Utilization of biphasic calcium sulfate as socket preservation grafting as a prelude to implant placement, a case report

2021 ◽  
Author(s):  
Michael Katzap ◽  
Gregori M. Kurtzman
Keyword(s):  
Calcium Sulfate ◽  
Graft Material ◽  
Socket Preservation ◽  
Multiple Factors ◽  
Implant Placement ◽  
Immediate Placement ◽  
Healing Phase ◽  
Socket Healing ◽  
Natural Tooth ◽  
Bone Remains

Extraction of the natural tooth may be a prelude to implant placement. This may be done using an immediate placement protocol or require a delayed approach depending on multiple factors that include; residual infection related to the failed tooth being extracted, availability of bone to stabilize the implant at placement or soft tissue issues. Socket preservation is recommended when the delayed approach is selected to create an osseous bed that can accommodate the implant that is planned. This also helps preserve what crestal bone remains following the extraction that may resorb in the absence of socket preservation during the extraction socket healing phase. The use of osseous graft materials and guided bone-regeneration has demonstrated enhancement of socket healing by potentially modifying the resorption process, yielding preservation of the crestal bone while limiting resorption potential during healing. Various graft materials have been reported including, allografts, xenografts, non-biologics and synthetics. Calcium sulfate as a graft material has been used for many decades in maxillofacial surgeries, plastic surgery, oncologic and orthopedics in the treatment of osseous voids, traumatic or inflammatory bone deficiencies. This article will review a case using biphasic calcium sulfate with a delayed implant protocol and the histology demonstrating conversion of the graft material to host bone following healing.

scholarly journals Immediate Implant Placement in Infected Sockets: A Consecutive Cohort Study

2020 ◽  
Vol 11 (2) ◽  
pp. 167-173 ◽  
Author(s):  
Ashish Kakar ◽  
Kanupriya Kakar ◽  
Minas D. Leventis ◽  
Gaurav Jain
Keyword(s):  
Bone Graft ◽  
Clinical Results ◽  
Bone Graft Substitute ◽  
Graft Material ◽  
Success Rates ◽  
Implant Surface ◽  
Implant Placement ◽  
Immediate Placement ◽  
Immediate Implant

Introduction: Immediate placement of implants in a fresh post-extraction socket is an increasingly popular and established treatment option. However, active infection in the extraction site may adversely affect the outcome of this procedure. This study was designed to assess the clinical results of immediate placement of dental implants in infected extraction sockets using a standardized protocol, which included (a) the use of an Er,Cr:YSGG laser for the decontamination of the infected socket prior to implant insertion, and (b) the utilization of an in situ hardening alloplastic bone graft substitute to augment the gap between the implant surface and the labial plate of bone. Patients and Methods: A retrospective record review was used to identify 68 patients who had implants placed as per the described protocol. A total of 126 implants were placed in 68 patients (65 implants in the maxilla, 61 implants in the mandible). The implants were loaded 136 ± 73 days (mean ± standard deviation; range: 37–400 days) after implant placement. Eight patients (16 implants) were subsequently lost to follow up. Results: 105 of the 110 implants (95.45%) placed immediately in the infected sites using the described protocol survived after prosthetic loading. Conclusion: Immediate implant placement in previously infected sites using the protocols mentioned in our study with laser decontamination of the socket, grafting with an in situ hardening alloplastic bone graft material and non-submerged healing shows a similar survival rate to the published success rates for immediate implants placed in non-infected sites.

scholarly journals Open-Healing Socket Preservation with a Novel Dense Polytetrafluoroethylene (dPTFE) Membrane: A Retrospective Clinical Study

Medicina ◽  
2020 ◽  
Vol 56 (5) ◽  
pp. 216 ◽  
Author(s):  
Gregor-Georg Zafiropoulos ◽  
Zeljka Kačarević ◽  
Syed Qasim ◽  
Branko Trajkovski
Keyword(s):  
Bone Loss ◽  
Alveolar Bone ◽  
Alveolar Bone Loss ◽  
Socket Preservation ◽  
Fixed Partial Denture ◽  
Implant Placement ◽  
Retrospective Clinical Study ◽  
Significant Difference ◽  
Socket Healing ◽  
Immediate Implant

