ReviewNigerian medical journal : journal of the Nigeria Medical Association
Contemporary Strategies for Regenerating Dehiscence and Fenestration Defects Around Dental Implants: A Critical Review.
Review in Nigerian medical journal : journal of the Nigeria Medical Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
Funding
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Abstract
Background: The long-term success of dental implants is intrinsically linked to the stability of surrounding peri-implant tissues. Dehiscence and fenestration defects represent significant clinical challenges that can compromise functional and aesthetic outcomes. This review provides a comprehensive analysis of modern strategies for managing these defects at implant sites. Methodology: We evaluate defect etiology and classification while underscoring the necessity of 3D diagnostic tools like Cone-Beam Computed Tomography (CBCT). The review critically examines Guided Bone Regeneration (GBR) components, comparing resorbable and non-resorbable membranes alongside various bone grafting materials. Additionally, we explore the roles of biologics, soft tissue management, and digital CAD/CAM workflows. Results: Analysis indicates that implants with corrected defects achieve survival rates comparable to those in pristine bone, reaching up to 97.2% for dehiscences over 10 years. Resorbable collagen membranes and slow-resorbing xenografts (DBBM) are the clinical standards for routine defects due to predictable volume maintenance. Biologics like PRF enhance graft handling, while rhBMP-2 provides potent osteoinduction for complex cases. Literature confirms that hard tissue regeneration must be paired with soft tissue augmentation-specifically connective tissue grafts to convert thin phenotypes into recession-resistant architecture. Conclusion: Successful regeneration requires a holistic approach combining biological principles, meticulous soft tissue management, and digital precision to ensure long-term stability.
Indexed as
Identifiers
42488879PMC13391119What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.