scholarly journals Hard and soft tissue augmentation of vertical ridge defects with the “hard top double membrane technique”: introduction of a new technique and a case report

2022 ◽  
Vol 9 (1) ◽  
pp. 26-43
Author(s):  
Fabrizio Belleggia ◽  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissues ◽  
Bone Architecture ◽  
Soft Tissue Augmentation ◽  
Tissue Loss ◽  
Autogenous Bone ◽  
Collagen Membrane ◽  
Membrane Technique ◽  
Porcine Xenograft

<abstract> <p>Vertical ridge defects (VRD) of the jaws often require both bone and keratinized mucosa (KM) reconstruction. A new staged procedure is proposed to restore both hard and soft tissues in the VRD through a case report. A patient required the lower right second premolar and first molar rehabilitation. The first surgery aimed to restore the bone architecture through the use of a titanium reinforced dense-PTFE (TR-dPTFE) membrane, positioned and stabilized on top of tenting screws. This membrane didn't cover the whole defect, it just created an hard top that avoided the collapse of a collagen membrane that was placed over it. This resorbable membrane was stabilized with tacks and covered the whole defect, protecting a mixture of autogenous bone and porcine xenograft both lingually and buccally. The second surgery was performed after a 5 month healing time either to remove the tenting screws and the TR-dPTFE membrane, and to augment KM with a gingival graft harvested from the palate. Both regenerated hard and soft tissues were left to mature for 7 months before the third surgery. In this last stage implants insertion and healing abutments application were carried out in a straightforward way, since bone and KM had been previously restored. Two bone samples, harvested for histologic evaluation, stated a great amount of new bone formation. This new approach allowed inserting implants in matured and stable regenerated bone and augmented KM, avoiding the hard and soft tissue loss around implant neck that can affect the VRD treatments during healing.</p> </abstract>

scholarly journals Implant Site Guided Bone Regeneration and Pontic Site Ridge Preservation: A Case Report

PRILOZI ◽  
2021 ◽  
Vol 42 (2) ◽  
pp. 103-108
Author(s):  
Darko Veljanovski ◽  
Denis Baftijari ◽  
Zoran Susak ◽  
Aneta Atanasovska Stojanovska
Keyword(s):  
Soft Tissue ◽  
Bone Regeneration ◽  
Soft Tissues ◽  
Guided Bone Regeneration ◽  
Autogenous Bone ◽  
Collagen Membrane ◽  
Ridge Preservation ◽  
Bovine Bone ◽  
Implant Placement ◽  
Barrier Membrane

Abstract Guided bone regeneration (GBR) is a therapeutic modality to achieve bone regeneration with the use of barrier membranes. The use of deproteinized bovine bone material (DBBM) for ridge preservation allows the preservation of the edentulous ridge dimensions. Here, we present a case of horizontal GBR using DBBM and a resorbable membrane, with simultaneous implant placement. Simultaneously, ridge preservation of the pontic area, using DBBM within a “socket seal” procedure was performed. Two implants were places at sites 23 and 26 to support a fixed partial denture (FPD). The mesial implant showed exposed buccal threads, which were then covered with autogenous bone particles and small size granules of DBBM. The collagen membrane was stabilized with periosteal mattress suture. Six months postoperatively, CBCT images revealed a stable buccal bone layer at the implant site, indicating a successful GBR procedure. At this point in time, tooth 24 was atraumatically extracted. A ridge preservation was done utilizing DBBM, and a soft tissue graft form the tuber. A ceramic-metal FPD with excellent “white aesthetics” and a harmonic transition zone to the soft tissue was fabricated. At 3 years follow up, the peri-implant bone levels were stable, and the clinical outcomes were excellent. It is concluded that a GBR procedure, utilizing DBBM and a collagen barrier membrane with simultaneous implant placement, as well as ridge preservation using DBBM, are predictable therapeutic methods. However, gentle manipulation of the soft tissues, and wound stability, with tension-free passive closure of the wound margins are prerequisites for a long-term clinical success.

scholarly journals Tunneling with conjunctival graft for volume increase peri-implant: case report

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Paula Jéssica Da Silva ◽  
Juliano Canuto Gonçalves da Silva ◽  
Jaqueline Alves do Nascimento ◽  
Antônio Jackson Andrade Gonzaga de Oliveira ◽  
Tiago França Araripe Cariri ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissues ◽  
Meta Analysis ◽  
Soft Tissue Augmentation ◽  
Volume Increase ◽  
Oral Implants ◽  
Implant Placement ◽  
Tissue Augmentation ◽  
Endodontic Retreatment

