scholarly journals Utilizing a Bioscaffold for Socket Preservation: A Case Report

2018 ◽  
Vol 1 (1) ◽  
pp. 52-55
Author(s):  
Khushbu Adhikari ◽  
A. Tandukar ◽  
B. Kumar ◽  
B. Khanal

Socket preservation technique preserves the soft and the hard tissues after tooth extraction; hence minimizing the need for any augmentation procedures in the future. Platelet Rich Fibrin (PRF) enhances the osteogenic differentiation and the healing process so can be utilised for socket preservation. This is a case report of utilizing PRF in combination with hydroxyapatite crystals in an extracted socket, to preserve the future implant site. The tooth was extracted atraumatically and the socket was thoroughly debrided. Venous blood was collected from the patient’s antecubital fossa and PRF was prepared immediately by centrifuging the collected blood at 3000 rpm for 10 minutes. A mixture of hydroxyapatite and PRF was placed in the socket; covered by a PRF membrane and sutured with 3-0 silk suture. The radiographic and clinical evaluation demonstrated satisfactory regeneration of bone and soft tissue. Socket preservation technique using PRF and hydroxyapatite is an effective method for achieving sound bone and tissue for implant placement.

Biology ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 262
Author(s):  
Antonello Falco ◽  
Francesco Bataccia ◽  
Lorenzo Vittorini Orgeas ◽  
Federico Perfetti ◽  
Mariangela Basile ◽  
...  

The aim of the present study is to assess the clinical and histological healing of a post-extractive alveolus following the procedure for socket preservation, in a patient receiving oral bisphosphonates for more than 6 years. After the extraction, enzymatically-deantigenated horse bone granules and an equine pericardium membrane were used to preserve the tooth socket. The patient was placed on a monthly follow-up in order to monitor the healing process. A 3 mm trephine bur was used to drill the bone for implant site preparation and to collect the bone sample. No signs and symptoms related to osteonecrosis of the jaws were reported. Histological data showed that, after 5 months, the mean percentages of trabecular bone, bone marrow and residual bone graft were respectively 45.74 ± 0.09%, 48.09 ± 0.08%, and 6.16 ± 0.01%. The residual graft material appeared to be osteointegrated and none of the particles appeared to be encapsulated. The present case report supports the guidelines that assume that patients undergoing oral bisphosphonate therapy can be eligible for surgical therapy. More clinical studies with larger sample sizes are needed to support this clinical evidence.


2022 ◽  
pp. 134-139
Author(s):  
Bruno Santana Freitas ◽  
Felipe Andres Ortiz Poblete ◽  
Sergio Charifker Ribeiro Martins ◽  
Leandro Lécio de Lima Sousa ◽  
Andre Hamar Braga ◽  
...  

Author(s):  
Hélder Moura

Purposes: After tooth extraction alveolar socket bone undergoes a remodelling process. The horizontal and the vertical bone losses complicate dental rehabilitation with implants. Socket-Shield technique maintain the periodontal attachment including cementum, periodontal ligament and bundle bone. In this report this technique was indicated to replace the lost teeth. Case report: A socket shield technique was used for immediate implant placement on a non-restorable teeth by failure of crowns in teeth 12, 11 and 21. Through a osteotomy and manipulation of soft tissues with provisionals it was possible to correct the gingival contours and zeniths. Conclusions: Atraumatic extraction and socket preservation technique decreases the alveolar bone resorption by maintaining the hard and the soft tissue volume. Provisionalization allows management of the soft tissues around the implants. This treatment offers a predictable aesthetic and functional result .


2013 ◽  
Vol 39 (3) ◽  
pp. 372-379 ◽  
Author(s):  
Gregory-George K. Zafiropoulos ◽  
Giorgio Deli ◽  
Gianluca Vittorini ◽  
Oliver Hoffmann

In this report, a case is presented in which a patient received eight implants 10 months after tooth extraction and socket preservation. The implants were placed in both arches (maxilla = 4, mandible = 4) and immediately loaded using fixed partial restorations; they remained functional over 5 years. No changes in bleeding on probing or plaque index were observed; however, a 1.5-mm probing attachment level loss was observed during the first 3 years (mean: 0.25 mm/year) with no subsequent changes.


