Figure 1 - available via license: Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International
Content may be subject to copyright.
Source publication
Background:
The alveolar process is a tooth-dependent structure, and hence, removal of teeth results in the alteration of alveolar process. To alter bone remodeling after dental extraction, various techniques have been put forward for ridge preservation.
Aim:
The aim of this study is to evaluate and compare the changes of hard and soft tissues i...
Contexts in source publication
Context 1
... procedures were done under local anesthesia. Following extraction, integrity of alveolar wall was confirmed using unc-15 periodontal probe [ Figure 1]. ...
Context 2
... of bone grafts, and collagen plug infusion. All these graft materials have depicted favorable results yielding. [10] With all these favorable and supporting studies, betatricalcium phosphate membrane was chosen for the present study, and this membrane use showed no postoperative complication in any of the patients of the two study groups. from http://www.jpbsonline.org on Saturday, November 26, 2022, IP: 62.182.129.142] Usually, resorption and healing of β-TCP particles are expected in 3-6 months after its placement as evident in literature. [11] Most of the β-TCP gets biodegraded by both osteoclastic activities and/or chemical dissolution of the molecule in the calcium and phosphate components followed by replacement with healthy bone. [10][11][12] ...
Similar publications
Objectives
To determine the clinico-radiographic efficiency of partially demineralized dentin matrix block (PDDM block), a mixture of PDDM with advanced-platelet-rich fibrin+ (A-PRF+) and injectable platelet-rich fibrin versus A-PRF+ alone in alveolar socket preservation.
Materials and Methods
Sixteen molar teeth indicated for extraction were rand...
Objective
The aim of the present randomized controlled trial (RCT) was to evaluate the efficacy of different alveolar ridge preservation (ARP) techniques on dimensional alterations after tooth extraction, based on clinical measurements.
Background
Alveolar ridge preservation (ARP) is a common procedure in every day clinical practice, when dental i...
Background
Changes in alveolar bone dimension after tooth extraction may affect placement of the subsequent implant, resulting in ridge deficiency that can adversely impact long-term implant stability or aesthetics. Alveolar ridge preservation (ARP) was effective in reducing the amount of ridge resorption following tooth extraction. There is sparse...
This prospective clinical study aimed to evaluate the peri-implant hard tissue dimensional change at 6 months of immediate implant placement with bone graft materials in the posterior area using cone-beam computed tomography (CBCT). Twelve dental implants were placed concurrently following tooth extraction in the posterior area and filled with xeno...
The purpose of this retrospective study was to evaluate bone healing after autogenous demineralized dentin matrix (DDM) grafts, focusing on the distal root of the mandibular second molar after the extraction of the third. We included retrospective data from 20 patients who had undergone molar extractions (15 male, 41.9 ± 12.0 years) between January...
Citations
... The article [39] describes an experiment in which 40 patients took part. There were 2 groups of 20 people each: control group (no treatment was carried out after tooth extraction); experimental (beta-tricalcium phosphate was used). ...
Aim. To analyze different methods of socket preservation. This procedure plays important role in the placement of implants, since due to this procedure, the bone that was left after the tooth extraction is going to be preserved. Also this procedure promote bone formation that is very significant for the reliable placement of implants. Materials and methods. Was produced the study of the publications from PubMed, Cyberleninka , Google Scholar during the systematic review of the literature.Selected and included articles, the content of which concerns different methods of the socket preservation and their role on the bone tissue. Results: 78 publications were reviewed. After analyzing the literature for inclusion criteria, the total number of publications has become 50. Conclusions. According to the analyzed data, there are different methods of the socket preservation that lead to a successful result. However there are some methods that lead to a deterioration result for some patients. Therefore, at this moment investigating different methods of the socket preservation is not ended.
... 4 Immediately after tooth extraction, many techniques have been used to preserve or augment the extraction defects. 5,6 Dimensional bone and soft tissue alterations post-extraction in esthetic sites are of particular clinical relevance. 7 It has been documented that placement of implants into fresh extraction sockets with a bone-toimplant gap of 2 mm or less would prevent remodeling and hence maintain the original shape of the ridge. ...
Objective This study aimed to provide an inclusive comparison between the peri-implant phenotype of immediately placed in fresh extraction socket one-piece and two-piece implants with immediate loading in the anterior region.
