Biological Complication in Guided Bone Regeneration With a Polylactic Acid Membrane: A Case Report

被引:9
作者
Mau, Lian Ping [1 ,2 ]
Cheng, Chih-Wen [3 ]
Hsieh, Ping-Yen [4 ]
Jones, Archie A. [2 ]
机构
[1] Chi Mei Med Ctr, Dept Periodont, Tainan 71004, Taiwan
[2] Univ Texas Hlth Sci Ctr San Antonio, Dept Periodont, San Antonio, TX 78229 USA
[3] Chi Mei Med Ctr, Dept Dent, Tainan 71004, Taiwan
[4] Ditmanson Med Fdn Chia Yi Christian Hosp, Periodontal Dept, Chiayi, Taiwan
关键词
guided bone regeneration (GBR); synthetic membrane; polylactic acid (PLA) membrane; foreign body reaction; TISSUE REGENERATION; DENTAL IMPLANTS; BIODEGRADABLE MEMBRANES; FIXATION; BIOCOMPATIBILITY; FRACTURES; TOXICITY; POLYMERS; DEFECTS; DEVICE;
D O I
10.1097/ID.0b013e31824eece1
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: This case report describes a biologic complication related to polylactic acid membrane in guided bone regeneration (GBR). Materials and Methods: A healthy 42-year-old patient complained of persistent discomfort of the maxillary anterior gingiva. Clinical examination and radiographs showed severe periodontal destruction of teeth 7 through 10. Teeth extraction was followed by early implant placement with GBR. Results: Four months later, severe bone resorption was observed upon surgical exposure. A second GBR was performed. Wound healing progressed uneventfully and an implant-supported fixed partial denture was later loaded. Conclusion: We presume that this complication was a foreign body reaction to the polylactic acid membrane. Such a reaction can affect soft and hard tissue healing following GBR. Long-term follow-up is needed to determine stability of the results. (Implant Dent 2012;21:171-174)
引用
收藏
页码:171 / 174
页数:4
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