Preservação Alveolar com o Uso da Barreira de Polipropileno (Bone Heal): Um Relato de Caso Clínico
DOI:
https://doi.org/10.36557/2674-8169.2025v7n7p1312-1330Keywords:
Regeneração óssea guiada; Preservação óssea alveolar; Barreira de polipropileno.Abstract
Alveolar ridge preservation in patients with systemic disorders, such as type II diabetes mellitus, still lacks well-established minimally invasive protocols, especially in cases associated with infectious processes. This case report describes the management of a 52-year-old melanoderm male patient with type II diabetes, diagnosed with a fracture of tooth #14, who underwent tooth extraction followed by alveolar ridge preservation using a non-resorbable polypropylene barrier, without the addition of biomaterials. The procedure was performed without flap advancement, allowing healing by secondary intention to maintain a wide band of keratinized tissue. After the healing period, the guided bone regeneration not only preserved the alveolar ridge dimensions but also promoted vertical bone gain of the previously fractured buccal bone plate. This bone gain allowed implant placement in an ideal three-dimensional position from both esthetic and functional perspectives. The entire treatment was digitally planned, including cone-beam computed tomography and intraoral scanning, and the implant surgery was performed using a surgical guide. This clinical case suggests that the isolated use of non-resorbable barriers may represent a safe, effective, and low-morbidity approach for alveolar ridge preservation in systemic patients, while also promoting the maintenance of peri-implant keratinized tissue.
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Broers DLM, Dubois L, De Lange J, Su N, De Jongh A. Reasons for Tooth Removal in Adults: A Systematic Review. Int Dent J. 2022;72(1):52–7. doi: 10.1016/j.identj.2021.01.011
Couso‐Queiruga E, Stuhr S, Tattan M, Chambrone L, Avila‐Ortiz G. Post‐extraction dimensional changes: A systematic review and meta‐analysis. J Clin Periodontol. 2021;48(1):127–45. doi: 10.1111/jcpe.13390
Chappuis V, Araújo MG, Buser D. Clinical relevance of dimensional bone and soft tissue alterations post‐extraction in esthetic sites. Periodontol 2000. 2017;73(1):73–83. doi: 10.1111/prd.12167
Chappuis V, Engel O, Reyes M, Shahim K, Nolte L-P, Buser D. Ridge Alterations Post-extraction in the Esthetic Zone: A 3D Analysis with CBCT. J Dent Res. 2013;92(12_suppl):195S-201S. doi: 10.1177/0022034513506713
Kalsi AS, Kalsi JS, Bassi S. Alveolar ridge preservation: why, when and how. Br Dent J. 2019;227(4):264–74. doi: 10.1038/s41415-019-0647-2
Abad CE, Sanz‐Sanchez I, Serrano V, Sanz Esporrin J, Sanz‐Martin I, Sanz M. Efficacy of the application of leukocyte and platelet‐rich fibrin ( L‐PRF ) on alveolar ridge preservation. A randomized controlled clinical trial. Clin Implant Dent Relat Res. 2023;25(3):592–604. doi: 10.1111/cid.13208
Ionescu A, Dodi A, Petcu LC, Nicolescu MI. Open Healing: A Minimally Invasive Protocol with Flapless Ridge Preservation in Implant Patients. Biology. 2022;11(1):142. doi: 10.3390/biology11010142
Zucchelli G, Tavelli L, McGuire MK, Rasperini G, Feinberg SE, Wang H, et al. Autogenous soft tissue grafting for periodontal and peri‐implant plastic surgical reconstruction. J Periodontol. 2020;91(1):9–16. doi: 10.1002/JPER.19-0350
Giannobile WV, Jung RE, Schwarz F, the 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(S15):7–10. doi: 10.1111/clr.13110
Wang I (Izzie), Barootchi S, Tavelli L, Wang H. The peri‐implant phenotype and implant esthetic complications. Contemporary overview. J Esthet Restor Dent. 2021;33(1):212–23. doi: 10.1111/jerd.12709
Dos Santos CCV, Tonini KR, Silva MAA, De Carvalho PSP, Ponzoni D. Short-term use of an exposed polypropylene barrier in the preservation of alveolar bone after extraction: randomized clinical trial. Int J Oral Maxillofac Surg. 2021;50(9):1259–66. doi: 10.1016/j.ijom.2021.02.005
Mandarino D, Luz D, Moraschini V, Rodrigues DM, Barboza ESP. Alveolar ridge preservation using a non-resorbable membrane: randomized clinical trial with biomolecular analysis. Int J Oral Maxillofac Surg. 2018;47(11):1465–73. doi: 10.1016/j.ijom.2018.06.011
Mizutani K, Shioyama H, Matsuura T, Mikami R, Takeda K, Izumi Y, et al. Periodontal regenerative therapy in patients with type 2 diabetes using minimally invasive surgical technique with enamel matrix derivative under 3‐year observation: A prospective cohort study. J Periodontol. 2021;92(9):1262–73. doi: 10.1002/JPER.20-0590
Avila‐Ortiz G, Gonzalez‐Martin O, Couso‐Queiruga E, Wang H. The peri‐implant phenotype. J Periodontol. 2020;91(3):283–8. doi: 10.1002/JPER.19-0566
Barboza EP, Stutz B, Mandarino D, Rodrigues DM, Ferreira VF. Evaluation of a Dense Polytetrafluoroethylene Membrane to Increase Keratinized Tissue: A Randomized Controlled Clinical Trial. Implant Dent. 2014;23(3):289–94. doi: 10.1097/ID.0000000000000060
Barber HD, Lignelli J, Smith BM, Bartee BK. Using a Dense PTFE Membrane Without Primary Closure to Achieve Bone and Tissue Regeneration. J Oral Maxillofac Surg. 2007;65(4):748–52. doi: 10.1016/j.joms.2006.10.042
Cruz R, Moraschini V, Calasans‐Maia MD, De Almeida DCF, Sartoretto SC, Granjeiro JM. Clinical efficacy of simvastatin gel combined with polypropylene membrane on the healing of extraction sockets: A triple‐blind, randomized clinical trial. Clin Oral Implants Res. 2021;32(6):711–20. doi: 10.1111/clr.13740
Wen S, Barootchi S, Huang W, Wang H. Time analysis of alveolar ridge preservation using a combination of mineralized bone‐plug and dense‐polytetrafluoroethylene membrane: A histomorphometric study. J Periodontol. 2020;91(2):215–22. doi: 10.1002/JPER.19-0142
Laleman I, Bernard L, Vercruyssen M, Jacobs R, Bornstein M, Quirynen M. Guided Implant Surgery in the Edentulous Maxilla: A Systematic Review. Int J Oral Maxillofac Implants. 2017;31:s103–17. doi: 10.11607/jomi.16suppl.g3
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Copyright (c) 2025 Leonardo Diniz Resende, Alexandre Miyahira, Marcelo Vinicius Andrade Lima, Dagoberto Oliani, Luis Paulo Sacco, Rogério Nagai, Antonia Alice Lima de Souza, Pedro Carvalho Feitosa , Wilson Sendyk, Yeon Jung Kim, Débora Pallos
This work is licensed under a Creative Commons Attribution 4.0 International License.
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