Preservation and augmentation of molar extraction sites affected by severe bone defect due to advanced periodontitis: A prospective clinical trial

Clin Implant Dent Relat Res. 2018 Jun;20(3):333-344. doi: 10.1111/cid.12585. Epub 2018 Jan 29.

Abstract

Background: Studies of the extracted infected-molar ridge preservation are limited.

Purpose: To compare alterations of hard and soft tissue in infected-molar sockets receiving ridge preservation compared with natural healing.

Materials and methods: Thirty-five infected-molar extraction sites either preserving with Bio-Gide membrane covered the Bio-Oss material or receiving natural healing procedure as controls. The soft tissue profile was evaluated before tooth extraction and after 6-month healing. Cone-beam computed tomography scans were taken immediately and 6 months after extraction. Vertical and horizontal bone changes were assessed radiographically. Data were analyzed with Mann-Whitney U test and α = 0.05.

Results: No significant differences in soft tissue and vertical bone changes in the medium region of the sockets were found (P > .05). Buccal bone changes in the mesial and distal sites in the test group were significantly lower than the control group (P < .05). Ridge width increased from 0.21mm to 5.30mm at 1mm apical from the crest in the test and reduced from 0.12 mm to 1.00 mm in the control groups.

Conclusion: Ridge preservation at periodontally compromised molar extraction sites might compensate for ridge width and buccal bone resorption that occurs with natural healing alone.

Keywords: bone grafting; clinical trial; cone beam computed tomography; tooth extraction; xenograft.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Alveolar Bone Loss / diagnostic imaging
  • Alveolar Bone Loss / etiology*
  • Alveolar Bone Loss / pathology*
  • Alveolar Process / diagnostic imaging
  • Alveolar Process / pathology
  • Alveolar Ridge Augmentation / methods*
  • Bone Regeneration
  • Bone Substitutes / therapeutic use
  • Collagen / therapeutic use
  • Cone-Beam Computed Tomography
  • Dental Implantation, Endosseous
  • Dental Implants
  • Female
  • Humans
  • Male
  • Middle Aged
  • Minerals / therapeutic use
  • Molar / surgery*
  • Periodontitis / complications*
  • Periodontitis / pathology
  • Prospective Studies
  • Tooth Extraction*
  • Tooth Socket / diagnostic imaging
  • Tooth Socket / pathology*
  • Tooth Socket / surgery
  • Wound Healing

Substances

  • Bio-Gide
  • Bio-Oss
  • Bone Substitutes
  • Dental Implants
  • Minerals
  • Collagen