Biomaterials, Год журнала: 2024, Номер 317, С. 123077 - 123077
Опубликована: Дек. 31, 2024
Язык: Английский
Journal of Periodontology, Год журнала: 2025, Номер unknown
Опубликована: Янв. 27, 2025
Abstract Background The clinical evidence about alveolar ridge changes following molar extraction and how the bone morphology influences dimensional remains limited. Methods A total of 192 patients with 199 extractions were included in this retrospective study. Cone‐beam computed tomography (CBCT) images obtained 0–3 months pre 6–12 post extraction. Outcome variables change rate height width. effect on outcomes was explored by single‐factor analysis, correlation a multiple linear regression model. Results Significant resorption occurred vertically horizontally after Jaw, furcation involvement, number roots, wall defects, reasons, overall relative loss (RBL), region, thickness lingual/palatal wall, difference between buccal walls (|HB‐HL|) significantly correlated central (HC). RBL, |HB‐HL| horizontal width change. HC higher sockets > 2.5 mm RBL 50%. Conclusions presented significant Anatomical characteristics affected dimensions When initial severe or larger, even more. Plain Language Summary In recent years, it has been demonstrated that local anatomical sites may influence process remodeling. However, most studies have focused anterior teeth, fewer investigations addressing sites. Therefore, we aimed to describe investigate changes. study, from corresponding cone‐beam results showed We found affect Specifically, greater when (RBL) greater.
Язык: Английский
Процитировано
1
Periodontology 2000, Год журнала: 2024, Номер unknown
Опубликована: Сен. 30, 2024
Abstract In order to evaluate the therapeutic advantages of various autologous platelet concentrates (APC) as a single biomaterial during alveolar ridge preservation (ARP), systematic review with meta‐analyses was conducted. PubMed, EMBASE, Web Science, and Scopus were screened for randomized controlled trials (RCTs) that released prior 2024. The selected papers compared an APC either unassisted healing (blood clot) or another ARP (third molars not included). outcome parameters included bone dimension alterations, soft tissue healing, post‐op pain intensity. search yielded 35 (33 studies), one applying platelet‐rich plasma (PRP), six using rich in growth factors (PRGF), 28 leukocyte‐ fibrin (L‐PRF). These studies showed large heterogeneity (e.g., parameters, timing, surgical approach, inclusion criteria), which hindered drawing strong conclusions. most studies, however, PRP, PRGF, L‐PRF alone produced faster less post‐extraction pain, resorption, more socket fill, higher density when (spontaneous) healing. ultimate benefit appears be significantly influenced by approach. Limited literature exists comparing other biomaterials ARP, resulting inconclusive data. application is promising strategy improve hard reduce pain.
Язык: Английский
Процитировано
6
Clinical Implant Dentistry and Related Research, Год журнала: 2023, Номер 26(2), С. 356 - 368
Опубликована: Дек. 17, 2023
Abstract Objectives To assess both the radiographic and profilometric outcomes of early implant placement with or without alveolar ridge preservation (ARP) (using two different ARP techniques) after 1 year loading. Materials Methods Seventy‐five patients a failing single tooth in anterior maxilla were randomly allocated to three groups (1:1:1): (a) using demineralized bovine bone mineral containing 10% collagen (DBBM‐C) covered by matrix (CM), (b) DBBM‐C palatal graft (PG), (c) unassisted socket healing (control). Eight weeks extraction, was performed all patients. Cone‐beam computed tomography (CBCT) impressions taken 8 extraction (ARP/unassisted healing) prior 1‐year post‐loading. Radiographic evaluated. Results Out 70 available for re‐examination at post‐loading, 55 datasets could be assessed (ARP‐CM 19; ARP‐PG 17; Control 19). The need additional guided regeneration (GBR) amounted 31.6% (ARP‐CM), 29.4% (ARP‐PG), 68.4% (unassisted healing). Adjusted models revealed that residual buccal height GBR significantly influenced magnitude changes ( p < 0.05). In (group ARP‐CM ARP‐PG) GBR, presence convexity 36.0% (9/25) For received placement, frequency increased 72.7% (8/11) = 0.042). Regarding measurements, tendency toward agreement observed. Conclusions Early can attenuate post loading minimizing alterations. However, simultaneous consistently yields superior outcomes, regardless whether is performed.
Язык: Английский
Процитировано
11
Clinical Oral Implants Research, Год журнала: 2024, Номер 35(11), С. 1452 - 1466
Опубликована: Авг. 6, 2024
Examine the histomorphometric bone composition, following alveolar ridge preservation techniques and unassisted socket healing.
Язык: Английский
Процитировано
4
International Journal of Implant Dentistry, Год журнала: 2024, Номер 10(1)
Опубликована: Окт. 9, 2024
Ridge preservation is essential to restore alveolar ridge volume and enhance esthetic functional outcomes for dental implants. The addition of hyaluronic acid allogeneic bone substitute materials might these outcomes. This clinical study evaluated the efficacy after tooth extraction using granular allografts with without addition.
