MANAGEMENT OF COMPLICATIONS FOLLOWING GUIDED BONE REGENERATION TECHNIQUE
*Dr. Babu Salam C., Dr. Midhun Kishor S., Dr. Shakir Hussain Rather, Dr. Radhika B., Dr. Anju S. Sreedhar, Dr. Ashna Mariya Benny
ABSTRACT
GBR has shown high long-term success rates (implant survival rates) that are similar to implant placement in pristine bone based on high evidence level publications. Moreover, it has been demonstrated that these success rates are achieved whether GBR is applied in a simultaneous or staged approach.[1] GBR is an alveolar ridge augmentation technique that has been shown to produce excellent, reproducible results. GBR uses a membrane (resorbable or nonresorbable) and with or without a graft materials beneath the periosteum to create and maintain a space around the bony defect where new bone can grow. Since osteoprogenitor cells grow relatively slowly, the membrane separates the maintained space from rapidly proliferating epithelial and connective tissue cells, preventing their migration into the defect.[2] A number of factors have been implicated or shown to adversely influence periodontal regeneration therapy. These include bacterial contamination, smoking, diabetes, defect morphology and tooth anatomy, membrane exposure, gingival thickness and space maintenance.
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