IMPLANT INFORMATION about Oral Soft Tissue

  What … for? (Indications)
Membranes help to reconstruct tissue voids, to support bone reconstruction techniques in the oral cavity.
 dental implant soft 01 Bio-Gide
Numbers n/a
Times
Healing times have great variations, dependend on the size of the defect and the used technique. The effect may not be stable in the long run.
 Most membranes are semipermeable
– in different grades.
To make it simple in the picture:
The arrows show the ideal mechanism
to let the good things through
and keep the bad ones away.
Contraindications behavioral Systemic bone diseases, poor oral hygiene, smoking, parafunction, no aftercare possible.
 
  medical Diabetes mellitus, infectious diseases, certain systemic/metabolism diseases, low ability for surgery.
 
  pharmaceutical Biphosphonates, chemotherapy, drugs, alcohol, corticosteroids, immune suppression.
 
Risks during surgery Tissue injury, swallowing/inhaling parts, injury or structures/nervs, ceasing of the surgery.
 
short term: Inflammation, repulsion, foreign body reactions, allergic reactions

Rejection, wound opening with loss of the membrane.

 
long term: Most membranes are biodegradable and dissolve, some have to be removed. Foreign body reactions, nodularity,
 
Failures Risks depend from several preconditions like bone volume, material and reasons in connection with the above contraindications.
 
Materials available autologous Cultured autologous fibroblasts
  allogeneic (homologous) Collagen fibrils (human)
Homologous collagen dispersion
Acellular dermal graft
xenogenous Collagen fibrils (bovine)
Collagen fibrils (porcine)
alloplastic, synthetic Poly-L-lactid acid
Expanded polytetrafluoroethylene (e-PFTE)
Statistics n/a
Literature –  Basic
–  Problems n/a, single case reports
–  Science/Future n/a
Medical societies No specific society deals with oral soft tissue use
  Most oral implantologic societies concern the use of soft tissue for augmentation surrounding dental implants – see there.
 
Criticism n/a
Selected patient informations OUSIA: Barrier Membranes
Register (links) n/a  Materials are marked comprehensible and should be comprehensible documented in an implant-passport.
  news Market survey oral membranes 2016 (german)
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