Randomized controlled clinical trial comparing guided bone regeneration of peri-implant defects with soft-type block versus particulate bone substitutes. 6-month results of hard tissue changes
Abstract
AIM
To test whether soft-type block bone substitute used for guided bone regeneration (GBR) of peri-implant defects leads to different dimension of the augmented hard tissue than particulate bone substitute.
MATERIAL & METHODS
In 40 patients, 40 two-piece dental implants were placed >2 months after tooth extraction. Following random allocation, 20 peri-implant bone dehiscences were grafted with a soft-type block made of synthetic biphasic calcium phosphate (BCP) + collagen and 20 bone dehiscences with particulate BCP. All the sites were covered with a collagen membrane stabilized with titanium pins. Immediately after wound closure and after 6 months, the horizontal dimension (HD) of the augmented hard tissue was measured at the level of implant shoulder using cone beam computed tomography. During re-entry at 6-months, the defect fill was clinically assessed.
RESULTS
At 6 months, the median HD measured 1.15 mm (mean: 1.31) in the soft-block group and 0.93 mm (mean: 1.05 mm) in the particulate group (p = 0.6). At 6 months, 7.1% of contained defects and 61.9% of non-contained defects showed an incomplete vertical defect fill.
CONCLUSIONS
Soft-type block of BCP + collagen used for GBR of peri-implant defects did not differ from particulate BCP regarding the dimension of the augmented hard tissue after 6 months of healing. This article is protected by copyright. All rights reserved.
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 40 participants or records.
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