The Multilayer GBR Technique: An Alternative Approach for One-Stage Transmucosal Implant Placement in the Presence of Horizontal Defects. A Case Series

Mauro Merli, MD, DDS1 | Marco Merli, DDS2 | Umberto Pagliaro, MD, DDS3 | Adriano Fratini, DDS4 | Lucio Lo Russo, DDS, PhD5 | Michele Nieri, DDS, PhD3

This study presents a one-stage technique for horizontal guided bone regeneration and transmucosal implant placement in the presence of hard and soft tissue defects. The proposed technique uses autologous bone particles, deproteinized bovine bone matrix, collagen membranes, and concentrated growth factor membranes to create a multilayer barrier and enhance tissue regeneration. Four patients were treated with a total of seven implants. Digital analyses of intraoral scan data taken at baseline and at 6 months postsurgery showed a mean increase in tissue volume of 157.4 mm3. The patient satisfaction was high, and no complications were observed.

Int J Periodontics Restorative Dent 2022;42:e113–e120. doi: 10.11607/prd.6084