Guided bone regeneration in fractured molar tooth: case report
DOI:
https://doi.org/10.36557/2674-8169.2025v7n10p1582-1596Keywords:
Bone Regeneration, Guided Tissue Regeneration, Surgery, OralAbstract
Objective: To report a clinical case of guided bone regeneration in a fractured molar with chronic abscess, highlighting its relevance for successful implant rehabilitation. Case Report: A 48-year-old male patient (S.C.S.) was referred by an endodontist to a private clinic with a complaint of tooth fracture in the mandibular left first molar (tooth 36) and a history of chronic vestibular abscess. After unsuccessful endodontic treatment and identification of a crown-root fracture, tooth extraction with guided bone regeneration and possible immediate implant placement was indicated. Extraction was performed preserving the interradicular septum, followed by immediate implant placement with a torque of 40 N, filling of the socket with particulate xenogeneic graft (Geistlich Bio-Oss), covered with a resorbable membrane (Techgraft – Baumer) and a non-resorbable membrane (Lumina BOPP – Critéria). The non-resorbable membrane was removed after 21 days, and at 180 days, a new CT scan showed regeneration of the buccal bone plate and complete osseointegration of the implant. Conclusion: Guided bone regeneration combined with immediate implant placement proved to be effective in preserving the alveolar ridge and achieving primary stability, representing a predictable and safe approach in areas previously affected by chronic abscess.
Downloads
References
ABITHA, T. S.; BENNIS, M. A.; MANI, G. Oral Health-Related Quality of Life among Implant-Supported Full-Mouth Rehabilitation Patients Treated in a University Dental Hospital - A Retrospective Study. Journal of Long-Term Effects of Medical Implants, v. 31, n. 1, p. 65-71, 2021.
ALENCAR, A. C. A. et al. Dento-alveolar trauma rehabilitation using fixed prosthesis: clinical case report. Brazilian Journal of Health Review, [S. l.], v. 6, n. 6, p. 3068-91, 2023.
ALI, et al. Oral health-related quality of life after prosthodontic treatment for patients with partial edentulism: A systematic review and meta-analysis. Journal of Prosthetic Dentistry, v. 121, n. 1, p. 59-68.e3, jan. 2019.
ASSEM, N. Z. et al. Bone Substitutes Graft for Regeneration of the Anterior Maxillary Alveolar Process: A Systematic Review. Journal of Oral Implantology, v. 49, n. 1, p. 102-113, fev. 2023.
AZAMBUJA C. P. H. et al. Horizontal ridge augmentation using xenogenous bone graftsystematic review. Oral and maxillofacial surgery, v. 23, n. 3, p. 271-279, 2019.
BARATTO-FILHO, F., et al. Advanced dental imaging in dentistry: A review. Sao Paulo Medical Journal, v. 138, n. 4, p. 296-305, 2020.
BRÅNEMARK, P. I. et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scandinavian Journal of Plastic and Reconstructive Surgery, v. 16, p. 1-132, 1977.
BUSER, D. et al. Guided bone regeneration in implant dentistry: Basic principle, progress over 35 years, and recent research activities. Periodontology 2000, v. 93, n. 1, p. 9-25, out. 2023.
CASTRO, et al. Enxerto ósseo na reabilitação dos maxilares. Revista Ibero-Americana de Humanidades, Ciências e Educação. São Paulo, v.8.n.11. nov. 2022.
ÇOLAK, S.; DEMİRSOY, M. S. Retrospective analysis of dental implants immediately placed in extraction sockets with periapical pathology: immediate implant placement in infected areas. BMC Oral Health, v. 23, n. 1, p. 304, 18 maio 2023.
COOPER; SHIRAZI. Osseointegration—the biological reality of successful dental implant therapy: a narrative review. Frontiers in Oral and Maxillofacial Medicine, v. 4, p. 39, 2022.
DE ANGELIS, N.; BAGNASCO, F.; AMAROLI, A. Bone Regeneration: Overview and Future Trends. J Clin Med, v. 12, n. 13, p. 4529, 6 jul. 2023.
DELLEPIANE, E. et al. Oral Health-Related Quality of Life and Full-Arch Immediate Loading Rehabilitation: An Evaluation of Preoperative, Intermediate, and Posttreatment Assessments of Patients Using a Modification of the OHIP Questionnaire. Journal of Oral Implantology, v. 46, n. 6, p. 540-549, dez. 2020.
DEVINA, A. A. et al. Simultaneous Implant and Guided Bone Regeneration Using Bovine-Derived Xenograft and Acellular Dermal Matrix in Aesthetic Zone. Dentistry Journal, v. 12, n. 3, p. 52, 2024.
DOROSZ, N.; DOMINIAK, M. Mandibular ridge reconstruction: A review of contemporary methods. Advances in Clinical and Experimental Medicine, v. 27, n. 8, p. 1159-1168, 2018.
EARASI, P. K.; SADEEP, H. Comprehensive Review on the Management of Cracked Tooth. Journal of Pharmaceutical Negative Results, v. 13, n. 3, p. 1440-6, 2022.
ESPOSITO, Marco et al. Factors influencing implant stability and marginal bone loss: A 1-year retrospective study. Journal of Periodontal & Implant Science, v. 51, n. 5, p. 310-319, 2021.
FREIRES, et al. Utilização de enxerto ósseo autógeno na reabilitação dos maxilares. Pubsaúde, 2020, p. 1-5.
FURSEL, et al. Propriedades da fibrina rica em plaquetas (PRF) aplicada a cirurgia oral – protocolo Choukroun. Research, Society and Development, v. 10, n. 5, e59510515338, 2021.
