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Scripta Scientifica Medicinae Dentalis

Alveolar ridge preservation using dense polytetrafluoroethylene membranes. A review article

Ralitsa Yotsova, Stefan Peev, Tihomir Georgiev

Abstract

INTRODUCTION:
Alveolar ridge preservation is a widespread term, which describes the methods of reducing hard and soft tissue loss following tooth extraction and thus preserving optimal tissue volume for future implant placement and prosthodontic rehabilitation. Various techniques give promising, long-term results. Some of them utilize the use of barrier membranes. Their function is to isolate the intrabony defect from rapidly growing tissues. There are two main types of barrier membranes—resorbable and non-resorbable, both having their characteristics, advantages, and disadvantages.

AIM:
The present review aims to observe the use of non-resorbable dense polytetrafluoroethylene (dPTFE) membranes for ridge preservation and evaluate its advantages, limitations, and success rate according to the literature. The collected data was carefully systematized in a comparative, concise, and unbiased review of the application of dPTFE membranes.

MATERIALS AND METHODS:
This review is based on 56 articles, researches, case reports, retrospective studies, and controlled clinical trials. It provides a meticulous analysis of the existing electronic database.

RESULTS:
There is growing evidence that the utilization of dPTFE membranes successfully preserves the dimensions of the alveolar ridge, increases the width of the keratinized tissues, and preserves the place of the mucogingival junction. When using them, primary wound closure is not mandatory and the membrane can be easily removed after four weeks.

CONCLUSION:
The use of dPTFE for ridge preservation should be considered a reliable and successful method. Although they have some limitations, most of the studies report in favor of their utilization.


Keywords

alveolar ridge preservation, barrier membranes, guided bone regeneration, dense polytetrafluoroethylene membrane

Full Text


References

Darby I, Chen S, De Poi R. Ridge preservation: what is it and when should it be considered. Aust Dent J. 2008;53(1):11-21. doi: 10.1111/j.1834-7819.2007.00008.x.

Koidou VP, Chatzopoulos GS, Johnson D. The "combo technique": a case series introducing the use of a d-PTFE membrane in immediate postextraction guided bone regeneration. J Oral Implantol. 2019;45(6):486-493. doi: 10.1563/aaid-joi-D-19-00015.

American Academy of Periodontology. Glossary of Periodontal Terms. Chicago, IL, USA: American Academy of Periodontology; 2001.

Engler WO, Ramfjord SP, Hiniker JJ. Healing following simple gingivectomy. A

tritiated Thymidine radioautographic study. I. Epithelialization. J Periodontol. 1966;37(4):298-308. doi: 10.1902/jop.1966.37.4.298.

Retzepi M, Donos N. Guided bone regeneration: biological principle and therapeutic application. Clin Oral Implants Res. 2010;21(6):567-76. doi: 10.1111/j.1600-0501.2010.01922.x.

Bunyaratavej P, Wang HL. Collagen membranes: a review. J Periodontol. 2001;72(2):215-29.

Soldatos NK, Stylianou P, Koidou VP, Angelov N, Yukna R, Romanos GE. Limitations and options using resorbable versus nonresorbable membranes for successful guided bone regeneration. Quintessence Int. 2017;48(2):131-47. doi: 10.3290/j.qi.a37133.

de Carvalho Formiga M, Dayube URC, Chiapetti CK, de Rossi Figueiredo D, Shibli JA. Socket preservation using a (dense) PTFE barrier with or without xenograft material: a randomized clinical trial. Materials (Basel). 2019;12(18):2902. doi: 10.3390/ma12182902.

Nyman S, Lindhe J, Karring T, Rylander H. New attachment following surgical treatment of human periodontal disease. J Clin Periodontol. 1982;9:290–6. doi: 10.1111/j.1600-051x.1982.tb02095.x.

Dahlin C, Linde A, Gottlow J, Nyman S. Healing of bone defects by guided tissue regeneration. Plast Reconstr Surg. 1988;81(5):672–6. doi: 10.1097/00006534-198805000-00004.