Introduction: The technique of tunneling connective graft has made it to recover defective vestibular volume, since it does not compromise aesthetics; it also gives the patient the function of the damaged area. Objective: The present study aims to report a case of tunneling with connective graft to increase peri-implant volume. Case Report: A 53-year-old female leucoderma sought a private clinic with complaint of pain, aesthetic dissatisfaction of element 11 and that had already had endodontic retreatment of the element in question and paraendodontic surgery, but without success. After performing the clinical examination and computed tomography, there was a paraendodontic lesion and little vestibular thickness and reabsorption of the cortical bone. In the planning, we opted for exodontic the element 11 and implant placement immediately. After healing, the need soft tissue grafting in the peri-implant region was observed to for vestibular volume increase. Final Considerations: it's corroborated that the technique of connective graft tunneling for soft vestibular soft tissue remodeling and new arrangement  are excellent reconstructive technique, since it does not allow relaxing incisions, making it impossible to have scars.Descriptors: Connective tissue; Dental Implant; Grafts.ReferencesFaverani LP, Fereira GR, Gaetti-Jardim EC, Okamoto R, Shinohara EH, Assunção WG, Rangel Junior IR. Implantes osseointegrados: evolução e sucesso. Salusvita. 2011;30(1):47-58.Serrilho RP, Tolentino LS, Frare JG, Souza Pinto GN. Enxerto de tecido mole como opção para suprir defeitos peri-implantares. Relato de caso clínico. Rev Assoc Paul Cir Dent. 2015; 69(4):350-54.Thoma DS, Naenni N, Figuero E, Hammerle CHF, Schwarz F, Jung RE et al. Effects of soft tissue augmentation procedures on peri- implant health or disease: a systematic review and meta- analysis. Clin Oral Implants Res. 2018;29(Suppl 15):32-49. Giannobile WV, Jung RE, Schwarz F; Groups of the 2nd Osteology Foundation Consensus Meeting. Evidence-based knowledge on the aesthetics and maintenance of peri-implant soft tissues: Osteology Foundation Consensus Report Part 1-Effects of soft tissue augmentation procedures on the maintenance of peri-implant soft tissue health. Clin Oral Implants Res. 2018;29(Suppl 15):7-10.  Zuhr O, Rebele SF, Cheung SL, Hürzeler MB; Research Group on Oral Soft Tissue Biology and Wound Healing. Surgery without papilla incision: tunneling flap procedures in plastic periodontal and implant surgery. Periodontol 2000. 2018;77(1):123-49.Xavier I, Alves R. Enxerto de tecido conjuntivo tunelizado – a propósito de um caso clínico. Rev port estomatol med dent cir maxilofac. 2015;56(4):256-61.Fiorin LG, Novaes VCN, Rinaldi H, Gusman DJR, Araujo NJ, Almeida JM et al. Enxerto de tecido conjuntivo subepitelial tunelizado em área periimplantar deficiente em mucosa queratinizada. Arch Health Invest 2017;6 (Spec Iss 2):154.

scholarly journals Salvage of mangled upper extremity using the Masquelet technique in a child: A case report

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774101 ◽  
Author(s):  
Nabil Alassaf ◽  
Amro Alhoukail ◽  
Abdullah Alsahli ◽  
Ghazi Althubaiti
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Upper Extremity ◽  
Soft Tissues ◽  
Motor Vehicle ◽  
Nerve Reconstruction ◽  
Open Injury ◽  
Masquelet Technique ◽  
Membrane Technique ◽  
Soft Tissue Flap

Aim: To report our experience with the Masquelet concept in a pediatric upper extremity following an open injury to the elbow. Methods: A case report and literature review. Results: An 11-year-old boy was transferred to our institution after a motor vehicle collision. There was a primary loss of the ulnohumeral articulation and the surrounding soft tissues as well as the ulnar nerve. Reconstruction used the Masquelet-induced membrane technique and a soft tissue flap. At the 30-month follow-up, the extremity was pain free and functional. Conclusion: This case highlights the value of the Masquelet technique in pediatric extremity injuries, where there is a loss of a major articular segment, as well as significant soft tissue compromise.

