The impact of flap suture techniques in guided bone regeneration: pilot study
- Journal of Dental Health, Oral Disorders & Therapy
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Adel Bouguezzi, Seifeddine Benelmekki, Chokri Abdellatif, Hajer Hentati, Jamil Selmi
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Abstract
Guided Bone Regeneration (GBR) is a pivotal surgical approach used in oral and maxillofacial surgery, specifically in dental implantology, to regenerate bone in areas where bone volume is insufficient. Collagen resorbable membranes are commonly employed in GBR due to their biocompatibility, resorption properties, and ability to promote bone regeneration by acting as barriers to soft tissue encroachment. Despite the advantages of GBR, the technique’s success is significantly influenced by several factors, including the suture technique used to stabilize the membrane. Proper suturing is critical for ensuring membrane stability, minimizing complications, and promoting efficient wound healing. This pilot study evaluates the impact of three commonly used suture techniques—interrupted, continuous, and mattress sutures—on the success of GBR procedures. A total of 21 patients undergoing GBR were randomly assigned to one of the three groups. Outcomes such as membrane stability, wound healing, and bone regeneration were assessed. The study finds that mattress sutures provide superior membrane stabilization and enhance healing outcomes, while continuous sutures, although faster, may have higher rates of complications. This study offers valuable insights into the optimal suturing techniques for GBR and encourages further research with larger sample sizes and extended follow-ups.
Keywords
guided bone regeneration, sutures, collagen resorbable membranes, wound healing, surgical technique, pilot study