Materials and Methods Twenty-two patients with a mean age of 36 ± 4.6 (4 males and 18 females)) were randomly allocated to the one-piece and the two-piece groups. Each patient had one immediate implant placement with immediate loading by provisional restorations. Gingival Index, Peri-implant Probing depth, Papilla Presence Index, and, Implant Quality Score were recorded at 3, 6, 9 months, and 18 months. Cone beam computerized tomography is utilized to assess peri-implant bone for 1 year.
Statistical analysis A two-sample t-test was used to compare the two groups.
Results Both groups showed similar clinical presentations. For group two, Gingival Index, Papilla Presence Index, Peri-implant Index, Implant Quality Score, and eri-implant bone level showed statistically significant improvement. Group one showed a non-significant increase in bone density.
Conclusions The peri-implant phenotype showed more predictable treatment outcomes in the context of health and esthetics in two-pieces than in one-piece.
Alveolar ridge preservation (ARP) procedures play a pivotal role in maintaining bone volume and architecture following tooth extraction, thereby facilitating optimal conditions for future dental implant placement. This study aims to evaluate both patient satisfaction and clinical success rates associated with various alveolar ridge preservation techniques. A comprehensive review of the literature was conducted to identify studies assessing patient-reported outcomes and clinical success rates following alveolar ridge preservation procedures. Key parameters such as patient satisfaction, implant success rates, bone regeneration, and complication rates were analyzed. The findings reveal that patients undergoing alveolar ridge preservation procedures consistently reported high levels of satisfaction with their treatment outcomes. Factors contributing to patient satisfaction included preservation of esthetics, minimized postoperative discomfort, and improved function. Moreover, clinical success rates, as indicated by implant survival and osseointegration, were consistently high across different ARP techniques. Various alveolar ridge preservation techniques, including socket preservation with bone grafts, guided bone regeneration, and use of growth factors, demonstrated favorable outcomes in terms of both patient satisfaction and clinical success rates. Additionally, advancements in biomaterials and surgical techniques have further enhanced the predictability and efficacy of ARP procedures. Challenges such as potential complications and variability in treatment outcomes were also discussed, emphasizing the importance of patient selection and meticulous surgical technique. Overall, the findings underscore the significance of alveolar ridge preservation in achieving optimal patient outcomes and long-term success in implant dentistry. This study highlights the need for continued research and refinement of alveolar ridge preservation techniques to further improve patient satisfaction and clinical outcomes in implant dentistry.
Xenograft materials derived from natural sources, such as bovine or porcine bone, have been extensively utilized in bone regeneration procedures due to their biocompatibility and osteoconductive properties. This review focuses on elucidating the cellular mechanisms underlying bone regeneration in xenograft applications. A comprehensive analysis of the literature was conducted to identify studies investigating the cellular responses to xenograft materials during bone regeneration. Key cellular mechanisms, including osteoinduction, osteoconduction, and angiogenesis, were examined in detail. The findings highlight the crucial role of osteoblasts, osteoclasts, and mesenchymal stem cells in the process of bone formation and remodeling following xenograft implantation. Xenograft materials serve as scaffolds for cell attachment, proliferation, and differentiation, thereby promoting new bone formation. Moreover, xenograft-induced angiogenesis plays a vital role in supplying nutrients and oxygen to the regenerating bone tissue, facilitating its growth and maturation. The interaction between host cells and xenograft materials stimulates the release of growth factors and cytokines, further enhancing the regenerative process. Advancements in molecular biology and tissue engineering have provided insights into the signaling pathways and gene expression profiles associated with xenograft-mediated bone regeneration. Understanding these cellular mechanisms is essential for optimizing xenograft applications and improving treatment outcomes in bone augmentation and reconstruction procedures. In conclusion, elucidating the cellular mechanisms of bone regeneration in xenograft applications offers valuable insights into the biological processes underlying successful bone tissue engineering. Continued research in this field holds promise for the development of novel xenograft materials and therapeutic strategies to enhance bone regeneration in clinical settings.