Injectable Soft Tissue Nano/Micro Fillers for Facial Reconstruction

2021 ◽  
Vol 17 (1) ◽  
pp. 1-17
Author(s):  
Yue Pan ◽  
Ying Hao ◽  
Yao Xiao ◽  
Kun Shi ◽  
Ying Qu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Facial Reconstruction ◽  
Soft Tissue Augmentation ◽  
Tissue Loss ◽  
Competitive Performance ◽  
Filling Materials ◽  
Tissue Augmentation ◽  
Soft Tissue Loss ◽  
Injectable Fillers ◽  
Micro Fillers

Soft Tissue augmentation is a way to restore lost tissue and also a way to reshape confidence for patients who suffer from soft tissue loss. Materials that can realize such a function are called soft tissue fillers. Among the large number of fillers, injectable fillers have attracted widespread attention in facial cosmetic fields due to their convenience and competitive performance. Meanwhile, there is a huge demand for better injectable soft tissue fillers in medical cosmetology market. This review introduces several fillers which were once used in clinical or are now still in use. Furthermore, we update recent improvements and progress on injectable filling materials hoping to contribute to its further developments.

scholarly journals Current approach to bone augmentation with allogeneic cortical graft: A case report

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 299-302
Author(s):  
Utku Nezih Yılmaz ◽  
Fatma Eriş Derkuş
Keyword(s):  
Case Report ◽  
Dental Implant ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Healing Process ◽  
Bone Defects ◽  
Current Approach ◽  
Autogenous Bone ◽  
Bone Augmentation ◽  
Alveolar Crest

Aim: Today, dental implant applications have become the most preferred option in the treatment of tooth deficiencies. Long-term successful results in dental implant applications depend largely on the volume and quality of the hard and soft tissues in the relevant region. Insufficient soft tissues and alveolar crest resorption complicate implant applications. Grafts and additional surgical procedures are required to compensate for resorption and to provide bone augmentation. Shell technique, one of the augmentation methods used in the treatment of alveolar bone defects, is an important procedure for guided bone regeneration. The purpose of this case report is to describe the treatment of vertical and horizontal bone loss with the Shell technique using allogeneic cortical grafts. Methodology: A 58-year-old female patient without any systemic disease was admitted to our clinic with the complaint of tooth loss in the right posterior mandibular region. In the intraoral and radiological examinations, it was determined that the bone volume in the relevant region was not sufficient for dental implant. Two-stage surgical treatment was planned for the patient. First, vertical and horizontal bone defects were augmented with allogeneic cortical graft application under local anesthesia. After the healing process, dental implants were placed in the sufficient volume of the alveolar bone and the patient's treatment was completed. Conclusion: Allogeneic grafts in the treatment of alveolar crest defects; it is a good alternative to autogenous bone grafts,there is no need for a second surgical field and the resulting reduction in morbidity.   How to cite this article: Eriş Derkuş F, Yılmaz UN. Current approach to bone augmentation with allogeneic cortical graft: A case report. Int Dent Res 2021;11(Suppl.1):299-302. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.44     Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Rhabdomyosarcoma of the Oral Cavity: A Case Report

2011 ◽  
Vol 05 (03) ◽  
pp. 340-343 ◽  
Author(s):  
Ozkan Miloglu ◽  
Sare Sipal Altas ◽  
Mustafa Cemil Buyukkurt ◽  
Burak Erdemci ◽  
Oguzhan Altun
Keyword(s):  
Skeletal Muscle ◽  
Case Report ◽  
Soft Tissue ◽  
Oral Cavity ◽  
Head And Neck ◽  
Soft Tissues ◽  
Neck Region ◽  
Childhood And Adolescence ◽  
Head And Neck Region ◽  
The Common

ABSTRACTRhabdomyosarcoma (RMS), a tumor of skeletal muscle origin, is the most common soft tissue sarcoma encountered in childhood and adolescence. The common sites of occurrence are the head and neck region, genitourinary tract, retroperitonium, and, to a lesser extent, the extremities. In the head and neck region, the most commonly affected sites are the orbit, paranasal sinuses, soft tissues of the cheek, and the neck. RMS is relatively uncommon in the oral cavity, and the involvement of the jaws is extremely rare. Here, we report a case of oral RMS in a 13-year-old child and describe the clinical, radiological, histopathological, and immunohistochemical findings. (Eur J Dent 2011;5:340-343)

Isolated Dislocation of the Middle Cuneiform in a Farmer: A Case Report and Review of the Literature

1997 ◽  
Vol 18 (11) ◽  
pp. 735-738 ◽  
Author(s):  
Ranjan Maitra ◽  
Lisa Tiffany DeGnore
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Tissue Loss ◽  
Review Of The Literature ◽  
Soft Tissue Loss

Isolated dislocations of the middle cuneiform are uncommon. There have been four reported previously. Significant force is required to produce these injuries, and they can have serious neurovascular consequences. In this case report and review of the literature, we present an isolated middle cuneiform dislocation in a 69-year-old farmer with impending skin and soft tissue loss over the dislocated bone.

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