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VOLUME 20 , ISSUE 4 ( April, 2019 ) > List of Articles

ORIGINAL RESEARCH

Ridge Augmentation with Autogenous Bone Graft and Expanded Polytetrafluoroethylene Membrane using Tenting Screw: A Randomized Controlled Clinical Trial

Aiman O Johar

Keywords : Autogenous bone graft, Expanded polytetrafluoroethylene, Ridge augmentation, Tenting screw

Citation Information : Johar AO. Ridge Augmentation with Autogenous Bone Graft and Expanded Polytetrafluoroethylene Membrane using Tenting Screw: A Randomized Controlled Clinical Trial. J Contemp Dent Pract 2019; 20 (4):409-416.

DOI: 10.5005/jp-journals-10024-2531

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: The study aims to compare non-tenting screw and tenting with a reinforced expanded polytetrafluoroethylene (ePTFE) membrane in horizontal ridge augmentation using an autogenous bone graft. Material and methods: A randomized controlled clinical trial was conducted between 150 patients needing dental implants. The participants were randomly divided into three study groups; group 1: ridge augmentation using non-resorbable ePTFE membrane only, group2: ridge augmentation using an ePTFE and tenting screw with bone graft Bio-Oss mixed with autogenous bone particles and group 3 (control): ridge augmentation with a bone block. The initial measurement was done at the bone crest at the exact implant site and 10 mm apical to the bone crest. Repeat measurements were recorded after 6 months of healing. Statistical analysis was performed by paired sample t-test and two-way analysis of variance (ANOVA). Statistical significance was considered at p <0.05. Results: There was a significant gain in the bone in all the three groups postsurgery. Group 3 recorded higher reading at the crest and apical sites when compared to groups 1 and 2 at 6 months (late measurements). The difference in the percentage gain was statistically significant after adjusting for age as well as the initial measurement. The highest gain was seen in group 3 followed by groups 2 and 1. Conclusion: The membrane with tenting screw group and block bone groups had a significantly higher increase in measurement when compared to the membrane only group. Tenting screw with Bio-Oss can be used in patients with autogenous bone at the donor site. Clinical significance: Tenting screws in combination with membranes can be used to overcome the limitations posed by the use of membranes alone. It is also a useful method for a patient not consenting for block graft for any medical reason.


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