This study aimed to compare the histological characteristics of bovine-derived xenografts processed using different methods for potential use in bone regeneration procedures. Bovine bone xenografts were subjected to various processing techniques, including freeze-drying, deantigenation, demineralization, and decellularization. Histological evaluation was performed to assess bone architecture, cellularity, vascularization, and the presence of residual material. Results revealed distinct histological features associated with each processing method. Freeze-drying resulted in well-preserved bone architecture and minimal disruption of the extracellular matrix. Deantigenation techniques demonstrated reduced immunogenicity with minimal residual antigens. Demineralization methods effectively removed mineral content, promoting enhanced osteoconductivity. Decellularization processes exhibited decreased cellular content, reducing the risk of immune rejection. Overall, histological evaluation provided valuable insights into the effects of different processing methods on bovine-derived xenografts. These findings contribute to our understanding of the optimal processing techniques for xenograft materials in bone regeneration applications. Further research is warranted to correlate histological findings with clinical outcomes and establish guidelines for the selection of processing methods based on specific therapeutic objectives.
Alveolar ridge preservation (ARP) techniques have become increasingly important in modern dentistry, aiming to maintain bone volume and architecture following tooth extraction. This study focuses on conducting a biomechanical analysis of various alveolar ridge preservation techniques to evaluate their effectiveness in preserving the structural integrity of the alveolar ridge. A systematic review of the literature was conducted to identify studies that employed biomechanical analyses to evaluate different ARP techniques. Parameters such as bone density, bone quality, bone-implant interface strength, and stress distribution were examined. The findings reveal that ARP techniques, including socket preservation with bone grafts, guided bone regeneration, and the use of growth factors, contribute to the preservation of bone density and quality in the alveolar ridge. Biomechanical analyses demonstrate improved bone-implant interface strength and more favorable stress distribution patterns in preserved ridges compared to non-preserved sites. Furthermore, advancements in biomaterials and surgical techniques have led to the development of ARP methods that enhance biomechanical stability and facilitate successful implant placement. However, challenges such as variability in bone healing and potential complications associated with graft materials were also identified. The study emphasizes the importance of biomechanical analyses in evaluating the efficacy and long-term stability of ARP techniques. Understanding the biomechanical principles underlying these techniques is crucial for optimizing treatment outcomes and minimizing complications in implant dentistry. In conclusion, the biomechanical analysis of alveolar ridge preservation techniques provides valuable insights into their effectiveness in maintaining the structural integrity of the alveolar ridge. Continued research in this area is essential to further refine ARP methods and enhance patient outcomes in implant dentistry.
Minimally Invasive Tooth Extraction (MITE) techniques have revolutionized dental practice, aiming to preserve surrounding bone and soft tissue while achieving atraumatic extraction. This paper explores the principles and typAes of MITE, including the Socket Shield Technique, Piezoelectric Extraction, and Minimally Invasive Flapless Extraction, emphasizing their significance in preserving alveolar ridge integrity.
Ridge Preservation post-extraction is paramount to maintaining bone volume and density, crucial for future implant placement. Various methods such as Socket Preservation with Bone Grafts, Barrier Membranes, and Platelet-Rich Fibrin (PRF) Therapy are discussed in detail, highlighting their benefits in preserving alveolar ridge dimensions.
Clinical applications and considerations encompass patient selection, preoperative assessment, surgical techniques, and management of complications. Case studies demonstrate the efficacy of MITE and Ridge Preservation techniques, showcasing positive clinical outcomes and implant success rates.
The paper also delves into future directions and innovations, including emerging technologies and the integration of digital dentistry. In conclusion, the significance of Minimally Invasive Techniques in Tooth Extraction and Ridge Preservation is underscored, urging continued research and education for dental practitioners to advance patient care and outcomes.
