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학술저널

Guided bone regeneration

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Guided bone regeneration (GBR) is a surgical procedure that utilizes bone grafts with barrier membranes to reconstruct small defects around dental implants. This procedure is commonly deployed on dehiscence or fenestration defects ≥2 mm, and mixing with autogenous bone is recommended on larger defects. Tension-free primary closure is a critical factor to prevent wound dehiscence, which is critical cause of GBR failure. A barrier membrane should be rigidly fixed without mobility. If the barrier is exposed, closed monitoring should be utilized to prevent secondary infection.

I. Introduction

II. Principles of GBR

III. Necessity of Barrier Membranes

IV. Resorbable vs Non-Resorbable Membrane

V. Bone Graft Materials

VI. GBR and Implant Placement: Simultaneous vs Delayed

VII. Cortical Bone Perforation

VIII. Non-Submerged GBR

IX. Complications

X. Clinical outcome of GBR

XI. Summary

References

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