We use cookies to give you the best experience possible with our website and to improve our communication with you. We consider your selection and will only use the data you have approved us to gather.

These cookies help making a website usable by enabling basic functions like page navigation and access to secure areas of the website. The website cannot function properly without these cookies.

These cookies help website owners to understand how visitors interact with websites by collecting and reporting information anonymously. With this information we can constantly improve the experience we offer on our website.

These cookies are used to track visitors across websites. The intention is to display ads that are relevant and engaging for the individual user and thereby more valuable for publishers and third party advertisers.

Vertical augmentation with RPMTM

Re-inforced PTFE Mesh, RPMTM, can be easily trimmed, adapted, and fixed with pins. RPMTM offers a high stability and the secluded space can be augmented with a mixture of Geistlich Bio-Oss® and autologous bone. Geistlich Bio-Oss® provides long-term volume stability10, and autologous bone contain the required osteoinductive properties for vertical augmentation11. The autologous particulated bone graft can be harvested from the mandibular ramus using a bone scraper device9,11.

PTFE membranes have a long-standing history as barrier membranes and are highly biocompatible6. Collagen membranes, such as Geistlich Bio-Gide®, have been shown beneficial for uneventful soft tissue healing12,13 in guided bone regeneration (GBR) procedures resulting in low complication rates12. Thus, potential exposures can be anticipated by covering non-resorbable mesh with Geistlich Bio-Gide® to get a better soft tissue healing12,13. Moreover, both, Geistlich Bio-Gide® and RPMTM follow the concept of biofunctional membranes that allow early vascularization of the graft.

As for all augmentative procedures, soft tissue management is key9,14. This especially comprises:

  • Preparation of soft tissues before, during, or after treatment to increase mucogingival thickness and keratinized tissue width
  • Elevation of a full-thickness remote or papilla preservation flap
  • Periosteal release to advance flap to achieve tension-free closure
  • Primary soft tissue closure by horizontal mattress and single interrupted sutures

 

Bibliography:

  1. Urban IA, et al: Int J Oral Maxillofac Implants 2009, 24 (3), 502-10
  2. Schwarz F et al. Clin. Oral Implants Res. 2008;19(4): 402-415. (Pre-clinical study)
  3. Rothamel D et al. Clin. Oral Implants Res. 2005; 16(3): 369-378. (Pre-clinical study)
  4. Perelman-Karmon M et al. Int J Periodontics Restorative Dent. 2012 Aug;32(4):459-65. (Clinical study) 
  5. RPMTM is manufactured by Osteogenic Biomedical, Lubbock, Texas, USA
  6. Elgali I, et al: Eur J Oral Sci 2017; 125 (5), 315-337
  7. Urban IA, et al.: Int J Periodontics Restorative Dent 2013; 33(3): 299-307.
  8. Urban IA, et al.: Int J Oral Maxillofac Implants 2014; 29(1): 185-93
  9. Urban IA, et al.: J Periodontics Restorative Dent 2017; 37(5):639-645 (clinical study)
  10. Buser D et al., J Dent Res. 2013 Dec;92(12 Suppl):176S–82S (Clinical study).
  11. Urban IA et al., Int J Periodontics Restorative Dent 2015, 35(5):613-623 (clinical study)
  12. Becker J et al. Clin Oral Implants Res. 2009; 20(7):742-749. (Clinical study)
  13. Tal H et al. Clin Oral Implants Res. 2008; 19(3) : 295-302. (Clinical study)
  14. Urban IA, et al Int J Periodontics Restorative Dent 2016, 36(3):329-337 (clinical study)