Alveolar ridge preservation techniques play a significant role in preventing the resorption of the alveolar ridge after tooth extraction, thereby maintaining favorable ridge dimensions for subsequent dental implant placements. However, assessing the long-term effectiveness of these techniques requires comprehensive and extended follow-up studies. This abstract aims to explore the importance of long-term follow-up in evaluating the outcomes of alveolar ridge preservation and dental implant treatments. The stability of ridge dimensions over time is a crucial factor in determining the success of alveolar ridge preservation. Studies have investigated dimensional changes in the preserved ridge, comparing various preservation methods and evaluating their long-term effectiveness. These investigations have provided valuable insights into the ability of these techniques to maintain ridge width and height over an extended period. Furthermore, the success of subsequent dental implant placements relies on the preserved ridge's stability and favorable bone conditions. Long-term studies have assessed implant survival rates, osseointegration, and patient satisfaction to determine the efficacy of ridge preservation techniques. Comparative analyses have also been conducted to compare implant outcomes with and without prior ridge preservation. Various factors influence the long-term outcomes of alveolar ridge preservation techniques, including patient-related factors such as bone quality and systemic health conditions. Additionally, surgical techniques and the choice of grafting materials can impact the stability of the preserved ridge. These factors must be considered when evaluating long-term results. However, limitations and challenges exist in conducting long-term follow-up studies. Variability in study designs and methodologies, as well as the lack of standardized protocols, pose challenges to comparing and generalizing findings across studies. Ethical considerations and patient compliance also play crucial roles in conducting long-term studies. In conclusion, long-term follow-up is essential for assessing the effectiveness of alveolar ridge preservation techniques and subsequent dental implant placements. Extensive research has been conducted to evaluate the stability of ridge dimensions and the success of implant treatments over an extended period. Future research should focus on standardizing protocols, improving study designs, considering patient-related factors, and exploring novel materials and surgical approaches to further enhance long-term outcomes.
Dental implantology has revolutionized the field of restorative dentistry by offering a reliable solution for tooth replacement. However, successful dental implant placement relies heavily on the preservation of the alveolar ridge, the bony structure that supports the teeth. This abstract aims to emphasize the vital connection between alveolar ridge preservation and dental implantology, highlighting the impact of ridge dimensions and the role of graft materials in achieving optimal implant outcomes. Alveolar ridge preservation techniques are essential to maintain the integrity and dimensions of the ridge following tooth extraction. By preventing ridge resorption, these techniques ensure the availability of sufficient bone volume and architecture required for successful implant placement. Without proper ridge preservation, implant stability, osseointegration, and long-term implant success can be compromised. The dimensions of the alveolar ridge play a crucial role in determining the success of dental implant placement. Sufficient horizontal and vertical ridge dimensions provide a stable foundation for implant placement and optimal implant support. In cases where ridge volume is inadequate, the utilization of graft materials becomes imperative. Graft materials act as scaffolds, facilitating new bone formation and enhancing osseointegration. They help maintain ridge dimensions, prevent ridge collapse and resorption, and improve implant stability. Selecting the appropriate graft materials is paramount. Factors such as biocompatibility, resorbability, and handling characteristics must be considered. With advancements in the field, emerging trends like guided bone regeneration, tissue engineering, and 3D-printed graft materials offer the potential for further enhancing bone regeneration and optimizing implant outcomes. The integration of growth factors, biologics, and digital dentistry technologies also holds promise for improving treatment planning, precision, and patient-specific care. Understanding the connection between alveolar ridge preservation and dental implantology is crucial for dental professionals. By recognizing the significance of ridge dimensions and the role of graft materials, clinicians can ensure optimal implant outcomes and patient satisfaction. Furthermore, ongoing research and innovation in the field are expected to lead to even more remarkable advancements, providing improved long-term implant survival rates and enhanced patient care in the future.
This abstract summarizes the findings and conclusions of comparative studies evaluating the effectiveness of various graft materials and processing techniques for alveolar ridge preservation, while also comparing them with the results of a feasibility clinical trial. Alveolar ridge preservation is crucial for successful dental implant placement after tooth extraction. The comparative studies consistently demonstrate that autogenous bone grafts and allografts are effective in preserving the alveolar ridge, while synthetic materials show less favorable outcomes and xenografts yield varying results. Specific processing techniques, such as demineralized freeze-dried bone allografts (DFDBA) and platelet-rich fibrin (PRF) or platelet-rich plasma (PRP) in combination with grafting materials, show potential benefits. The feasibility clinical trial aligns with the comparative studies by supporting the use of autogenous bone grafts, but it may offer additional insights on other graft materials or processing techniques. This collective evidence highlights the importance of selecting appropriate graft materials and processing techniques for alveolar ridge preservation, with autogenous bone grafts and allografts being the preferred options. Further research is warranted to optimize processing techniques, investigate long-term outcomes, and explore novel graft materials or advancements in graft processing methods. This evidence contributes to improving dental implant outcomes and enhancing patient care in alveolar ridge preservation procedures.
