Third Molar Socket Grafting after Surgical Extraction to prevent Periodontal Pocket Formation

ABSTRACT There is an incidence of periodontal pocket formation and gingival recession on the distal of the lower second molar due to bone defect after third molar surgical removal. Patient referred suffering from recurrent pericoronities; after clinical and radiographic examination, the lower left 3rd molar is partially erupted and angulated in mesial direction. The radiograph shows there is bone deficiency on the distal of the adjacent 2nd molar. After 3rd molar surgical removal, cancellous bone graft placed on the socket with guided bone regeneration (GBR) procedure and complete primary closure with rotational flap. Patient follow-up after 3 and 6 months, bone formation observed on the distal of 2nd molar with the absence of periodontal pocket. Third molar socket bone grafting with cancellous allograft may be a predictable procedure to prevent periodontal pocket on the distal of the second molar. How to cite this article Aljuboori MJ, Saini R, Yi NY. Third Molar Socket Grafting after Surgical Extraction to prevent Periodontal Pocket Formation. Int J Experiment Dent Sci 2015;4(1):65-68.

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Prevention of Periodontal Pocket Formation after Mandibular Third Molar Extraction Using Dentin Autologous Graft: A Split Mouth Case Report

Case Reports in Dentistry ◽

10.1155/2020/1762862 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Alberto De Biase ◽

Giulia Mazzucchi ◽

Dario Di Nardo ◽

Marco Lollobrigida ◽

Giorgio Serafini ◽

...

Keyword(s):

Case Report ◽

Third Molar ◽

Periodontal Pocket ◽

Pocket Depth ◽

Second Molar ◽

The Third ◽

Third Molar Extraction ◽

Probing Pocket Depth ◽

Surgical Extraction ◽

A Minor

Surgical extraction of the third molar can often result in the development of a periodontal pocket distal to the second molar that could delay the healing, and the socket could be colonized by bacteria and lead to secondary abscesses, or it may cause mobility or hypersensitivity. The aim of this case report is to assess the efficacy of a dentin autograft in the prevention of periodontal dehiscences after the surgical extraction of the third molar, obtained by the immediate grinding of the extracted tooth. A healthy 18-year-old male patient underwent surgery of both impacted mandibular molars: right postextractive socket was filled with grinded dentin; then, the left one was filled with fibrin sponge. The patient was followed up for six months, and clinical and radiographic assessment were performed: measurements of plaque index (PI), bleeding on probing (BOP), gingival index (GI), clinical attachment level (CAL), and probing pocket depth (PPD) were done before surgery and repeated at 90 and 180 days after the extractions. Measurements made at six months after the surgery revealed that the grafted site was characterized by a minor depth of the pocket if compared with the nongrafted site, with no clinical/radiographic signs of complications.

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Evaluation of the Effect of Surgical Extraction of an Impacted Mandibular Third Molar on the Periodontal Status of the Second Molar—Prospective Study

Journal of Clinical Medicine ◽

10.3390/jcm10122655 ◽

2021 ◽

Vol 10 (12) ◽

pp. 2655

Author(s):

Magda Aniko-Włodarczyk ◽

Aleksandra Jaroń ◽

Olga Preuss ◽

Anna Grzywacz ◽

Grzegorz Trybek

Keyword(s):

Third Molar ◽

Difficulty Level ◽

Surgical Removal ◽

Wisdom Tooth ◽

Periodontal Status ◽

Second Molar ◽

Surgical Extraction ◽

Before And After ◽

The One ◽

The Impact

Dental injury to the second molar (SM) caused by the surgical extraction of the impacted third molar tends to be underestimated. The necessity of assessment of the impact of the removal of the wisdom tooth in the mandible on the second molar arose. The study group (n = 60) was the one with the second molar on the surgical side, and the control group (n = 60) was the one with the tooth on the opposite side of the alveolar arch. Before the surgery, the difficulty level was assessed according to the Pederson scale. The periodontal status of the SM was assessed by probing depth (PD), gingival index (GI), tooth mobility (TM) examination by the percussion method and resonance frequency. Measurements were taken before and after the surgery, 7 days and 8 weeks after the surgery. The study demonstrated the significant impact of the surgical removal of the wisdom tooth on the PD, GI and TM of the SM. The predicted degree of difficulty of the very difficult surgery had an influence on the increase in PD on the distal buccal and lingual surface of the SM, and on the GI in the proximity of the examined tooth. The results of the presented research confirm the necessity of the clinical assessment of the lower SM before and after the surgical removal of the impacted wisdom tooth in the mandible.

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Alveolar Preservation with Albumin and Gentamycin-Coated Allograft after Third Molar Tooth Removal: A Randomized Clinical Trial

Applied Sciences ◽

10.3390/app11020586 ◽

2021 ◽

Vol 11 (2) ◽

pp. 586

Author(s):

Fanni Minya ◽

Balint Trimmel ◽

Laszlo Simonffy ◽

Szabolcs Gyulai-Gaal ◽

Zsombor Lacza ◽

...

