Evaluation of Bone Gain and Complication Rates after Guided Bone Regeneration with Titanium Foils: A Systematic Review.

Materials (Basel)

Oral Health and Masticatory System Group-IDIBELL, Faculty of Medicine and Health Sciences (School of Dentistry), Odontological Hospital University of Barcelona, University of Barcelona, 08907 Barcelona, Spain.

Published: November 2020

AI Article Synopsis

  • Guided bone regeneration techniques using titanium membranes are effective for dental implant placement, with comparable bone gain to other membrane types.
  • The study analyzed 13 articles and found that while titanium membranes have a higher complication rate than some alternatives, their implant survival rates are on par with implants in natural bone.
  • The authors suggest that more randomized clinical trials are needed to better compare titanium barriers with other membrane options for clearer conclusions.

Article Abstract

Guided bone regeneration techniques are increasingly used to enable the subsequent placement of dental implants. This systematic review aims to analyze the success rate of these techniques in terms of bone gain and complications rate using titanium membranes as a barrier element. Electronic and hand searches were conducted in PubMed/Medline, Scielo, Scopus and Cochrane Library databases for case reports, case series, cohort studies and clinical trials in humans published up to and including 19 September 2020. Thirteen articles were included in the qualitative analysis. Bone gain both horizontally and vertically was comparable to that obtained with other types of membranes more commonly used. The postoperative complication rate was higher that of native collagen membranes and non-resorbable titanium-reinforced membranes, and similar that of crosslinked collagen membranes and titanium meshes. The survival rate of the implants was similar to that of implants placed in native bone. Due to the limited scientific literature published on this issue, more randomized clinical trials comparing occlusive titanium barriers and other types of membranes are necessary to reach more valid conclusions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7728364PMC
http://dx.doi.org/10.3390/ma13235346DOI Listing

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