Background and objectives: Non-resorbable dense polytetrafluoroethylene (dPTFE) membranes are widely used for regeneration procedures, alone or in combination with particulate materials. The aim of this work was to examine the efficacy of a newly developed dPTFE membrane in the management of extraction socket healing. Materials and Methods: The extraction premolar sockets of 44 patients (20 men and 24 women) were preserved. One group received prosthetic rehabilitation with a fixed partial denture (FPD) (PROS group, N = 19) and a second group received immediate implant placement (IMPL group, N = 25). The PROS group sockets were augmented with a bovine derived xenograft and covered with a newly developed dPTFE membrane prior to FPD rehabilitation. Results: In the IMPL group, socket preservation was combined with immediate implant placement. Before (T0) and 6 months after surgery (T1), horizontal and vertical dimensions were measured with customized stents. No significant differences in alveolar bone loss from T0 to T1 were observed between the PROS and IMPL groups in the horizontal dimension for any tooth type. There was a significant difference in alveolar bone loss from T0 to T1 between the two groups for only single-rooted maxillary premolars in the vertical dimension. Conclusions: The use of the examined new dPTFE membrane consistently led to the preservation of hard tissue in the extraction sites.

scholarly journals Immediate implant placement in anterior teeth with grafting material of autogenous tooth bone vs xenogenic bone

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Dong Wu ◽  
Lin Zhou ◽  
Jichao Lin ◽  
Jiang Chen ◽  
Wenxiu Huang ◽  
...  
Keyword(s):  
Bone Loss ◽  
Bone Defect ◽  
Graft Material ◽  
Bone Change ◽  
Marginal Bone Loss ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Immediate Placement ◽  
Immediate Implant ◽  
Xenogenic Bone

Abstract Background The aim of the study was to compare the efficacy of the autogenous tooth bone and xenogenic bone grafted in immediate implant placement with bone defect. Methods Thirty patients whose compromised anterior teeth need immediate implant placement were enrolled. Autogenous tooth bone made from the extracted teeth by chair-side or the xenogenic bone were used to repaired bone defect. Clinical examination, radiographic assessment about the horizontal bone change in the level of 0 mm, 3 mm and 6 mm below the implant neck and the marginal bone loss were made immediately, 6 and 12 months after implant placement. Questionnaire of the feelings about the surgery were made at the time of removing the sutures. Results All implants achieved the success criteria without any complications at the follow-up period. The percent of the horizontal bone change and the marginal bone loss at 6 and 12 months were almost the same between two groups (P > .05). The horizontal bone loss at the first or the latter 6 months was almost the same (P > .05). But the horizontal bone loss at the 6 mm level was less than the 0 mm and 3 mm levels at 6 and 12 months (P < .05). Meanwhile patients seem more satisfied with the autogenous tooth bone derived from the questionnaire. Conclusion The bone volume change in the facial part of the implant after immediate placement is almost the same between two groups. Providing clinical evidence that the autogenous tooth bone made from compromised tooth can be an acceptable bone graft material.

scholarly journals Immediate implant placement in anterior teeth with grafting material of autogenous tooth bone vs xenogenic bone

2019 ◽  
Author(s):  
Dong Wu ◽  
Lin Zhou ◽  
Jichao Lin ◽  
Jiang Chen ◽  
Wenxiu Huang ◽  
...  
Keyword(s):  
Bone Loss ◽  
Bone Defect ◽  
Graft Material ◽  
Bone Change ◽  
Marginal Bone Loss ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Immediate Placement ◽  
Immediate Implant ◽  
Xenogenic Bone

Abstract Objectives: The aim of the study was to compare the efficacy of the autogenous tooth bone and xenogenic bone grafted in immediate implant placement with bone defect. Material and methods: Thirty patients whose compromised anterior teeth need immediate implant placement were enrolled. Autogenous tooth bone made from the extracted teeth by chair-side or the xenogenic bone were used to repaired bone defect. Clinical examination, radiographic assessment about the horizontal bone change in the level of 0mm, 3mm and 6mm below the implant neck and the marginal bone loss were made immediately, 6 and 12 months after implant placement. Questionnaire of feeling was made at the time of removing the sutures.Results: All implants achieved the success criteria without any complications at the follow-up period. The percent of the horizontal bone change and the marginal bone loss at 6 and 12 months were almost the same between two groups (P>.05). The horizontal bone loss at the first or the latter 6 months is almost the same (P>.05). But the horizontal bone loss at the 6 mm level is less than the 0 mm and 3 mm levels at 6 and 12 months (P<.05). Meanwhile patients seem more satisfied with the autogenous tooth bone derived from the questionnaire.Conclusion: The bone volume change in the facial part of the implant after immediate placement is almost the same between two groups.Clinical Relevance: Providing clinical evidence that the autogenous tooth bone made from compromised tooth can be an acceptable bone graft material.