Keyword(s):

Third Molar ◽

Test Group ◽

Control Group ◽

Surgical Removal ◽

Second Molar ◽

Bone Level ◽

One Year ◽

Cbct Analysis ◽

Pocket Formation ◽

Tooth Removal

Alveolar preservation can minimize bone resorption after tooth removal and additional topical antibiotics might also be considered. The goal of this study was to observe alveolar preservation with albumin and gentamycin-coated allograft compared to unfilled control sockets after mandibular third molar removal. Twenty-two patients were involved, 11 in the control group and 11 in the test group. CBCT analysis and micromorphometric analysis were performed. After one year, graft integration was observed with remaining graft particles. Micromorphometric analysis showed increased density and lower trabeculae formation in the grafted group. The buccal height reduction of the alveolar ridge was significantly lower when alveolar preservation was applied (control: 2.54 ± 2.01 mm, graft: 1.37 ± 1.04 mm, p < 0.05). Horizontal bone loss prevention was not significant. At the distal site of the second molar, the marginal bone level (MBL) was significantly lower in the control group. At the control group, five pockets persisted from the eight initial and all healed in the graft group. Alveolar preservation improves bone formation, helps to preserve the buccal bone crest, and minimizes MBL loss and pocket formation on the adjacent teeth. Thus, it needs to be also considered after third molar surgical removal.

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Incidence of Periodontal Pocket Development in Distal Root of Mandibular Second Molar Following Impacted Third Molar Removal in Compare to Using Bone Graft & Platelet rich Plasma

International Journal of Psychosocial Rehabilitation ◽

10.37200/ijpr/v24i5/pr201685 ◽

2020 ◽

Vol 24 (5) ◽

pp. 219-224

Author(s):

Samer Salim Jaafer

Keyword(s):

Bone Graft ◽

Platelet Rich Plasma ◽

Third Molar ◽

Periodontal Pocket ◽

Second Molar ◽

Impacted Third Molar ◽

Mandibular Second Molar

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Influence of Surgical Flap Design (Envelope and Szmyd) for Removal of Impacted Mandibular Third Molars on Clinical Periodontal Parameters: A Clinical Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094465 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4465

Author(s):

Muhtada Ahmad ◽

Zafar Ali Khan ◽

Tahir Ullah Khan ◽

Montaser N. Alqutub ◽

Sameer A. Mokeem ◽

...

Keyword(s):

Third Molar ◽

Periodontal Pocket ◽

Third Molars ◽

Chi Square ◽

Pocket Depth ◽

Clinical Attachment Loss ◽

Exact Test ◽

Second Molar ◽

Third Molar Extraction ◽

Flap Design

The aim of the study was to assess the influence of flap designs (Envelope flap (EF) and Szmyd flap (SF)) for impacted mandibular third molar extraction, on periodontal pocket depth (PPD), clinical attachment loss (CAL) and bone levels (BL) of second molar. Sixty patients indicated for third molar extractions with healthy second molars were allocated into two groups: EF and SF (n = 30). Third molars were assessed for angulation, root patterns, depth of impactions and relation with ramus (Pell and Gregory classification). Extraction of third molars was performed and PPD, CAL and BL around second molars at 0, 3 and 6 month (mon) follow-ups (FU) were assessed clinically and radiographically. ANOVA, Chi-square and Fisher’s exact test were employed to compare periodontal factors between EF and SF groups, considering p ≤ 0.05 as significant. Sixty participants with a mean age of 23.22 ± 3.17 were included in the study. Based on angulation, the most common impaction in the EF and SF groups was mesio-angular (EF, 50%; SF, 36.7%). Buccal and distal PPD showed a significant increase (p < 0.001) in both EF and SF patients from baseline to 6 mon. EF patients showed significantly higher distal and buccal CAL (6.67 ± 0.18 mm; 6.91 ± 0.17 mm) and BL (7.64 ± 0.16 mm; 7.90 ± 0.15 mm) as compared to SF patients (CAL, 6.76 ± 0.26 mm; 6.91 ± 0.17 mm-BL, 7.42 ± 0.38 mm; 7.34 ± 0.34 mm) at 6 mon FU. SF showed better soft tissue attachment (PPD and CAL) and bone stability (less bone loss) around second molars compared to EF after third molar extractions regardless of the patient, tooth and operator factors.

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Comparison of Piezosurgery and Conventional Rotary Instruments for Removal of Impacted Mandibular Third Molars: A Randomized Controlled Clinical and Radiographic Trial

International Journal of Dentistry ◽

10.1155/2016/8169356 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 10

Author(s):

Hani Arakji ◽

Mohamed Shokry ◽

Nayer Aboelsaad

Keyword(s):

Statistical Significance ◽

Third Molar ◽

Test Site ◽

Surgical Removal ◽

Third Molars ◽

Randomized Controlled ◽

Surgical Extraction ◽

Impacted Mandibular Third Molars ◽

Mandibular Third Molars ◽

Bone Quantity

The purpose of this study was to test the effect of the surgical removal of impacted mandibular third molars using piezosurgery versus the conventional surgical technique on postoperative sequelae and bone healing.Material and Methods.This study was carried out as a randomized controlled clinical trial: split mouth design. Twenty patients with bilateral mandibular third molar mesioangular impaction class II position B indicated for surgical extraction were treated randomly using either the piezosurgery or the conventional bur technique on each site. Duration of the procedure, postoperative edema, trismus, pain, healing, and bone density and quantity were evaluated up to 6 months postoperatively.Results.Test and control sites were compared using pairedt-test. There was statistical significance in reduction of pain and swelling in test sites, where the time of the procedure was statistically increased in test site. For bone quantity and quality, statistical difference was found where test site showed better results.Conclusion.Piezosurgery technique improves quality of patient’s life in form of decrease of postoperative pain, trismus, and swelling. Furthermore, it enhances bone quality within the extraction socket and bone quantity along the distal aspect of the mandibular second molar.

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