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Alveolar Bone Ridge Augmentation Using Polymeric Membranes: A Systematic Review and Meta-Analysis

Alveolar bone ridge resorption occurred after natural teeth loss and it can restrict the possibility of dental implants placement. The use of bone regenerative procedures is frequently required. The existing evidence regarding the efficacy of horizontal bone ridge augmentation trough guided bone reg...

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Autores principales: Toledano-Osorio, Manuel, Toledano, Manuel, Manzano-Moreno, Francisco Javier, Vallecillo, Cristina, Vallecillo-Rivas, Marta, Rodriguez-Archilla, Alberto, Osorio, Raquel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038790/
https://www.ncbi.nlm.nih.gov/pubmed/33917475
http://dx.doi.org/10.3390/polym13071172
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author Toledano-Osorio, Manuel
Toledano, Manuel
Manzano-Moreno, Francisco Javier
Vallecillo, Cristina
Vallecillo-Rivas, Marta
Rodriguez-Archilla, Alberto
Osorio, Raquel
author_facet Toledano-Osorio, Manuel
Toledano, Manuel
Manzano-Moreno, Francisco Javier
Vallecillo, Cristina
Vallecillo-Rivas, Marta
Rodriguez-Archilla, Alberto
Osorio, Raquel
author_sort Toledano-Osorio, Manuel
collection PubMed
description Alveolar bone ridge resorption occurred after natural teeth loss and it can restrict the possibility of dental implants placement. The use of bone regenerative procedures is frequently required. The existing evidence regarding the efficacy of horizontal bone ridge augmentation trough guided bone regeneration (GBR) using polymeric membranes was stated. A systematic review and meta-analysis were performed. Electronic and manual literature searches were conducted. Screening process was done using the National Library of Medicine (MEDLINE by PubMed), Embase, and the Cochrane Oral Health. Included articles were randomized controlled trials and observational studies. Weighted means were calculated. Heterogeneity was determined using Higgins (I2). If I2 > 50% a random-effects model was applied. It was found that the mean of horizontal bone gain was 3.95 mm, ranging from 3.19 to 4.70 mm (confidence interval 95%). Heterogeneity is I2 = 99% (confidence interval 95%) and significance of the random-effects model was p < 0.001. The complications rate was 8.4% and membrane exposure was the most frequent. Through this study, we were able to conclude that the existing scientific evidence suggests that GBR using polymeric membranes is a predictable technique for achieving horizontal bone augmentation, thus, permitting a proper further implant placement.
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spelling pubmed-80387902021-04-12 Alveolar Bone Ridge Augmentation Using Polymeric Membranes: A Systematic Review and Meta-Analysis Toledano-Osorio, Manuel Toledano, Manuel Manzano-Moreno, Francisco Javier Vallecillo, Cristina Vallecillo-Rivas, Marta Rodriguez-Archilla, Alberto Osorio, Raquel Polymers (Basel) Systematic Review Alveolar bone ridge resorption occurred after natural teeth loss and it can restrict the possibility of dental implants placement. The use of bone regenerative procedures is frequently required. The existing evidence regarding the efficacy of horizontal bone ridge augmentation trough guided bone regeneration (GBR) using polymeric membranes was stated. A systematic review and meta-analysis were performed. Electronic and manual literature searches were conducted. Screening process was done using the National Library of Medicine (MEDLINE by PubMed), Embase, and the Cochrane Oral Health. Included articles were randomized controlled trials and observational studies. Weighted means were calculated. Heterogeneity was determined using Higgins (I2). If I2 > 50% a random-effects model was applied. It was found that the mean of horizontal bone gain was 3.95 mm, ranging from 3.19 to 4.70 mm (confidence interval 95%). Heterogeneity is I2 = 99% (confidence interval 95%) and significance of the random-effects model was p < 0.001. The complications rate was 8.4% and membrane exposure was the most frequent. Through this study, we were able to conclude that the existing scientific evidence suggests that GBR using polymeric membranes is a predictable technique for achieving horizontal bone augmentation, thus, permitting a proper further implant placement. MDPI 2021-04-06 /pmc/articles/PMC8038790/ /pubmed/33917475 http://dx.doi.org/10.3390/polym13071172 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Toledano-Osorio, Manuel
Toledano, Manuel
Manzano-Moreno, Francisco Javier
Vallecillo, Cristina
Vallecillo-Rivas, Marta
Rodriguez-Archilla, Alberto
Osorio, Raquel
Alveolar Bone Ridge Augmentation Using Polymeric Membranes: A Systematic Review and Meta-Analysis
title Alveolar Bone Ridge Augmentation Using Polymeric Membranes: A Systematic Review and Meta-Analysis
title_full Alveolar Bone Ridge Augmentation Using Polymeric Membranes: A Systematic Review and Meta-Analysis
title_fullStr Alveolar Bone Ridge Augmentation Using Polymeric Membranes: A Systematic Review and Meta-Analysis
title_full_unstemmed Alveolar Bone Ridge Augmentation Using Polymeric Membranes: A Systematic Review and Meta-Analysis
title_short Alveolar Bone Ridge Augmentation Using Polymeric Membranes: A Systematic Review and Meta-Analysis
title_sort alveolar bone ridge augmentation using polymeric membranes: a systematic review and meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038790/
https://www.ncbi.nlm.nih.gov/pubmed/33917475
http://dx.doi.org/10.3390/polym13071172
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