Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review

Detalhes bibliográficos
Autor(a) principal: Poli, Pier Paolo
Data de Publicação: 2022
Outros Autores: Beretta, Mario, Maiorana, Carlo, Souza, Francisley Ávila [UNESP], Bovio, Andrea, Manfredini, Mattia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.11607/jomi.9286
http://hdl.handle.net/11449/240893
Resumo: Purpose: The exposure of nonresorbable membranes following alveolar bone augmentation is one of the most frequently occurring complications. This review aimed to investigate the treatments that can be adopted to manage the exposure of polytetrafluoroethylene-based membranes (PTFE-ms) and titanium meshes (TMs) and their outcomes. Materials and Methods: Two independent reviewers electronically and manually searched the EMBASE, PubMed/MEDLINE, Scopus, and Cochrane bibliographic databases to retrieve pertinent articles available between January 2000 and March 2021. Only human studies describing the type of treatment and the soft tissue outcome following exposure of PTFE-ms or TMs were included. Results: Overall, 11 articles in the PTFE-ms group and 24 in the TM group were included for data analysis. Results indicated that, in both groups, two distinct therapeutic strategies are mostly applied in case of exposure, namely, pharmacologic and mechanical treatments. Other options have been identified seldomly. Statistically significant evidence of an association between the type of barrier membrane and the exposure rate (28.7% vs 38.5% for TMs and PTFE-ms, respectively; P =.019) and between the type of exposed device and the treatment outcome in terms of removal rate following therapy (11.9% and 44.4% for TMs and PTFE-ms, respectively; P <.001) was noted. Conclusion: In both groups, chlorhexidine applications and meticulous plaque control may lead to improved healing conditions after exposure. Surgical removal of the exposed portion can be considered to promote secondary intention healing. The beneficial effects of systemic antibiotics could not be demonstrated in the management of the exposure but should be evaluated in case of graft infection.
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spelling Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping ReviewBarrier membranesBone regenerationComplicationsDental implantsTitanium meshPurpose: The exposure of nonresorbable membranes following alveolar bone augmentation is one of the most frequently occurring complications. This review aimed to investigate the treatments that can be adopted to manage the exposure of polytetrafluoroethylene-based membranes (PTFE-ms) and titanium meshes (TMs) and their outcomes. Materials and Methods: Two independent reviewers electronically and manually searched the EMBASE, PubMed/MEDLINE, Scopus, and Cochrane bibliographic databases to retrieve pertinent articles available between January 2000 and March 2021. Only human studies describing the type of treatment and the soft tissue outcome following exposure of PTFE-ms or TMs were included. Results: Overall, 11 articles in the PTFE-ms group and 24 in the TM group were included for data analysis. Results indicated that, in both groups, two distinct therapeutic strategies are mostly applied in case of exposure, namely, pharmacologic and mechanical treatments. Other options have been identified seldomly. Statistically significant evidence of an association between the type of barrier membrane and the exposure rate (28.7% vs 38.5% for TMs and PTFE-ms, respectively; P =.019) and between the type of exposed device and the treatment outcome in terms of removal rate following therapy (11.9% and 44.4% for TMs and PTFE-ms, respectively; P <.001) was noted. Conclusion: In both groups, chlorhexidine applications and meticulous plaque control may lead to improved healing conditions after exposure. Surgical removal of the exposed portion can be considered to promote secondary intention healing. The beneficial effects of systemic antibiotics could not be demonstrated in the management of the exposure but should be evaluated in case of graft infection.Implant Center for Edentulism and Jawbone Atrophies Maxillofacial Surgery and Odontostomatology Unit Fondazione IRCCS Cà Granda Ospedale Maggiore PoliclinicoDepartment of Biomedical Surgical and Dental Sciences University of MilanDepartment of Surgery and Integrated Clinic Araçatuba Dental School São Paulo State University “Júlio de Mesquita Filho” - UNESP, SPDepartment of Surgery and Integrated Clinic Araçatuba Dental School São Paulo State University “Júlio de Mesquita Filho” - UNESP, SPFondazione IRCCS Cà Granda Ospedale Maggiore PoliclinicoUniversity of MilanUniversidade Estadual Paulista (UNESP)Poli, Pier PaoloBeretta, MarioMaiorana, CarloSouza, Francisley Ávila [UNESP]Bovio, AndreaManfredini, Mattia2023-03-01T20:37:19Z2023-03-01T20:37:19Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article250-269http://dx.doi.org/10.11607/jomi.9286International Journal of Oral and Maxillofacial Implants, v. 37, n. 2, p. 250-269, 2022.1942-44340882-2786http://hdl.handle.net/11449/24089310.11607/jomi.92862-s2.0-85128961773Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Journal of Oral and Maxillofacial Implantsinfo:eu-repo/semantics/openAccess2023-03-01T20:37:19Zoai:repositorio.unesp.br:11449/240893Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-03-01T20:37:19Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review
title Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review
spellingShingle Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review
Poli, Pier Paolo
Barrier membranes
Bone regeneration
Complications
Dental implants
Titanium mesh
title_short Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review
title_full Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review
title_fullStr Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review
title_full_unstemmed Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review
title_sort Therapeutic Strategies in the Management of Nonresorbable Membrane and Titanium Mesh Exposures Following Alveolar Bone Augmentation: A Systematic Scoping Review
author Poli, Pier Paolo
author_facet Poli, Pier Paolo
Beretta, Mario
Maiorana, Carlo
Souza, Francisley Ávila [UNESP]
Bovio, Andrea
Manfredini, Mattia
author_role author
author2 Beretta, Mario
Maiorana, Carlo
Souza, Francisley Ávila [UNESP]
Bovio, Andrea
Manfredini, Mattia
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
University of Milan
Universidade Estadual Paulista (UNESP)
dc.contributor.author.fl_str_mv Poli, Pier Paolo
Beretta, Mario
Maiorana, Carlo
Souza, Francisley Ávila [UNESP]
Bovio, Andrea
Manfredini, Mattia
dc.subject.por.fl_str_mv Barrier membranes
Bone regeneration
Complications
Dental implants
Titanium mesh
topic Barrier membranes
Bone regeneration
Complications
Dental implants
Titanium mesh
description Purpose: The exposure of nonresorbable membranes following alveolar bone augmentation is one of the most frequently occurring complications. This review aimed to investigate the treatments that can be adopted to manage the exposure of polytetrafluoroethylene-based membranes (PTFE-ms) and titanium meshes (TMs) and their outcomes. Materials and Methods: Two independent reviewers electronically and manually searched the EMBASE, PubMed/MEDLINE, Scopus, and Cochrane bibliographic databases to retrieve pertinent articles available between January 2000 and March 2021. Only human studies describing the type of treatment and the soft tissue outcome following exposure of PTFE-ms or TMs were included. Results: Overall, 11 articles in the PTFE-ms group and 24 in the TM group were included for data analysis. Results indicated that, in both groups, two distinct therapeutic strategies are mostly applied in case of exposure, namely, pharmacologic and mechanical treatments. Other options have been identified seldomly. Statistically significant evidence of an association between the type of barrier membrane and the exposure rate (28.7% vs 38.5% for TMs and PTFE-ms, respectively; P =.019) and between the type of exposed device and the treatment outcome in terms of removal rate following therapy (11.9% and 44.4% for TMs and PTFE-ms, respectively; P <.001) was noted. Conclusion: In both groups, chlorhexidine applications and meticulous plaque control may lead to improved healing conditions after exposure. Surgical removal of the exposed portion can be considered to promote secondary intention healing. The beneficial effects of systemic antibiotics could not be demonstrated in the management of the exposure but should be evaluated in case of graft infection.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
2023-03-01T20:37:19Z
2023-03-01T20:37:19Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.11607/jomi.9286
International Journal of Oral and Maxillofacial Implants, v. 37, n. 2, p. 250-269, 2022.
1942-4434
0882-2786
http://hdl.handle.net/11449/240893
10.11607/jomi.9286
2-s2.0-85128961773
url http://dx.doi.org/10.11607/jomi.9286
http://hdl.handle.net/11449/240893
identifier_str_mv International Journal of Oral and Maxillofacial Implants, v. 37, n. 2, p. 250-269, 2022.
1942-4434
0882-2786
10.11607/jomi.9286
2-s2.0-85128961773
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv International Journal of Oral and Maxillofacial Implants
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 250-269
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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