Effectiveness of Titanium Occlusive Barriers in Guided Bone Regeneration: A Prospective Analysis of Vertical and Horizontal Bone Augmentation

Background: Guided bone regeneration (GBR) is a widely used technique in oral and maxillofacial surgery to restore lost bone. The aim of this study is to evaluate the effectiveness of titanium occlusive barriers in GBR for increasing bone volume in both vertical and horizontal dimensions. Methods: A...

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Main Authors: Luis Leiva-Gea, Paulino Sánchez-Palomino, Alfonso Lendínez-Jurado, María Daniela Corte-Torres, Isabel Leiva-Gea, Antonio Leiva-Gea
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Biomimetics
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Online Access:https://www.mdpi.com/2313-7673/10/3/165
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author Luis Leiva-Gea
Paulino Sánchez-Palomino
Alfonso Lendínez-Jurado
María Daniela Corte-Torres
Isabel Leiva-Gea
Antonio Leiva-Gea
author_facet Luis Leiva-Gea
Paulino Sánchez-Palomino
Alfonso Lendínez-Jurado
María Daniela Corte-Torres
Isabel Leiva-Gea
Antonio Leiva-Gea
author_sort Luis Leiva-Gea
collection DOAJ
description Background: Guided bone regeneration (GBR) is a widely used technique in oral and maxillofacial surgery to restore lost bone. The aim of this study is to evaluate the effectiveness of titanium occlusive barriers in GBR for increasing bone volume in both vertical and horizontal dimensions. Methods: A prospective analysis was conducted on 11 patients (15 cases) undergoing bone augmentation with titanium barriers combined with bone graft biomaterials for dental implant placement. Bone gain was assessed using pre- and postoperative low-dose cone beam computed tomography (CBCT) measurements in vertical and horizontal planes. Histological analyses evaluated the quality and vascularization of the regenerated bone. Results: Significant bone volume increases were observed, with a mean vertical gain of 7.60 mm (SD 0.23) and a horizontal gain of 5.44 mm (SD 0.39). Histological examination confirmed well-vascularized regenerated bone with minimal residual graft material, effective integration, and the formation of keratinized gingiva. Conclusions: Titanium occlusive barriers in GBR provide a reliable and minimally invasive method for substantial bone regeneration, showing advantages such as ease of handling and reduced invasiveness. Additional studies are recommended to validate these findings and evaluate long-term outcomes.
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spelling doaj-art-6335d87f9039497d985331f521eb797b2025-08-20T03:43:21ZengMDPI AGBiomimetics2313-76732025-03-0110316510.3390/biomimetics10030165Effectiveness of Titanium Occlusive Barriers in Guided Bone Regeneration: A Prospective Analysis of Vertical and Horizontal Bone AugmentationLuis Leiva-Gea0Paulino Sánchez-Palomino1Alfonso Lendínez-Jurado2María Daniela Corte-Torres3Isabel Leiva-Gea4Antonio Leiva-Gea5Clínicas ClearDent, 23006 Jaén, SpainFacultad de Odontología, Universidad de Granada, 18011 Granada, SpainHospital Regional Universitario de Málaga, 29011 Málaga, SpainBiobanco del Principado de Asturias, FINBA-ISPA, 33011 Oviedo, SpainHospital Regional Universitario de Málaga, 29011 Málaga, SpainInstituto de Investigación Biomédica de Málaga (IBIMA)-Plataforma BIONAND, 29010 Málaga, SpainBackground: Guided bone regeneration (GBR) is a widely used technique in oral and maxillofacial surgery to restore lost bone. The aim of this study is to evaluate the effectiveness of titanium occlusive barriers in GBR for increasing bone volume in both vertical and horizontal dimensions. Methods: A prospective analysis was conducted on 11 patients (15 cases) undergoing bone augmentation with titanium barriers combined with bone graft biomaterials for dental implant placement. Bone gain was assessed using pre- and postoperative low-dose cone beam computed tomography (CBCT) measurements in vertical and horizontal planes. Histological analyses evaluated the quality and vascularization of the regenerated bone. Results: Significant bone volume increases were observed, with a mean vertical gain of 7.60 mm (SD 0.23) and a horizontal gain of 5.44 mm (SD 0.39). Histological examination confirmed well-vascularized regenerated bone with minimal residual graft material, effective integration, and the formation of keratinized gingiva. Conclusions: Titanium occlusive barriers in GBR provide a reliable and minimally invasive method for substantial bone regeneration, showing advantages such as ease of handling and reduced invasiveness. Additional studies are recommended to validate these findings and evaluate long-term outcomes.https://www.mdpi.com/2313-7673/10/3/165guided bone regenerationtitanium barriersbone augmentationdental implants
spellingShingle Luis Leiva-Gea
Paulino Sánchez-Palomino
Alfonso Lendínez-Jurado
María Daniela Corte-Torres
Isabel Leiva-Gea
Antonio Leiva-Gea
Effectiveness of Titanium Occlusive Barriers in Guided Bone Regeneration: A Prospective Analysis of Vertical and Horizontal Bone Augmentation
Biomimetics
guided bone regeneration
titanium barriers
bone augmentation
dental implants
title Effectiveness of Titanium Occlusive Barriers in Guided Bone Regeneration: A Prospective Analysis of Vertical and Horizontal Bone Augmentation
title_full Effectiveness of Titanium Occlusive Barriers in Guided Bone Regeneration: A Prospective Analysis of Vertical and Horizontal Bone Augmentation
title_fullStr Effectiveness of Titanium Occlusive Barriers in Guided Bone Regeneration: A Prospective Analysis of Vertical and Horizontal Bone Augmentation
title_full_unstemmed Effectiveness of Titanium Occlusive Barriers in Guided Bone Regeneration: A Prospective Analysis of Vertical and Horizontal Bone Augmentation
title_short Effectiveness of Titanium Occlusive Barriers in Guided Bone Regeneration: A Prospective Analysis of Vertical and Horizontal Bone Augmentation
title_sort effectiveness of titanium occlusive barriers in guided bone regeneration a prospective analysis of vertical and horizontal bone augmentation
topic guided bone regeneration
titanium barriers
bone augmentation
dental implants
url https://www.mdpi.com/2313-7673/10/3/165
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