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Immediate bone augmentation after infected tooth extraction using titanium membranes.

Efraim Kfir1, Vered Kfir, Edo Kaluski

  • 1Dental Clinic, Petah-Tikvah, Israel.

The Journal of Oral Implantology
|August 7, 2007
PubMed
Summary
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Immediate bone augmentation (IBA) using titanium membranes after infected tooth extraction is feasible and safe. This technique provides adequate bone for dental implant placement within 8 weeks, even with early membrane exposure.

Area of Science:

  • Dentistry
  • Oral Surgery
  • Regenerative Medicine

Background:

  • Infectious dental processes often cause significant bone loss and defects.
  • Tooth extraction, especially when infected, leads to further bone loss.
  • Immediate guided bone regeneration (GBR) at infected sites faces complications like membrane exposure and implant failure.

Purpose of the Study:

  • To evaluate the feasibility and safety of immediate bone augmentation (IBA) after purulent tooth extraction using a titanium membrane.
  • To assess the bone regeneration and implant success rates following this procedure.

Main Methods:

  • A surgical technique involving intrasulcular and vertical releasing incisions for flap mobilization.
  • Meticulous curettage of infected tissue post-extraction.

Related Experiment Videos

  • Application of titanium membranes to socket walls, filled with autologous platelet-rich fibrin, followed by primary closure.
  • Membrane removal and implant placement after 8+ weeks.

    • Main Results:

    • 15 patients underwent the procedure; 7 (47%) experienced early membrane exposure (weeks 2-6) managed conservatively.
    • No infections or premature membrane removals were reported.
    • All patients achieved sufficient bone augmentation; 8 received implants without additional GBR.

    Conclusions:

    • Immediate bone augmentation (IBA) with titanium membranes after infected tooth extraction is a feasible and safe approach.
    • The method yields adequate bone fill to support dental implant placement after 8 weeks.
    • Further research is needed to determine the titanium membrane's role in resisting infection during early exposure.