Becker W, Becker BE, Prichard JF, Caffesse R, Rosenberg E, Gian-Grasso J. Root isolation for new attachment procedures. A surgical and suturing method: three case reports. J Periodontal. 1987;58(12):819–26. doi: 10.1902/jop.1987.58.12.819.

Blumenthal N, Steinberg J. The use of collagen membrane barriers in conjunction with combined demineralized bone-collagen gel implants in human infrabony defects. J Periodontal. 1990;61(6):319–27. doi: 10.1902/jop.1990.61.6.319.

Gottlow J, Nyman S, Lindhe J, Karring T, Wennstrom J. New attachment formation in the human periodontium by guided tissue regeneration. Case reports. J Clin Periodontal. 1986;13(6):604–16. doi: 10.1111/j.1600-051x.1986.tb00854.x.

Cortellini P, Pini Prato GP, DeSanctis M, Baldi C, Clauser C. Guided tissue regeneration procedure in the treatment of a bone dehiscence associated with a gingival recession: a case report. Int J Periodontics Restorative Dent. 1991;11(6):460–7.

Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol. 1992;63:919–928.

Tinti C, Vincenzi G, Cortellini P, Pini Prato G, Clauser C. Guided tissue regeneration in the treatment of human facial recession. A 12-case report. J Periodontol. 1992;63(6):554–60. doi: 10.1902/jop.1992.63.6.554.

Garaicoa-Pazmino C, Wang HL. Socket augmentation using polytetrafluoroethylene membranes. Decis Dent. 2016;2(09):14–6,18,21.

Tal H, Kozlovsky A, Artzi Z, Nemcovsky CE, Moses O. Cross-linked and non-cross-linked collagen barrier membranes disintegrate following surgical exposure to the oral environment: a histological study in the cat. Clin Oral Implants Res. 2008;19(8):760-6. doi: 10.1111/j.1600-0501.2008.01546.x.

Tempro PJ, N Nalbandian J. Colonization of retrieved polytetrafluoroethylene membranes: morphological and microbiological observations. J Periodontol. 1993;64(3):162-8. doi: 10.1902/jop.1993.64.3.162.

Selvig KA, Kersten BG, Chamberlain AD, Wikesjö UM, Nilvéus RE. Regenerative surgery of intrabony periodontal defects using ePTFE barrier membranes: scanning electron microscopic evaluation of retrieved membranes versus clinical healing. J Periodontol. 1992;63(12):974-8. doi: 10.1902/jop.1992.63.12.974.

Lekovic V, Camargo PM, Klokkevold PR, Weinlaender M, Kenney EB, Dimitrijevic B, et al. Preservation of alveolar bone in extraction sockets using bioabsorbable membranes. J Periodontol. 1998;69(9):1044-9. doi: 10.1902/jop.1998.69.9.1044.

Buser D, Bragger U, Lang NP, Nyman S. Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Implants Res. 1990;1(1):22-32. doi: 10.1034/j.1600-0501.1990.010104.x.

Bartee BK, Carr JA. Evaluation of a high-density polytetrafluoroethylene (n-PTFE) membrane as a barrier material to facilitate guided bone regeneration in the rat mandible. J Oral Implantol 1995;21(2):88-95.

Crump TB, Rivera-Hidalgo F, Harrison JW, Guo IY. Influence of three membrane types on healing of bone defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82(4):365-74. doi: 10.1016/s1079-2104(96)80299-x.

Walters SP, Greenwell H, Hill M, Drisko C, Pickman K, Scheetz JP. Comparison of porous and non-porous Teflon membranes plus a xenograft in the treatment of vertical osseous defects: A clinical re-entry study. J Periodontol. 2003;74(8):1161-8. doi: 10.1902/jop.2003.74.8.1161.

Bartee BK. The use of high-density polytetra-fluoroethylene membrane to treat osseous defects: clinical reports. Implant Dent. 1995;4(1):21–6. doi: 10.1097/00008505-199504000-00004.

Bartee BK. Evaluation of a new polytetrafluoroethylene guided tissue regeneration membrane in healing extraction sites. Compend Contin Educ Dent. 1998;19(12):1256–8,1260,1262–4.

