Vertical GBR failure: Why?
I opened up a case I did GBR 9 months ago using a xenograft and autograft 1:1 and covered with a Cytoplast membrane reinforced with titanium and closed tension free. But today the graft failed with plenty of soft tissue beneath the graft during uncovery. Why do bone grafts fail? Patient is a non-smoker and healthy. Only problematic consideration is her thin soft tissue.
7 Comments on Vertical GBR failure: Why?
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Yasser
6/21/2016
How did you temporized the case!! It makes huge difference
izabela
6/21/2016
Hi. More details/radiographs would be helpful. GBR are unpredictable, there is no 100% success. I try to avoid them whenever possible and use the host bone. If you think you will create a new bone using GBR you are delusional. Prof Brannemark one said:
A decisive factor in patient care is simplification of dental treatment, which should be based on identifying and utilising the enormous capacity of existing original anchoring tissues. When possible one should avoid unnecessary advanced and complicated major grafting procedures.
Peter Fairnbairn
6/21/2016
New Materials and a new protocol http://www.hindawi.com/journals/ijd/2015/589135/ have seen a paradigm shift in true bone regeneration ....the new ideal involves bone quality not merely quantity ....biology dictates success ..
Bjorn
6/21/2016
Dear Dr. Fairnbairn,
With all due respect, you are citing an article that you published out of an open-access journal with a five-year impact factor of 0...yes 0. In other words, it has very little if any scientific merit...
peter Fairbairn
6/22/2016
Agreed but with over 3,500 personal recorded clinical cases I am happy . All dental journals have a low impact factor compared to medical equivalents and we prefer open access again for the obvious reasons .
Spence-Chicago
6/21/2016
"Today the graft failed."? I think today is simply the day you discovered the failure.
Pressure, movement, micro-movement, contamination are factors that come to mind.
Don't know how to give helpful clinical responses when you provide so little clinical info.
Dr.piseth ieng
6/24/2016
Hi Dr.
I think you did not remove all periostum from recipient site before applying bonegraft and periostum became soft tissue beneath bone graft,this is the reason of bone graft failure .
Just my experience.
Best regards