scholarly journals Clinical and Radio Graphical Evaluation of Implants Placed in Ridge Preserved Sites versus Naturally Healed Sites

2021 ◽  
pp. 313-323
Author(s):  
Shruti Dipakkumar Vyas ◽  
Divya Batra ◽  
Deepinder Hayer
Keyword(s):  
Soft Tissues ◽  
Demineralized Bone Matrix ◽  
Bone Matrix ◽  
Ridge Preservation ◽  
Graft Material ◽  
Term Survival ◽  
Socket Preservation ◽  
Prosthetic Reconstruction ◽  
Implant Placement ◽  
Group I

Introduction: Dental implant has proved to be a pioneer in prosthetic rehabilitation overcoming the disadvantage of a removable or a fixed partial denture. The aim of the study was to clinically and radiographically evaluate and compare changes of hard and soft tissues around the implants which will be placed in ridge preserved sites with implant placed in naturally healed extraction sites. Materials and Methods: In this study 10 Patients having tooth with hopeless prognosis requiring tooth extraction followed by implant placement were enrolled. These patients were randomly divided in to two groups. Group I: Socket preservation with demineralized bone matrix putty group. Group II: Naturally healed socket after extraction, followed by implant placement in both groups. Results: The results of the current study indicated that demineralisedbone matrix putty, when used in patients for dental augmentation in either mandibular or maxillary sites, resulted in replacement of the graft material with bone by as early as 4-6 months, there upon enabling implant placement and subsequent prosthetic reconstruction. Conclusion: Bucco lingual ridge width and width of keratinized gingiva can be preserved by ridge preservation after extraction. Short-term survival rates and clinical outcomes of both groups were similar and were comparable. Further clinical trials with longer duration follow up with larger sample size should be done to get more affirmative and conclusive results.

scholarly journals Immediate implant placement in anterior teeth with grafting material of autogenous tooth bone vs xenogenic bone

2019 ◽  
Author(s):  
Dong Wu ◽  
Lin Zhou ◽  
Jichao Lin ◽  
Jiang Chen ◽  
Wenxiu Huang ◽  
...  
Keyword(s):  
Bone Loss ◽  
Bone Defect ◽  
Graft Material ◽  
Bone Change ◽  
Marginal Bone Loss ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Immediate Placement ◽  
Immediate Implant ◽  
Xenogenic Bone

Abstract Background: The aim of the study was to compare the efficacy of the autogenous tooth bone and xenogenic bone grafted in immediate implant placement with bone defect. Methods: Thirty patients whose compromised anterior teeth need immediate implant placement were enrolled. Autogenous tooth bone made from the extracted teeth by chair-side or the xenogenic bone were used to repaired bone defect. Clinical examination, radiographic assessment about the horizontal bone change in the level of 0mm, 3mm and 6mm below the implant neck and the marginal bone loss were made immediately, 6 and 12 months after implant placement. Questionnaire of feeling was made at the time of removing the sutures. Results: All implants achieved the success criteria without any complications at the follow-up period. The percent of the horizontal bone change and the marginal bone loss at 6 and 12 months were almost the same between two groups (P>.05). The horizontal bone loss at the first or the latter 6 months is almost the same (P>.05). But the horizontal bone loss at the 6 mm level is less than the 0 mm and 3 mm levels at 6 and 12 months (P<.05). Meanwhile patients seem more satisfied with the autogenous tooth bone derived from the questionnaire. Conclusion: The bone volume change in the facial part of the implant after immediate placement is almost the same between two groups. Providing clinical evidence that the autogenous tooth bone made from compromised tooth can be an acceptable bone graft material.

scholarly journals Immediate implant placement in anterior teeth with grafting material of autogenous tooth bone vs xenogenic bone

2019 ◽  
Author(s):  
Dong Wu ◽  
Lin Zhou ◽  
Jichao Lin ◽  
Jiang Chen ◽  
wenxiu huang(Former Corresponding Author) ◽  
...  
Keyword(s):  
Bone Loss ◽  
Bone Defect ◽  
Graft Material ◽  
Bone Change ◽  
Marginal Bone Loss ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Immediate Placement ◽  
Immediate Implant ◽  
Xenogenic Bone