Hoffmann O, Bartee BK, Beaumont C, Kasaj A, Deli G, Zafiropoulos GG. Alveolar bone preservation in extraction sockets using non-resorbable dPTFE membranes: a retrospective non-randomized study. J Periodontol. 2008;79(8):1355-69. doi: 10.1902/jop.2008.070502.

Irinakis T. Rationale for socket preservation after extraction of a single-rooted tooth when planning for future implant placement. J Can Dent Assoc. 2006;72(10):917-22.

Sabe-Alarab M, Al-Essa H, Jaber F, Shomal Y, Kharfan J. Alveolar ridge preservation with d-PTFE membrane a randomized controlled trial. Int J Recent Sci Res. 2019;10(09):34658-64. doi: 10.24327/ijrsr.2019.1009.3943.

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.

Sun DJ, Lim HC, Lee DW. Alveolar ridge preservation using an open membrane approach for sockets with bone deficiency: A randomized controlled clinical trial. Clin Implant Dent Relat Res. 2019;21(1):175-82. doi: 10.1111/cid.12668.

Fotek PD, Neiva RF, Wang HL. Comparison of dermal matrix and polytetrafluoroethylene membrane for socket bone augmentation: a clinical and histologic study. J Periodontol. 2009;80(5):776-85. doi: 10.1902/jop.2009.080514.

Arbab H, Greenwell H, Hill M, Morton D, Vidal R, Shumway B, Allan ND. Ridge preservation comparing a nonresorbable PTFE Membrane to a resorbable collagen membrane: a clinical and histologic study in humans. Implant Dent. 2016;25(1):128-34. doi: 10.1097/ID.0000000000000370.

Ronda M, Rebaudi A, Torelli L, Stacchi C. Expanded vs. dense polytetrafluoroethylene membranes in vertical ridge augmentation around dental implants: a prospective randomized controlled clinical trial. Clin Oral Implants Res. 2014;25(7):859-66. doi: 10.1111/clr.12157.

Yamashita M, Horita S, Takei N, Sasada Y, Shibato W, Ishikawa Y, et al. Minimally invasive alveolar ridge preservation/augmentation procedure. Fukuoka, Japan: Funakoshi Research Institute of Clinical Periodontology. Available from: https://www.osteogenics. com/media/uploads/resourceDocs/23ps19cnm12.pdf. Accessed May 14, 2015.

Walker CJ, Prihoda TJ, Mealey BL, Lasho DJ, Noujeim M, Huynh-Ba G. Evaluation of healing at molar extraction sites with and without ridge preservation: a randomized controlled clinical trial. J Periodontol. 2017;88(3):241-9. doi: 10.1902/jop.2016.160445.

Borg TD, Mealey BL. Histologic healing following tooth extraction with ridge preservation using mineralized versus combined mineralized-demineralized freeze-dried bone allograft: a randomized controlled clinical trial. J Periodontol. 2015;86(3):348-55. doi: 10.1902/jop.2014.140483.

Machtei EE. The effect of me 291 membrane exposure on the outcome of regenerative procedures in humans: a meta‐analysis. J Periodontol. 2001;72(4):512‐6. doi: 10.1902/jop.2001.72.4.512.

Tal H, Kozlovsky A, Artzi Z, Nemcovsky CE, Moses O. Cross-linked and non294

cross-linked collagen barrier membranes disintegrate following surgical exposure to the oral environment: a histological study in the cat. Clin Oral Implants Res. 2008; 19(8):760-6. doi: 10.1111/j.1600-0501.2008.01546.x.

Paul BF, Mellonig JT, Towle HJ, Gray JL. Use of collagen barrier tenhanceve healing in human periodontal furcation defects. Int J Periodontics Restorative Dent. 1992;12(2):123-31.

Oh TJ, Meraw SJ, Lee EJ, Giannobile WV, Wang HL. Comparative analysis of collagen membranes for the treatment of implant dehiscence defects. Clin Oral Implants Res. 2003;14(1):80-90. doi: 10.1034/j.1600-0501.2003.140111.x.

