Considerations for successful Guided Bone Regeneration

Kim, Yun-Jeong

doi:2021.59.4.232

J Korean Dent Assoc > Volume 59(4); 2021 > Article

The Journal of The Korean Dental Association 2021;59(4):232-239.
DOI: https://doi.org/10.22974/jkda.2021.59.4.004 Published online March 31, 2021.

성공적인 골재생유도술을 위한 고려사항

김윤정

관악서울대학교치과병원 치주과

Considerations for successful Guided Bone Regeneration

Yun-Jeong Kim

Department of Periodontology, Seoul National University Gwanak Dental Hospital

Correspondence: Yun-Jeong Kim
Email: yjbest01@snu.ac.kr

Abstract

The advancement of guided bone regeneration (GBR), which restores various types of bone defects faster and more safely, broadens the implant indications and opens up many possibilities. However, planning sufficient regeneration in severe vertical and horizontal bone defects, especially in periodontally compromised patients, is not easy. For the successful guided bone regeneration procedure, the clinician must carefully analyze the form of bone destruction in three dimensions and strictly select the appropriate membrane and bone graft material accordingly. In addition, key factors for GBR success such as blood supply, graft material and membrane stability, and primary closure should always be considered. Soft-tissue management and optimized flap design, various membrane fixation techniques seem to be another important factor for long-term success.

Key Words: guided bone regeneration; alveolar bone loss; ridge augmentation