HARTMANN, R. et al. A parallel 3-group randomised clinical trial comparing different implant treatment options for the edentulous mandible: 1-year effects on dental patient-reported outcomes and chewing function. Journal of Oral Rehabilitation, v. 47, n. 10, p. 1264-1277, out. 2020.
HELMI, M. F. et al. Prevalence of periodontitis and alveolar bone loss in a patient population at Harvard School of Dental Medicine. BMC Oral Health, 2019.
HERFORD, A. S. et al. Clinical applications of recombinant human bone morphogenetic protein-2 in maxillofacial surgery. Journal of Oral and Maxillofacial Surgery, v. 79, n. 1, p. 210-219, 2021.
KARUNAKARAN, J. V. et al. Successful nonsurgical management of periapical lesions of endodontic origin: a conservative orthograde approach. Journal of Pharmacy & Bioallied Sciences, v. 9, p. 246–251, 2017.
KOUTOUZIS, T. et al. Immediate implant placement and restoration in the esthetic zone: A systematic review and meta-analysis. Journal of Prosthetic Dentistry, v. 123, n. 1, p. 81-91, 2020.
KUMAR, A., et al. Evaluation of Tooth Fractures: A Comprehensive Review. Journal of Clinical and Diagnostic Research, v. 15, n. 6, p.1-7, 2021.
LIU, et al. Tricalcium phosphate (-containing) biomaterials in the treatment of periodontal infra-bony defects: A systematic review and meta-analysis. J Dent, v. 114, n. 103812, p. 1-12, 2021.
LOMBARDI, T. et al. Efficacy of Alveolar Ridge Preservation after Maxillary Molar Extraction in Reducing Crestal Bone Resorption and Sinus Pneumatization: A Multicenter Prospective Case-Control Study. BioMed Research International, p. 1-9, 2018.
MALIK, R. et al. Evaluation of alveolar ridge height gained by vertical ridge augmentation using titanium mesh and nova bone putty in posterior mandible. Journal of Maxillofacial and Oral Surgery, v. 19, n. 1, p. 32–9, 2020.
MARTON, I. J.; KISS, C. Overlapping protective and destructive regulatory pathways in apical periodontitis. Journal of Endodontics, v. 40, p. 155–63, 2014.
MEIRINHOS, J. et al. Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration - a cross-sectional study. International Endodontic Journal, v. 53, n. 4, p. 573-84, abr. 2020.
MONDELLI, J., et al. Trauma to primary teeth: a clinical review. Brazilian Oral Research, v. 34, e042, 2020.
MYERS, G. L. Evaluation and diagnosis of the traumatized dentition. Dental Traumatology, v. 35, n. 6, p. 302-8, 2019.
OLIVEIRA, et al. Fatores sistêmicos e locais que causam insucesso na osseointegração de implantes dentários. Brazilian Journal of Implantology and Health Sciences, [S. l.], v. 5, n. 2, p. 70–85, 2023.
PAVICIC, K. D. et al. Tooth Color as a Predictor of Oral Health-Related Quality of Life in Young Adults. Journal of Prosthodontics, v. 28, n. 4, p. e886-e892, abr. 2019.
QUISIGUIÑA SALEM, C. et al. Alveolar ridge preservation: A review of concepts and controversies. Natl J Maxillofac Surg, v. 14, n. 2, p. 167-176, maio-ago. 2023.
SASAKI, H. et al. Interrelationship Between Periapical Lesion and Systemic Metabolic Disorders. Current Pharmaceutical Design, v. 22, n. 15, p. 2204-2215, 2016.
SILVA, et al. Fatores que afetam a osseointegração: uma revisão integrativa. Brazilian Journal of Health Review, [S. l.], v. 6, n. 4, p. 18412–18423, 2023.
SILVA; VALADARES. Evaluation of osseointegration of dental implants in early reopening: preliminary clinical study. Brazilian Journal of Implantology and Health Sciences, [S. l.], v. 2, n. 7, p. 22–23, 2020.
TOAZZA, L. A. Preservação alveolar após exodontia para colocação de implante osseointegrado e prótese dental sobre o mesmo: uma revisão de literatura. Journal of Multidisciplinary Dentistry, [S. l.], v. 10, n. 3, p. 69–74, 2022.
VERARDO, A. L.; LOBO, L. C.; CAMPOS, B. O. de; MOURA, G. B. de. Preservação alveolar pós-extração: uma revisão de literatura. Brazilian Journal of Implantology and Health Sciences, [S. l.], v. 5, n. 5, p. 2234–2244, 2023.
VIEIRA, W. A. et al. Prevalence of dental trauma in Brazilian children and adolescents: a systematic review and meta-analysis. Cadernos de Saúde Pública, [S.l.], v. 37, n. 12, e00015920, 2021.
XIMENES, et al. Regeneração óssea guiada com membranas não absorvíveis para preservação do rebordo alveolar após exodontia. Ensaios USF, [S. l.], v. 4, n. 2, 2022.
WANG, B. et al. Recent advances in biofunctional guided bone regeneration materials for repairing defective alveolar and maxillofacial bone: A review. Jpn Dent Sci Rev, v. 58, p. 233-248, nov. 2022.
WANG, H. L. et al. Guided bone regeneration: Principles and applications. Journal of Periodontology, v. 91, n. 1, p. 21-39, 2020.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Lucilene Silva, Sâmara Maria Rodrigues Lopes, Luanne Mara Rodrigues de Matos, Matheus Araujo Brito Santos Lopes, Erik Neiva Ribeiro de Carvalho Reis, José Pereira de Melo Neto, Elesbão Ferreira Viana Júnior
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
