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INFORMATIVE ARTICLES

Guided Tissue Regeneration: Clinical Applications Associated with Dental Implants

By Robert A. Levine, D.D.S., P.C.
(Compend Contin Educ Dent, Vol. XIII, No. 3, Pg 182, 1992)

Regenerative periodontal therapy using a barrier membrane to promote guided tissue regeneration (GTR) has made much clinical progress since the original animal studies were conducted in the early to mid-1980's in Scandinavia. Subsequent human trials and case reports have led to its routine use as part of the periodontal armamentarium in the treatment of site-specific bony defects. Angular bony defects, moat-type osseous defects, and defects associated with classII and classIII furcations have been GTR's main clinical application with natural teeth. These findings are corroborated by R.A. Levine (submitted for publication, 1992). With the predictability of GTR in the natural dentition and its long-term, documented predictability and success with endosseous implants, its eventual use in implant therapy was evident.


Table 1 - Objectives of Barrier Membranes
  • Giving preference to cells that repopulate the wound and that have the potential to regenerate tissue

  • Excluding cells that may negatively interfere with tissue regeneration

  • Creating sufficient space to allow formation of desired tissue

Buser and co-workers describes the purpose of barrier membranes:

  • Giving a preference to cells that repopulate the wound and that have the potential to regenerate the desired type of tissue

  • Excluding cells that may negatively interfere with adequate regeneration from proliferating the wound

  • Creating a sufficient space to allow the formation of the desired type of tissue (Table 1).

The purpose of this article is to review the application of a barrier membrane, specifically GORE-TEX Augmentation material (GTAM), in dental implant therapy (Fig 1)...

**(To receive a copy of this article in its complete form, please Email: info@drlevineimplantsperio.com and include the article title)