scholarly journals Comparison of Ability of Platelet-rich Fibrin vs CollaPlug in maintaining the Buccal Bone Height of Sockets following Extractions in 20 Patients

2017 ◽  
Vol 8 (1) ◽  
pp. 1-6
Author(s):  
Madhumati Singh ◽  
G Madhan

ABSTRACT Introduction The preservation of bone volume immediately after tooth removal is necessary to optimize the success of implant placement in terms of esthetics and function. The objectives of this study were to compare the ability of Choukroun's platelet-rich fibrin (PRF) versus CollaPlug (Zimmer) in maintaining the buccal bone height of sockets following extractions in patients. Materials and methods Twenty patients who required tooth extraction and implant placement were enrolled in this study. The patients were randomly divided into two groups. They are group I PRF group and group II CollaPlug group. The vertical buccal crestal bone heights were measured immediately after extraction and 4 months postextraction and implants were placed. Results The buccal crestal bone level in the CollaPlug group had a baseline mean of 4.67 ± 0.54 and a postmean of 6.98 ± 0.60, whereas in the PRF group baseline mean was 5.43 ± 0.47 and postmean was 6.93 ± 0.55. The bone resorption was found in both the groups (2.31 mm for CollaPlug and 1.5 mm for PRF), in agreement with previous studies. However, there was increased bone loss in CollaPlug group compared with PRF group, which was found statistically significant. Conclusion In conclusion, within the limits of the present study, the two tested socket preservation materials seem to be effective in the treatment of extraction sockets, even though the design of the study did not allow us to evaluate to what extent the clinical improvement could be attributed to the PRF per se, since a negative control was not included in this investigation. However, preparation of PRF is not very cumbersome and inexpensive, which makes it a better socket preservation material than CollaPlug. How to cite this article Madhan G, Singh M. Comparison of Ability of Platelet-rich Fibrin vs CollaPlug in maintaining the Buccal Bone Height of Sockets following Extractions in 20 Patients. J Health Sci Res 2017;8(1):1-6.

2017 ◽  
Vol 8 (1) ◽  
pp. 1-6
Author(s):  
Madhumati Singh ◽  
G Madhan

ABSTRACT Introduction The preservation of bone volume immediately after tooth removal is necessary to optimize the success of implant placement in terms of esthetics and function. The objectives of this study were to compare the ability of Choukroun’s platelet-rich fibrin (PRF) versus CollaPlug (Zimmer) in maintaining the buccal bone height of sockets following extractions in patients. Materials and methods Twenty patients who required tooth extraction and implant placement were enrolled in this study. The patients were randomly divided into two groups. They are group I PRF group and group II CollaPlug group. The vertical buccal crestal bone heights were measured immediately after extraction and 4 months postextraction and implants were placed. Results The buccal crestal bone level in the CollaPlug group had a baseline mean of 4.67 ± 0.54 and a postmean of 6.98 ± 0.60, whereas in the PRF group baseline mean was 5.43 ± 0.47 and postmean was 6.93 ± 0.55. The bone resorption was found in both the groups (2.31 mm for CollaPlug and 1.5 mm for PRF), in agreement with previous studies. However, there was increased bone loss in CollaPlug group compared with PRF group, which was found statistically significant. Conclusion In conclusion, within the limits of the present study, the two tested socket preservation materials seem to be effective in the treatment of extraction sockets, even though the design of the study did not allow us to evaluate to what extent the clinical improvement could be attributed to the PRF per se, since a negative control was not included in this investigation. However, preparation of PRF is not very cumbersome and inexpensive, which makes it a better socket preservation material than CollaPlug. How to cite this article Madhan G, Singh M. Comparison of Ability of Platelet-rich Fibrin vs CollaPlug in maintaining the Buccal Bone Height of Sockets following Extractions in 20 Patients. J Health Sci Res 2017;8(1):1-6.


Author(s):  
Rubén Agustín-Panadero ◽  
Irene Bermúdez-Mulet ◽  
Lucía Fernández-Estevan ◽  
María Fernanda Solá-Ruíz ◽  
Rocío Marco-Pitarch ◽  
...  