Abstract Background: The aim of the study was to compare the efficacy of the autogenous tooth bone and xenogenic bone grafted in immediate implant placement with bone defect. Methods: Thirty patients whose compromised anterior teeth need immediate implant placement were enrolled. Autogenous tooth bone made from the extracted teeth by chair-side or the xenogenic bone were used to repaired bone defect. Clinical examination, radiographic assessment about the horizontal bone change in the level of 0mm, 3mm and 6mm below the implant neck and the marginal bone loss were made immediately, 6 and 12 months after implant placement. Questionnaire of feeling was made at the time of removing the sutures. Results: All implants achieved the success criteria without any complications at the follow-up period. The percent of the horizontal bone change and the marginal bone loss at 6 and 12 months were almost the same between two groups (P>.05). The horizontal bone loss at the first or the latter 6 months is almost the same (P>.05). But the horizontal bone loss at the 6 mm level is less than the 0 mm and 3 mm levels at 6 and 12 months (P<.05). Meanwhile patients seem more satisfied with the autogenous tooth bone derived from the questionnaire. Conclusion: The bone volume change in the facial part of the implant after immediate placement is almost the same between two groups. Providing clinical evidence that the autogenous tooth bone made from compromised tooth can be an acceptable bone graft material.

scholarly journals Full Mouth Rehabilitation Using Alveolar Ridge Splitting Technique with Immediate Implant Placement in the Maxilla and Delayed Implant Placement in the Mandible: A Case Report with 4 Years Follow-Up

2021 ◽  
pp. 81-89
Author(s):  
Houssam Abou Hamdan ◽  
Talal H. Salame ◽  
Georges Aoun
Keyword(s):  
Success Rates ◽  
Splitting Technique ◽  
Implant Placement ◽  
Immediate Placement ◽  
Healing Phase ◽  
Full Mouth Rehabilitation ◽  
Narrow Ridge ◽  
Immediate Implant ◽  
Delayed Implant Placement

The bone split technique is used to increase the width of a narrow ridge for implant placement with high success rates. This technique was performed on a 53-year-old patient with bilateral mandibular posterior edentulous and fully edentulous maxilla. Implants placement was performed afterward with two-step modus operandi on the mandible and immediate placement on maxilla. A successful prosthetic rehabilitation was done following the healing phase. This approach led to full restoration of function and esthetic with a predictable outcome.

scholarly journals Immediate implant placement in anterior teeth with grafting material of autogenous tooth bone vs xenogenic bone

2019 ◽  
Author(s):  
Dong Wu ◽  
Lin Zhou ◽  
Jichao Lin ◽  
Jiang Chen ◽  
wenxiu huang ◽  
...  
Keyword(s):  
Bone Loss ◽  
Bone Defect ◽  
Graft Material ◽  
Bone Change ◽  
Marginal Bone Loss ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Immediate Placement ◽  
Immediate Implant ◽  
Xenogenic Bone

Abstract Background: The aim of the study was to compare the efficacy of the autogenous tooth bone and xenogenic bone grafted in immediate implant placement with bone defect. Methods: Thirty patients whose compromised anterior teeth need immediate implant placement were enrolled. Autogenous tooth bone made from the extracted teeth by chair-side or the xenogenic bone were used to repaired bone defect. Clinical examination, radiographic assessment about the horizontal bone change in the level of 0mm, 3mm and 6mm below the implant neck and the marginal bone loss were made immediately, 6 and 12 months after implant placement. Questionnaire of the feelings about the surgery were made at the time of removing the sutures. Results: All implants achieved the success criteria without any complications at the follow-up period. The percent of the horizontal bone change and the marginal bone loss at 6 and 12 months were almost the same between two groups (P>.05). The horizontal bone loss at the first or the latter 6 months was almost the same (P>.05). But the horizontal bone loss at the 6 mm level was less than the 0 mm and 3 mm levels at 6 and 12 months (P<.05). Meanwhile patients seem more satisfied with the autogenous tooth bone derived from the questionnaire. Conclusion: The bone volume change in the facial part of the implant after immediate placement is almost the same between two groups. Providing clinical evidence that the autogenous tooth bone made from compromised tooth can be an acceptable bone graft material.

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