2009 ◽  
Vol 35 (6) ◽  
pp. 303-309 ◽  
Author(s):  
Gregory-George Zafiropoulos ◽  
Oliver Hoffmann

Abstract Various implant-supported restorations have been used successfully for several decades to rehabilitate edentulous patients. Telescopic crowns are a common treatment modality used to connect dentures to natural teeth. Although previous findings indicate that telescopic crowns can be placed successfully on implants to support overdentures, only limited data are available on this treatment approach. Eight months after extraction of all nonsalvageable teeth and socket preservation, 11 implants were inserted into the mandible and maxillae of one patient. These implants were restored 4 months later using telescopic crown–supported dentures. Bleeding on probing (BOP), plaque index (PI), clinical attachment (PAL), and radiographic bone level were evaluated over 5 years. All implants remained in function over the 5-year evaluation period. Radiography showed stable bone levels for all implants. No changes in BOP or PI (range, 2%–4% for both parameters) were observed over this time. The PAL deteriorated by 1.5 mm during the first 3 years, with no subsequent changes. We conclude that telescopic crowns can be used successfully as attachments for overdentures supported by implants in regenerated bone.


Author(s):  
Bruno Santana Freitas

With the demand for tooth/gum aesthetics in implant-supported rehabilitations, the surgeon, whether an implant specialist or not, increasingly needs to be mindful of proper care for socket preservation following extraction. The paper presented here reports the case of a male patient who manifested dental impairment of the Upper Left First Molar (tooth #26) [in FDI notation]; following tomographic analysis and after reaching a consensus with the patient, the decision was made to extract said tooth and preserve the socket for subsequent implant placement. The aim of the case report is to present a clinical case of alveolar ridge preservation through the “Double Layer Socket Preservation” technique, a technique created by Barry Barthee, whereby a xenogenous graft under an xenogenous type III collagen membrane was combined with a polypropylene barrier. Following research and study results on the subject, it was concluded that by applying this technique, the alveolar ridge is greatly preserved and bone volume is maintained, both of which are very important factors for good health of the tissues surrounding the implant and consequent increase in the survival of the implant itself.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Igor Ashurko ◽  
Nataliia Blagushina ◽  
Anisa Borodiy ◽  
Mary Magdalyanova

The removal of the central incisor of the upper jaw is a challenging process, since the restoration of a single implant in the esthetic zone is of great responsibility. When tooth extraction with immediate implant placement is not possible, modern protocols imply the use of the socket preservation technique. This method of preserving socket properties significantly reduces changes that occur during the healing process of the postextracted area and along with soft tissue augmentation allows to achieve a satisfying aesthetic result. The aim of present case report is to assess capabilities of socket preservation concept and application of soft tissue augmentation in the anterior maxillary region. The treatment steps of a 35-year-old woman who needed to remove tooth 11 with further dental implant placement are described. The clinical case is of interest because after socket preservation and soft tissue augmentation, an acceptable aesthetic result was not reached. However, additional soft tissue augmentation made it possible to achieve the desired result, which was stable for 7 years.


Author(s):  
Yaniv Mayer ◽  
Ofir Ginesin ◽  
Hadar Zigdon-Giladi

Implant primary stability, which depends mainly on the amount and quality of bone, is important for implant survival. Socket preservation aims to reduce bone volumetric changes following tooth extraction. This animal study aims to examine whether preserving a ridge by using xenograft impairs the primary stability of the implant. Eighteen artificial bone defects were prepared in four sheep (5mmØ and 8mm length).  Defects were randomly grafted with xenografts: Bio-Oss (BO), Bioactive Bone (BB), or left for natural healing (control). After 8 weeks, bone biopsy was harvested and dental implants installed. During installation, peak insertion torque (IT) was measured by hand ratchet, and primary stability by the Osstell method. Histomorphometric analysis showed a higher percentage of new bone formation in the naturally healed defects compared to sites with xenograft (control 68.66 ± 4.5%, BB 48.75 ± 4.34%, BO 50.33 ± 4.0%). Connective tissue portion was higher in the BO and BB groups compared to control (44.25 ± 2.98%, 41 ± 6%, and 31.33 ± 4.5, p<0.05, respectively). Residual grafting material was similar in BO and BB (7 ± 2.44%, 8.66 ± 2.1 %, respectively). Mean IT and ISQ values were not statistically different among the groups. A positive correlation was found between IT and ISQ (r=0.65, p=0.00). In conclusion, previously grafted defects with xenograft did not influence primary stability and implant insertion torque in delayed implant placement. These results may be attributed to a relatively high bone fill of the defect (~50%) two months after grafting.


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