After the extraction of teeth due to cavities, trauma or periodontal disease, the subsequent healing of postexstraction alveolar socket results in bone irregularities of the residual alveolar ridge (reduction of height and width). The factors of bone resorption can be divided into: anatomical, metabolic, functional and prosthetic factors. Postextraction alveolar resorption is significantly higher in the buccal aspects of both jaws. The process of bone remodeling will be more pronounced in clinical cases with present dehiscence and fenestration of the buccal lamina. The extent of bone resorption of the residual ridge is proportional to the time elapsed after the dental extraction. Deformities of the residual alveolar ridge are classified according to morphology in three consecutive classes. A case of 50-year-old male patient is presented with new regenerative protocols with PRF and a sticky bone for socket preservation. Using a combination of a sticky bone and PRF membranes for socket preservation is a simple and cost-effective source of growth factors that increase the predictability and success outcome of implant supported prosthodontics solutions.
Cetylpyridinium Chloride belongs to a group of cationic quaternary ammonium compounds. Its properties are widely used for local treatment of inflammatory conditions in the oral cavity, as well as for a complementary treatment after oral surgical interventions to ease the postoperative pain and reduce the postoperative inflammation. The examined sample consisted of sixty patients divided into two main groups. The first group consisted of examinees in which an oral surgery with cumulative soft tissue and bone trauma was indicated, while the second group included examinees with symptoms of pericoronitis. During the study, the parameters we examined were: pain, inflammation, index of gingival bleeding, index for determining the depth of the pericoronary pocket and we compared the values obtained at the first, second and third visit. During that period, solutions based on cetylpyridinium were used for rinsing. The results were statistically processed and on that basis, a definite standpoint was taken for the therapeutic efficacy and safety in treated patients. Clinically verified results from this study confirm the properties of cetilpyridine and its ability to reduce pain in the postoperative period and reduce local tissue inflammation. These data encouraged us to propose topical application of antiseptic solutions in the preoperative period for conditioning oral tissues and reducing microbial load and plaque control as well as its prolonged use 7 days after oral surgery.
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