Язык: Английский
Процитировано
4
Clinical Oral Implants Research, Год журнала: 2024, Номер unknown
Опубликована: Окт. 21, 2024
ABSTRACT Objective The present trial evaluated the first‐time application of autogenous demineralized dentin graft with injectable platelet‐rich fibrin (ADDG + i‐PRF) versus (ADDG), in alveolar ridge preservation (ARP) maxillary aesthetic zone. Material and Methods Twenty‐two ( n = 22) non‐molar teeth indicated for extraction were randomized into two groups 11/group). Extracted prepared ADDG, implanted sockets or without i‐PRF amalgamation covered by collagen sponge. Cone‐beam computed tomography scans at baseline 6 months compared to assess ridge‐dimensional changes. Keratinized tissue width, patient satisfaction, pain score chair time recorded. In course dental implant placements months, bone core biopsies engrafted sites obtained analysed histomorphometrically. Results Reduction width was 1.71 ± 1.08 1.8 1.35 mm, while reduction height 1.11 0.76 0.96 mm ADDG respectively p > 0.05). Significant differences keratinized notable between (0.12 0.34 0.58 respectively; 0.008). Postoperative scores significantly lower 0.012). All patients satisfied no No total percentage area newly formed bone, soft particles observed Conclusions alone combination yields similar results regarding ARP clinically, quality osseous tissues, as well patients' satisfaction. Yet, addition tends preserve lessen postoperative pain.
Язык: Английский
Процитировано
4
Bioactive Materials, Год журнала: 2024, Номер 46, С. 97 - 117
Опубликована: Дек. 10, 2024
Язык: Английский
Процитировано
4
Bioengineering, Год журнала: 2024, Номер 11(6), С. 566 - 566
Опубликована: Июнь 3, 2024
Background: Over time, numerous surgical procedures and biomaterials have been proposed for the reconstruction of post-extraction bone defects, each with their advantages disadvantages. The main objective this study was to evaluate dimensional changes in alveolar 3 months after tooth extraction, before implant planning, comparing ridge preservation (ARP) spontaneous healing. Methods: A total 84 patients non-restorable molars were included study. Forty-two received ARP advanced platelet-rich fibrin (A-PRF) healing evaluated these patients. Cone beam computed tomography (CBCT) analysis performed intervention used determine vertical horizontal dimensions produced extraction. Results: CBCT measurements showed reduction both size groups. For group, parameters (height, width) higher compared control group. percentage variations between differences from two groups 38.58% height, width 36.88% at 0 mm, 35.56% 36.61% 5 38.73% 7 mm. statistically significant (p ˂ 0.0005). Conclusions: results obtained A-PRF a reduced loss volume
Язык: Английский
Процитировано
3
Journal of Periodontology, Год журнала: 2024, Номер 96(1), С. 9 - 20
Опубликована: Июнь 17, 2024
To date, the clinical evidence regarding effectiveness of alveolar ridge preservation (ARP) in restricting bone height and width change after extraction at periodontally compromised molar sockets still remains controversial. This retrospective cohort study aims to evaluate effect ARP molars extracted for periodontal reasons. Retrospective data were collected from patient electronic records January 2019 December 2023. Patients with Stage III/IV periodontitis who underwent reasons screened eligibility. The outcomes included horizontal vertical dimensions bone. need additional augmentation procedure during implantation was also evaluated. A linear regression model used adjust known confounders. total 80 this study, which 27 received therapy while 53 experienced natural healing (NH). resulted significantly less sites compared NH group (p < 0.001). In displaying a disparity >2 mm between buccal palatal/lingual walls, exhibited advantageous terms change, surpassing = 0.004). Moreover, percentage reduced 0.006). Age, sex, smoking, jaw, location, wall thickness did not show any significant on change. had benefits limiting resorption subsequent
Язык: Английский
Процитировано
3
Diagnostics, Год журнала: 2025, Номер 15(2), С. 137 - 137
Опубликована: Янв. 8, 2025
Background/Objectives: Tooth extraction induces significant alveolar ridge dimensional changes and soft tissue modifications, often leading to challenges in implant placement or conventional prosthetic rehabilitation. Alveolar Ridge Preservation (ARP) strategies aim mitigate post-extraction resorption of the ridge, enhancing both quality quantity bone during healing. Hyaluronic acid (HYA) has emerged as a promising biological agent for ARP due its osteoinductive, antimicrobial, anti-inflammatory properties. However, effects HYA remain inconsistently reported. This study aims assess current clinical preclinical evidence regarding application ARP. Additionally, it evaluates HYA's impact-alone combination with other products-on hard changes, early wound healing, success rates. Methods: A comprehensive electronic literature search was conducted, studies meeting inclusion criteria were critically evaluated. Relevant data extracted from final selection articles. Results: Thirteen publications Some reported significantly improved newly formed following intra-socket single approach (p = 0.004). Combining graft free palatal resulted greater amounts mature bone, reduced width lower radiographic crestal loss < 0.01), diminished radiological volumetric linear 0.018). Short-term follow-up indicated healing associated HYA-based While appears have protective effect on ARP, no differences improvement. Conclusions: The addition grafts may enhance some outcomes. variability outcomes methodologies across evaluated precludes drawing definitive conclusions. Further robust research is needed clarify role With respect significance understanding management their sockets empowers clinicians make more informed decisions. knowledge facilitates personalized approaches tailored optimize subsequent interventions.
Язык: Английский
Процитировано
0