Reconstruction of Defective Alveolar Bone With Non-Resorbable and Titanium Reinforced Membrane Implantation Success

Year 2025, Volume: 7 Issue: 2, 203 - 212, 29.08.2025

Nida Geçkil

Abstract

Aim: The aim of this study is to present the clinical success of cases in which implants were placed in defective alveolar bone in a single surgical procedure.
Material and Methods: Thirty-three patients with alveolar bone defects in the maxillary canine and premolar regions were included in the study. Before the procedure, cone-beam computed tomography (CBCT) images were obtained from all patients and the heights of the defective walls were recorded. In the surgical operation, primary stability of the implant was ensured, guided bone regeneration was applied. The prosthetic restoration was completed as cemented or screwed. Six months after this stage, the amount of bone regained was recorded by CBCT imaging. Clinically, peri-implant probing depth and bleeding on probing indexes were examined. The Mann-Whitney U test was applied for comparisons between types of restoration, while bone heights were compared using the Wilcoxon Sign test (p<0.05).
Results: The mean total bone height gain was 8.91 ± 1.30 mm. The pocket depth was significantly greater in cemented restorations compared to screwed restorations (p=0.006). The mean pink esthetic score score was 12.3 ± 1.8 and the mean white esthetic score score was 8.4 ± 1.5.
Conclusion: In cases where there is a defect of more than half the implant length on one or both sides of the alveolar bone, implants can be placed in a single session with a meticulous surgical approach and appropriate material. The use of screw retainers in prosthetic restorations has been found to be more successful than cemented restorations.

Keywords

immediate implants , guided bone regeneration , alveolar bone defects , implant-supported prosthesis , titanium mesh

Ethical Statement

ethical committee was approved

Supporting Institution

NONE

Thanks

I would like to thank Assoc. Prof. Dr. Tuğçe Temur for allowing and supporting us to use the CBCT imaging device many times in accordance with the study.

Defektif Alveolar Kemiğin Rezorbe Olmayan ve Titanyumla Güçlendirilmiş Membranla Rekonstrüksiyonu ve İmplantasyon Başarısı

Abstract

Amaç: Bu çalışmanın amacı, implantların defektif alveoler kemiğe tek bir cerrahi prosedürle yerleştirildiği vakaların klinik başarısını sunmaktır.
Gereç ve Yöntemler: Maksiller kanin ve premolar bölgelerinde alveolar kemik defekti olan 33 hasta çalışmaya dahil edildi. İşlem öncesinde tüm hastalardan konik ışınlı bilgisayarlı tomografi (CBCT) görüntüleri elde edildi ve defektif duvarların yükseklikleri kaydedildi. Cerrahi operasyonda implantın primer stabilitesi sağlandı, yönlendirilmiş kemik rejenerasyonu uygulandı. Protetik restorasyon simante veya vidalı olarak tamamlandı. Bu aşamadan altı ay sonra, kazanılan kemik miktarı CBCT görüntüleme ile kaydedildi. Klinik olarak, peri-implant sondalama derinliği ve sondalamada kanama indeksleri incelendi. Restorasyon tipleri arasındaki karşılaştırmalar için Mann-Whitney U testi uygulanırken, kemik yükseklikleri Wilcoxon İşaret testi kullanılarak karşılaştırıldı (p<0.05).
Bulgular: Ortalama toplam kemik yüksekliği kazancı 8.91 ± 1.30 mm idi. Cep derinliği simante restorasyonlarda vidalı restorasyonlara göre anlamlı olarak daha fazlaydı (p=0.006). Ortalama pembe estetik skor 12.3 ± 1.8 ve ortalama beyaz estetik skor 8.4 ± 1.5 idi.
Sonuçlar: Alveoler kemiğin bir veya iki tarafında implant uzunluğunun yarısından fazla defekt olduğu durumlarda, titiz bir cerrahi yaklaşım ve uygun materyal ile implantlar tek seansta yerleştirilebilir. Protetik restorasyonlarda vida tutucuların kullanımı simante restorasyonlara göre daha başarılı bulunmuştur.

Keywords

immediate implants , guided bone regeneration , alveolar bone defects , implant-supported prosthesis , titanium mesh

Ethical Statement

SUNULDU

Supporting Institution

YOK

Thanks

I would like to thank Assoc. Prof. Dr. Tuğçe Temur for allowing and supporting us to use the CBCT imaging device many times in accordance with the study.

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