Validity of Collagen Plugs for Ridge Preservation in a Canine Model

Implant Dent. 2017 Dec;26(6):892-898. doi: 10.1097/ID.0000000000000696.

Abstract

Purpose: The purpose of the present study was to evaluate healing outcomes after collagen plug insertion in extraction-related defects.

Materials and methods: The third and fourth mandibular premolars in canines were extracted, and the septal bone was removed. The following treatments were performed for the defects: porcine atelo-collagen plug, bovine atelo-collagen plug, and no intervention (control). The experimental animals were killed after 6, 12, or 24 weeks (n = 4, respectively). Histologic and histomorphometric analyses were performed.

Results: Clinical healing was uneventful, and no difference was detected among the 3 groups. Histologically, similar healing patterns were observed in all groups. Gingival healing was complete at 6 weeks, but discontinuity in the buccal crestal bone was observed. At 12 weeks, various degrees of buccal bone depression and increase in bone marrow were observed. At 24 weeks, no further healing was observed. Histomorphometrically, the ridge width at 1, 3 and 5 mm levels below the crest and the ridge dimensions 1, 3, and 5 mm above the level were not statistically different among groups or healing periods.

Conclusion: The healing following the use of collagen plug in the extraction socket may correspond to the natural healing after extraction.

MeSH terms

  • Alveolar Ridge Augmentation / methods*
  • Animals
  • Bicuspid / surgery
  • Cattle
  • Collagen / therapeutic use*
  • Dogs
  • Mandible / surgery
  • Random Allocation
  • Swine
  • Tooth Extraction
  • Wound Healing / physiology

Substances

  • Collagen