Introduction: The aim of this retrospective study was to analyze the radiographic peri-implant bone loss of bone level implants and tissue level implants with a convergent neck in screw-retained single crowns and in screw-retained fixed partial prostheses, after two years of functional loading. Materials and methods: The sample was divided into two groups according to their type: Group I: supracrestal implants with convergent transmucosal neck; Group II: crestal implants. In each group we distinguish two subgroups according to the type of prosthetic restoration: single crowns and a three-piece fixed partial prosthesis on two implants. To quantify bone loss, parallelized periapical radiographs were analyzed at the time of implant placement and after two years of functional load. Results: A total of 120 implants were placed in 53 patients. After statistical analysis it was observed that for each type of implant bone loss was 0.97 ± 0.91 mm for bone level and 0.31 ± 0.48 mm for tissue level. No significant differences were found regarding the type of prosthesis and the location (maxilla or mandible) of the implants. Conclusions: Tissue level implants with a convergent transepithelial neck exhibit less peri-implant bone loss than bone level implants regardless of the type of prosthesis.


2016 ◽  
Vol 10 (02) ◽  
pp. 264-276 ◽  
Author(s):  
Swati Das ◽  
Rajesh Jhingran ◽  
Vivek Kumar Bains ◽  
Rohit Madan ◽  
Ruchi Srivastava ◽  
...  

ABSTRACT Objectives: This study was primarily designed to determine the clinico-radiographic efficacy of platelet-rich fibrin (PRF) and beta-tri-calcium phosphate with collagen (β-TCP-Cl) in preserving extraction sockets. Materials and Methods: For Group I (PRF), residual sockets (n = 15) were filled with autologous PRF obtained from patients’ blood; and for Group II (β-TCP-Cl), residual sockets (n = 15) were filled with β-TCP-Cl. For the sockets randomly selected for Group II (β-TCP-Cl), the reshaped Resorbable Tissue Replacement cone was inserted into the socket. Results: Clinically, there was a significantly greater decrease in relative socket depth, but apposition in midcrestal height in Group II (β-TCP-Cl) as compared to Group I (PRF), whereas more decrease in buccolingual width of Group I (PRF) than Group II (β-TCP-Cl) after 6 months. Radiographically, the mean difference in socket height, residual ridge, and width (coronal, middle, and apical third of socket) after 6 months was higher in Group I (PRF) as compared to Group II (β-TCP-Cl). The mean density (in Hounsfield Units) at coronal, middle, and apical third of socket was higher in Group I (PRF) as compared to Group II (β-TCP-Cl). There were statistically significant apposition and resorption for Group I (PRF) whereas nonsignificant resorption and significant apposition for Group II (β-TCP-Cl) in buccal and lingual/palatal cortical plate, respectively, at 6 months on computerized tomography scan. Conclusion: The use of either autologous PRF or β-TCP-Cl was effective in socket preservation. Results obtained from PRF were almost similar to β-TCP-Cl; therefore being autologous, nonimmune, cost-effective, easily procurable regenerative biomaterial, PRF proves to be an insight into the future biofuel for regeneration.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 358-362
Author(s):  
Rinieshah Nair R Baskran ◽  
Rajendra Prabhu Abhinav ◽  
Murugaiyan Arun ◽  
Balaji Ganesh S

Dental implants provide a strong foundation for fixed or removable prosthetic teeth that are made to match natural dentition. It has become an ideal method of oral rehabilitation after missing natural dentition has been recognised as a reliable tool for dental reconstruction and aesthetics. Marginal bone loss is characterized by a reduction in bone loss is characterized by a reduction in bone level both vertically and horizontally. The levels at which dental implants are placed include sub-crystal, equi-crestal, and supra-crestal. The crestal levels affect bone height significantly. Failure to do so will lead to peri-implant bone loss which will affect the implant function and ultimately implant failure. A retrospective study was conducted based on a university setting. 615 patients with 1141 implant sites were reviewed from June 2019 to March 2020. Excel tabulation and SPSS analysis were done for data analysis. There was a statistically significant difference between the variables that included tooth region, crestal relation and site (jaw)—[p-value<0.05] The most common crestal relation of implant placement is equi-crestal implant placement. The assessment of trends of implant placement in relation to crestal bone level shows that equi-crestal implant is the most preferred crestal relation of implant placement in Saveetha Dental College.


