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J Indian Soc Periodontol. 2014 Nov-Dec;18(6):781-5. doi: 10.4103/0972-124X.147437.

Recombinant human bone morphogenetic protein type 2 in the reconstruction of atrophic maxilla: Case report with long-term follow-up.

Journal of Indian Society of Periodontology

André Luiz Zétola, Thalyta Verbicaro, Sahara Littieri, Rafaela Larson, Allan Fernando Giovanini, Tatiana Miranda Deliberador

Affiliations

  1. Oral and Maxillofacial Surgeon, Chairman of Implantology, SOEPAR, Curitiba, PR, Brazil.
  2. Professor of Positivo University, Curitiba, PR, Brazil.
  3. Private Pratice, Curitiba, PR, Brazil.

PMID: 25624638 PMCID: PMC4296466 DOI: 10.4103/0972-124X.147437

Abstract

Autologous bone is reported by scientific literature as the gold standard for the replacement of the bone loss in maxillary atrophic area. Notwithstanding, this grafting type shows several disadvantages as: The procedure morbidity, limited size of the graft and longer recovering time. Recombinant human bone morphogenetic protein type 2 (rhBMP-2) has been used as bone substitute for the reconstruction of large bone defects. The aim of this case was to report a clinical case exhibiting the reconstruction of the atrophic maxilla through using rhBMP-2 as grafting material associated with absorbable collagen sponge (ACS). At 8 months of following-up, osseointegrated implants were placed. After 2 years and 5 months of following-up, it could be observed an appropriate aesthetical and functional rehabilitation.

Keywords: Bone regeneration; bone transplantation; dental implants; intercellular signaling peptides and proteins

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