Merrill EW. Distinctions and correspondences among surfaces containing blood. Ann N Y Acad Sci. 1987;516:196-203. doi: 10.1111/j.1749-6632.1987.tb33041.x.

Cheon GB, Kang KL, Yoo MK, Yu JA, Lee DW. Alveolar ridge preservation using allografts and dense polytetrafluoroethylene membranes with open membrane technique in unhealthy extraction socket. J Oral Implantol. 2017;43(4):267-73. doi: 10.1563/aaid-joi-D-17-00012.

Bakhshalian N, Freire M, Min S, Wu I, Zadeh HH. Retrospective analysis of the outcome of ridge preservation with anorganic bovine bone minerals: microcomputed assessment of wound healing in grafted extraction sockets. Int J Periodontics Restorative Dent. 2018;38(1):103-11. doi: 10.11607/prd.3309.

Min S, Freire M, Bakshallian N, W 336 u I, Zadeh HH. A histologic an histomorphometric retrospective analysis of the outcomes of ridge preservation using anorganic bovine bone minerals and a nonresorbable membrane. Int J Periodontics Restorative Dent. 2018;38(5):637–44. doi: 10.11607/prd.3313.

Laurito D, Lollobrigida M, Gianno F, Bosco S, Lamazza L, De Biase A. Alveolar ridge preservation with nc-HA and d-PTFE membrane: A clinical, histologic, and histomorphometric study. Int J Periodontics Restorative Dent. 2017;37(2):283-90. doi: 10.11607/prd.2731.

Wen SC, Barootchi S, Huang WX, Wang HL. 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.

Laurito D, Cugnetto R, Lollobrigida M, Guerra F, Vestri A, Gianno F, et al. Socket preservation with d-PTFE membrane: histologic analysis of the newly formed matrix at membrane removal. Int J Periodontics Restorative Dent. 2016;36(6):877-83. doi: 10.11607/prd.2114.

Papi P, Di Murro B, Tromba M, Passarelli PC, D'Addona A, Pompa G. The Use of a non-absorbable membrane as an occlusive barrier for alveolar ridge preservation: a one year follow-up prospective cohort study. Antibiotics (Basel). 2020;9(3):110. doi: 10.3390/antibiotics9030110.

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.

Greenstein G, Carpentieri JR. Utilization of d-PTFE barriers for post-extraction bone regeneration in preparation for dental implants. Compend Contin Educ Dent. 2015;36(7):465-73.

Avila-Ortiz G, Elangovan S, Kramer KW, Blanchette D, Dawson DV. Effect of alveolar ridge preservation after tooth extraction: a systematic review and meta-analysis. J Dent Res. 2014;93(10):950–8. doi: 10.1177/0022034514541127.

Al-Hezaimi K, Rudek I, Al-Hamdan KS, Javed F, Nooh N, Wang HL. Efficacy of using a dual layer of membrane (dPTFE placed over collagen) for ridge preservation in fresh extraction sites: a micro-computed tomographic study in dogs. Clin Oral Implants Res. 2013;24(10):1152–7. doi: 10.1111/j.1600-0501.2012.02526.x.

Bartee BK. Extraction site grafting for alveolar ridge preservation. Part 2: Membrane-assisted surgical technique. J Oral Implantol. 2001;27:194-7. doi: 10.1563/1548-1336(2001)027<0194:ESRFAR>2.3.CO;2.

Vroom MG, Gründemann LJMM. Ridge preservation/restoration using d-PTFE membranes A protocol for using non-resorbable membranes immediately after extraction with creation of keratinised gingiva. Inspyred: The alternative EAO voice. 2016;4(1):12-3.




DOI: http://dx.doi.org/10.14748/ssmd.v7i2.8216

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About The Authors

Ralitsa Yotsova
Medical University of Varna
Bulgaria

Department of Oral Surgery, Faculty of Dental Medicine

Stefan Peev
Medical University of Varna
Bulgaria

Department of Periodontology and Dental Implantology, Faculty of Dental Medicine

Tihomir Georgiev
Medical University of Varna
Bulgaria

Department of Oral Surgery, Faculty of Dental Medicine

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