scholarly journals Radiographic and Histologic Analysis 1–2 Years after Alveolar Ridge Preservation in Maxillary Premolar and Molar: A Case Report

2021 ◽  
Vol 11 (14) ◽  
pp. 6591
Author(s):  
Sung-Wook Yoon ◽  
Young Woo Song ◽  
Ui-Won Jung ◽  
Jae-Kook Cha

After tooth extraction, notable ridge alterations occur due to resorption of bundle bones during the healing process. In areas with thin or damaged socket walls and multiple adjacent tooth extraction, dimensional changes are more prominent in the marginal proportion. In addition to the marginal changes, upper molar teeth are also vulnerable to pneumatization of the maxillary sinus. To reduce dimensional changes in extraction sockets, alveolar ridge preservation (ARP) is favored by many clinicians in areas where a large amount of dimensional change is expected. This case report presents two cases of ARP using collagenated demineralized bovine bone mineral and demineralized porcine bone mineral in the apically involved upper premolar and molar, respectively. Implants were placed one and two years, respectively, after the ARP. Radiographic analyses of residual bone height and volume were measured using cone-beam-computed tomography (CBCT) and histologic analysis of newly formed mineralized bone and residual graft material percentages were measured from the collected tissue samples using a trephine bur. Implants were placed using a simple technique, without any additional bone grafts at the marginal proportion. The ARP technique could maintain the alveolar bone height and volume, as well as minimize the invasiveness of surgical procedures during implant surgery.

2021 ◽  
Vol 2 (2) ◽  
pp. 18-22
Author(s):  
César Esquivel-Chirino ◽  
Vanessa Vargas-Romero ◽  
Gerardo Rodríguez-Torres ◽  
Verónica Villatoro-Ugalde ◽  
María Guadalupe Rivas-Fonseca ◽  
...  

Tooth extraction is a surgical procedure that is performed due to pulp and periapical pathology, periodontal disease, or teeth that are not deemed to be prosthetically or endodontically restorable. Following tooth extraction, bone resorption and vertical or horizontal defects occur. Traditionally, ridge preservation warrants the use of different agents such as autografts, allografts, xenografts, and mineral or ceramic materials. Autogenous dentin grafts are alternative to ridge preservation with osteoconductive, osteoinductive, and non-immunogenic properties to generate bone formation. The aim of the case report was to evaluate and compare clinical and histological outcomes using an autogenous dentin graft versus an allogeneic bone graft (DFDBA) as an alternative for ridge preservation.


Author(s):  
João Vitor dos Santos Canellas ◽  
Brunna Nogueira Soares ◽  
Fabio Gamboa Ritto ◽  
Mario Vianna Vettore ◽  
Guaracilei Maciel Vidigal Junior ◽  
...  

2020 ◽  
Vol 99 (4) ◽  
pp. 402-409 ◽  
Author(s):  
G. Avila-Ortiz ◽  
M. Gubler ◽  
M. Romero-Bustillos ◽  
C.L. Nicholas ◽  
M.B. Zimmerman ◽  
...  

Alveolar ridge preservation (ARP) therapy is indicated to attenuate the physiologic resorptive events that occur as a consequence of tooth extraction with the purpose of facilitating tooth replacement therapy. This randomized controlled trial was primarily aimed at testing the efficacy of ARP as compared with unassisted socket healing. A secondary objective was to evaluate the effect that local phenotypic factors play in the volumetric reduction of the alveolar bone. A total of 53 subjects completed the study. Subjects were randomized into either the control group, which involved only tooth extraction (EXT n = 27), or the experimental group, which received ARP using a combination of socket grafting with a particulate bone allograft and socket sealing with a nonabsorbable membrane (dPTFE) following tooth extraction (ARP n = 26). A set of clinical, linear, volumetric, implant-related, and patient-reported outcomes were assessed during a 14-wk healing period. All linear bone assessments (horizontal, midbuccal, and midlingual reduction) revealed that ARP is superior to EXT. Likewise, volumetric bone resorption was significantly higher in the control group (mean ± SD: EXT = −15.83% ± 4.48%, ARP = −8.36% ± 3.81%, P < 0.0001). Linear regression analyses revealed that baseline buccal bone thickness is a strong predictor of alveolar bone resorption in both groups. Interestingly, no significant differences in terms of soft tissue contour change were observed between groups. Additional bone augmentation to facilitate implant placement in a prosthetically acceptable position was deemed necessary in 48.1% of the EXT sites and only 11.5% of the ARP sites ( P < 0.004). Assessment of perceived postoperative discomfort at each follow-up visit revealed a progressive decrease over time, which was comparable between groups. Although some extent of alveolar ridge remodeling occurred in both groups, ARP therapy was superior to EXT as it was more efficacious in the maintenance of alveolar bone and reduced the estimated need for additional bone augmentation at the time of implant placement (ClinicalTrials.gov NCT01794806).


2014 ◽  
Vol 25 (5) ◽  
pp. 1698-1702 ◽  
Author(s):  
Chaoyuan Pang ◽  
Yuxiang Ding ◽  
Hongzhi Zhou ◽  
Ruifeng Qin ◽  
Rui Hou ◽  
...  

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