Author(s):  
Rejina Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali ◽  
Anand Verma

The resorption of the alveolar ridge is an inevitable phenomenon after tooth extraction and continues throughout the lifespan of an individual. Socket preservation, hard and soft tissue augmentation procedures are indicated to compensate alveolar bone resorption. Compensation can also be done by masking with acrylic flanges, pink porcelain and gingival veneers. However, procedures to preserve the bone anticipatory to the loss after extraction should be prioritised. This paper reports a case of fractured non-vital tooth where root submergence technique was done. A follow-up at 6 months presents intact bone aiding in the aesthetics and function of the prosthesis.


2013 ◽  
Vol 587 ◽  
pp. 325-330 ◽  
Author(s):  
Cena Dimova

Jaw deformities from tooth removal can be prevented and repaired by a procedure called socket preservation. Socket preservation can greatly improve the smile’s appearance and increase the chances for successful dental implants for years to come. The procedure begins with atraumatic tooth extraction. Every attempt is made to preserve the surrounding bone and soft tissue, with an emphasis on being careful not to fracture the delicate buccal plate. There are a number of techniques and instruments that aid in this process. In general, one never wants to elevate so that force is directed toward the buccal plate. Once the tooth is extracted, all the granulation tissue is removed from the socket. It is important that good bleeding is established in the socket. Next, a bone graft material is placed into the socket.Various materials are used in modern dental and maxillofacial surgery for bone tissue substitution and reconstruction. All osteoplastic materials can be divided into four groups by origin: autogenic, allogenic, xenogenic and synthetic. The development of new medical technologies enables use of achievements in material science, biochemistry, molecular biology and genetic engineering while creating new combined synthetic materials for bone grafting. Mineralized cancellous bone is appropriate for most socket preservation cases.Synthetic resorbable materials were intended as an inexpensive substitute for natural hydroxyapatite. Synthetic graft materials include various types of calcium phosphate ceramics: tribasic calcium phosphate; bioglass; hydroxyapatite and its compositions with collagen, sulphated glycosaminoglycans such as keratan and chrondroitin sulphate as well as with sulphate and calcium phosphate.After the graft material is placed in the socket, it is then covered with a resorbable or non-resorbable membrane and sutured. Primary flap closure is not ideal. Most importantly, socket preservation helps to maintain the alveolar architecture. Socket preservation significantly reduces the loss of ridge width and height following tooth removal.


2021 ◽  
Vol 7 (3) ◽  
pp. 143-150
Author(s):  
Sunny Sharma ◽  
Ramandeep Singh ◽  
Sonali Sharma ◽  
Sakshi Khajuria ◽  
Chander Udhey ◽  
...  

Recently, immediate implant placement has rapidly gained popularity as this procedure definitively shortens the duration of the treatment, reduces the number of surgical sessions, and minimizes the discomfort of patients. However, the clinical effectiveness of immediate implantation in the molar regions has rarely been challenged. It has been reported that immediate implant placement does not seem to counteract alveolar ridge alteration and reconstruction after tooth extraction.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Shaimaa M. Fouda ◽  
Passant Ellakany ◽  
Marwa Madi ◽  
Osama Zakaria ◽  
Fahad A. Al-Harbi ◽  
...  

Objective. To determine the morphological features in the anterior mandibular region, the presence of lingual foramen and canal dimensions in Saudi subjects that would interfere with standard implant placement. Methods. CBCT scans of patients seeking implant treatment were examined. Based on the dentition status, patients were categorized into edentulous (group I) and dentulous (group I). On the panoramic view, the distance between the two mental foramina was divided into vertical segments of 10 mm width. In each segment, vertical bone height and buccolingual thickness at three levels (alveolar crest, 5 mm, and 10 mm apical to the crest) were assessed. The lingual foramen prevalence and canal features were assessed as well. Comparisons between the two groups regarding the assessed parameters were performed using the t-test. The percentage of edentulous mandibles with thickness <6 mm corresponding to the standard implant diameter was also calculated. Results. Following the inclusion and exclusion criteria, group I consisted of 45 subjects and group II comprised 26 subjects. Bone height and thickness at the crestal level were significantly less in edentulous (I) than dentate mandibles (II) ( P < 0.0001 ). The lingual foramen was detected in 90% of patients. In both groups, males had significantly greater mandibular height than females ( P = 0.02 and 0.005). At the crestal level, the thickness was <6 mm in 50% of the anterior mandibular segments. Conclusion. Half of the edentulous patients may receive normal size implants in the anterior interforaminal segments, while the other half will be limited to narrow implants (3.5 mm and less). The lingual foramen location, canal size, and position may represent another limitation for implant placement in that segment.


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