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Quintessence Publishing: Journals: OCTE

 

Oral & Craniofacial Tissue Engineering

Edited by Ole T. Jensen, DDS, MS

Official Journal of the Tissue Engineering Society, the Chinese Society of Oral Biomedicine, and the Japanese Society of Regenerative Medicine

ISSN (print) 2158-3722 • ISSN (online) 2158-3706

Publication:
Oral & Craniofacial Tissue Engineering
Fall 2012
Volume 2 , Issue 3

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Implant Placement in Alveolar Composite Defects Regenerated with rhBMP-2, Anorganic Bovine Bone, and Titanium Mesh: A Report of Eight Reconstructed Sites

Caesar C. Butura, DDS/Daniel F. Galindo, DDS

Pages: 207214

Purpose: To present a retrospective report of eight significant alveolar defects in which the alveolus was regenerated with recombinant human bone morphogenetic protein 2 (rhBMP-2) combined with anorganic bovine bone and contoured using titanium mesh to facilitate implantsupported restorations. Materials and Methods: A total of seven patients underwent extractions and debridement of the compromised alveolar sites with simultaneous grafting using a mixture of rhBMP-2 and anorganic bovine bone. The three-dimensional contour of the compromised alveolus was reestablished using titanium mesh with rigid screw fixation. Implants were placed a minimum of 6 months after healing and subsequently were restored. Results: The treated defects were successfully regenerated and did not require any additional surgery prior to implant placement or prosthetic restoration. A total of 14 implants were placed and restored with fixed single or multiple restorations. Thirteen of the 23 treated sites were in the anterior esthetic zone. Conclusion: Vertical and horizontal alveolar bone defects can be predictably regenerated by grafting with a combination of rhBMP-2 and anorganic bovine bone contained by titanium mesh to successfully accommodate implant placement. Oral Craniofac Tissue Eng 2012;2:207214

Key words: bone grafting, bone regeneration, rhBMP-2, titanium mesh

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