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Case Reports
. 2018 May 31:7:685.
doi: 10.12688/f1000research.14939.1. eCollection 2018.

Case Report: Managing the postoperative exposure of a non-resorbable membrane surgically

Abdullah S Almutairi  1
Affiliations
Case Reports

Case Report: Managing the postoperative exposure of a non-resorbable membrane surgically

Abdullah S Almutairi. F1000Res. .

Abstract

Alveolar ridge deformities can be caused by several factors. Managing alveolar deformities prior to implant placement is essential to increase bone width, height or both. Several techniques and materials are now available to perform ridge augmentation procedures. The postoperative exposure of the membrane is the most frequent postoperative complications of ridge augmentation procedures. The present case describes the horizontal ridge augmentation procedure and the outcome of surgical attempt to manage post-operative membrane exposure, and shows the unpredictability of managing postoperative membrane exposure surgically.

Keywords: GBR; Periodontal; bone.; exposure; implant; membrane.

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Conflict of interest statement

No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. CBCT showing insufficient bone width at tooth #46.
Figure 2.
Figure 2.. CBCT showing insufficient bone width #46.
Figure 3.
Figure 3.. Pre- ridge augmentation.
Figure 4.
Figure 4.. Full thickness flap reflection.
The mental nerve can be seen.
Figure 5.
Figure 5.. Measuring the bone width (3 mm). Decortication was performed to increase blood supply in the area.
Figure 6.
Figure 6.. Non-resorbable membrane covering FDBA.
Figure 7.
Figure 7.. Suturing, primary closure was achieved.
Figure 8.
Figure 8.. The patient at 2 weeks follow-up.
Figure 9.
Figure 9.. The patient at 4 weeks follow-up.
Figure 10.
Figure 10.. 4 weeks follow-up, membrane exposure can be observed.
Figure 11.
Figure 11.. Membrane covering surgery.
Figure 12.
Figure 12.. The patient at 1 week after membrane covering surgery.
Figure 13.
Figure 13.. The patient at 2 weeks after membrane covering surgery.
Figure 14.
Figure 14.. The underlying tissue after membrane removal.
No bone graft remnants were observed in the surgical site.
Figure 15.
Figure 15.. Suturing after membrane removal.
Figure 16.
Figure 16.. The patient at 2 weeks after membrane removal.
Figure 17.
Figure 17.. The patient at 5 months after guided bone regeneration, the day of implants placement.
Figure 18.
Figure 18.. Full-thickness flap reflection.
The bone width gain after guided bone regeneration can be noticed.
Figure 19.
Figure 19.. Implant placement.
See this image and copyright information in PMC

References

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    1. Seibert JS: Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing. Compend Contin Educ Dent. 1983;4(5):437–53. - PubMed
    1. Esposito M, Grusovin MG, Felice P, et al. : The efficacy of horizontal and vertical bone augmentation procedures for dental implants - a Cochrane systematic review. Eur J Oral Implantol. 2009;2(3):167–84. - PubMed
    1. Jensen AT, Jensen SS, Worsaae N: Complications related to bone augmentation procedures of localized defects in the alveolar ridge. A retrospective clinicalstudy. Oral Maxillofac Surg. 2016;20(2):115–22. 10.1007/s10006-016-0551-8 - DOI - PubMed
    1. Hämmerle CH, Jung RE: Bone augmentation by means of barrier membranes. Periodontol 2000. 2003;33:36–53. 10.1046/j.0906-6713.2003.03304.x - DOI - PubMed

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