioned endosseous implant by a segmental osteotomy: a case report”. The International Journal of Oral and Maxillofacial Implants 4 (2015): 627-631.
4. Tavares RN., et al. “Bone graft sandwich osteotomy to correct a malpositioned dental implant”. International Journal of Oral and Maxillofacial Surgery 7 (2013): 901-903.
5. Nóia C., et al. “Repositioning implants through sandwich osteotomy with the interposition of lyophilized bovine bone”. International Journal of Medical and Surgical Sciences 2 (2018): 455-459.
6. Bell RE. “Palatal Approach to the Anterior Maxillary Sandwich Osteotomy”. Journal of Oral and Maxillofacial Surgery 6 (2013): 1005-1009.
7. Triaca A., et al. “New Perspectives in the Treatment of Severe Mandibular Atrophy: ‘Double Sandwich’ Osteotomy”. British Journal of Oral and Maxillofacial Surgery7 (2014): 664-666.
8. Molina GO., et al. “Histometric Analysis of Alveolar Bone Regeneration with Expanded Polytetrafluoroethylene (e-PTFE) and Latex Membranes”. Brazilian Journal of Oral Sciences3 (2013): 184-188.
9. Suaid FF., et al. “Platelet-rich plasma in the treatment of Class II furcation defects: a histometrical study in dogs”. Journal of Applied Oral Science2 (2012): 162-169.
10. Puisys A and Linkevicius T. “The influence of mucosal tissue thickening on crestal bone stability around bone-level implants. a prospective controlled clinical trial”. Clinical Oral Implants Research2 (2015): 123-129.
11. Benatti ACB. "Estudo comparativo in vitro da biocompatibilidade entre nanofibras de poli (L-ácido láctico) (PLLA) e PLDL PURAC® para uso na engenharia tecidual". Universidade Estadual de Campinas (2017).
12. Rakmanee T., et al. “Treatment of Intrabony Defects with Guided Tissue Regeneration in Aggressive Periodontitis: Clinical Outcomes at 6 and 12 Months”. Clinical Oral Investigations6 (2016): 1217-1225.
13. Nóia CF., et al. “Sandwich Osteotomy With Interposition Of A Bovine Block Bone Graft for Vertical Ridge Augmentation”. International Journal of Medical and Surgical Sciences2 (2018): 475-479.
14. Stacchi C., et al. “Malpositioned Osseointegrated Implants Relocated with Segmental Osteotomies: A Retrospective Analysis of a Multicenter Case Series with a 1- to 15-Year Follow-Up: Multicenter Case Series on Implant Relocation”. Clinical Implant Dentistry and Related Research6 (2013): 836-846.
15. Pereira AS. “Caracterização química e topográfica de membranas reabsorvíveis para regeneração tecidual”. Universidade Federal de Santa Catarina (2019).
16. Park KM., et al. “Tissue Engineering and Regenerative Medicine 2017: A Year in Review”. Tissue Engineering Part B: Reviews 5 (2018): 327-344.

Copyright: © 2021 Sergio Charifker Ribeiro Martins., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.