GBR with SmartBuilder: Study with 10 participants.

GBR with SmartBuilder

By: Jeong Jong Cheol


Introduction:

There are many methods for GBR procedure for implant placement. But sometimes very difficulty in GBR procedure, especially for severe vertical or horizontal defect area. So We would like to introduce GBR procedure with SmartBuilder in horizontal or vertical defect area.


Purpose:

The aim of this study was to evaluate the capability of the successful guided bone regeneration in alveolar bone defect with SmartBulider


Materials & Methods:

Ten patients participate in this study. These patients have a severe horizontal or vertical defect. GBR procedure was done with SmartBuilder with several kind of grafting materials before implant placement. About five months later, dental implants were placed in grafted area.

Material and Methods Table 

Results:

In nine patients, dental implants was placed and made a final restorations successfully. In one patient, soft tissue rupture was observed about two months after surgery but healed successfully after removing the SmartBuilder. In one patient who had continuous smoking and uncontrollable behavior failed because of severe soft tissue rupture and infection

Intra-oral and preoperative radiographic Fig. 1-2. Intra-oral and preoperative radiographic findings. Thin mandibular ridge is seen in extracted site
GBR-with-SmartBuilder

GBR-with-SmartBuilder
Fig. 3-8. Operative findings of lateral GBR with SmartBuilder and well healing state of 5 months after GBR.
Prosthetic state and panoramic view of 2 years after implant placementFig. 9-11. Prosthetic state and panoramic view of 2 years after implant placement
Fig. 12-14. Showing vertial augmentation with SmartBuilder.
Partial exposure of SmartBuilder about 2 months after GBR, but well healing state was seen during implant placement in 7 months after GBR. Periapical radiography showing maintained grafted bone at 1 year after implant placementFig. 15-17. Partial exposure of SmartBuilder about 2 months after GBR, but well healing state was seen during implant placement in 7 months after GBR. Periapical radiography showing maintained grafted bone at 1 year after implant placement

Conclusions:

SmartBuilder can be used in reconstruction of severe horizontal or vertical alveolar bone defect in instead of nonresorbable membrane or block bone if we control soft tissue carefully for preventing or minimizing soft tissue rupture.

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