Alveolar ridge preservation after tooth extraction: a Bayesian Network meta‐analysis of grafting materials efficacy on prevention of bone height and width reduction

Iocca, Oreste; Farcomeni, Alessio; López, Simón Pardiñas; Talib, Huzefa S

doi:10.1111/jcpe.12633

Cited by 92 publications

(76 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A similar width reduction with ridge preservation surgery (ranging from 1.14 to 2.5 mm) was reported in a meta‐analysis by Iocca et al. in 2017 . This reduction of dimensional change can be clinically important considering that ridge width shrinkage following tooth extraction alone can result in losses of 2.46 to 4.5 mm.…”

Section: Discussionsupporting

confidence: 71%

Ridge preservation procedures revisited: A randomized controlled trial to evaluate dimensional changes with two different surgical protocols

Hong

Chen

Kim

et al. 2018

Journal of Periodontology

View full text Add to dashboard Cite

Background The effect of different surgical techniques for ridge preservation on soft tissue parameters has seldom been investigated. The objective of this study was to compare the effect of two different ridge preservation techniques on soft and hard tissue dimensions. Methods Thirty patients requiring tooth extraction were randomly allocated to either control group C (allograft covered with a non‐crosslinked collagen membrane with primary closure) or experimental group E (allograft covered with cross‐linked collagen membrane left exposed). Sites were surgically re‐entered at 6 months. Soft and hard tissue measurements, cone beam computed tomography (CBCT), and cast measurements were taken at baseline and 6 months. Results Twenty‐eight patients were included in this analysis. When the two treatment groups were compared, the width of the buccal keratinized tissue in the E group showed an increase of 0.43 ± 0.42 mm compared to net loss of 1.57 ± 0.51 mm for the C (P = 0.006). Similarly, buccal tissue thickness has increased in the E group 0.46 ± 0.22 mm compared to a loss of 0.15 ± 0.23 mm in the C group (P = 0.068). Volumetric assessment of the changes in the alveolar ridge for the E group showed a slight decrease (68.3 ± 17 mm3) whereas the C group has experienced almost double this loss (107.5 ± 11 mm3; P = 0.07). Crestal width, measured on the CBCT scan, has shown significant reduction in the C group (4.18 ± 0.56 mm) compared to only 1.74 ± 0.4 mm in the E group (P = 0.003). Conclusion Crosslinked collagen membrane with allograft placed intentionally non‐submerged resulted in better preservation of the keratinized tissues (width and thickness) with similar and at times better osseous preservation following extraction.

show abstract

Section: Discussionsupporting

confidence: 71%

Ridge preservation procedures revisited: A randomized controlled trial to evaluate dimensional changes with two different surgical protocols

Hong

Chen

Kim

et al. 2018

Journal of Periodontology

View full text Add to dashboard Cite

show abstract

“…The proper application of biomaterials can be determined by the defect situation and size. Regarding contained defects, including sinus floor elevations or extraction sockets, all biomaterials, synthetic, bovine and allogenic, function quite predictably . However, onlay augmentations with missing bone walls are of greater complexity, especially when more than one tooth is missing.…”

Section: Introductionmentioning

confidence: 99%

Bilateral maxillary augmentation using CAD/CAM manufactured allogenic bone blocks for restoration of congenitally missing teeth: A case report

Blume

Donkiewicz

Back

et al. 2019

J Esthet Restor Dent

View full text Add to dashboard Cite

Objective Various biomaterials have been successfully applied in alveolar bone regeneration, however, the reconstruction of extensive osseous defects remains challenging and is often unfeasible with granular grafting materials. Several studies have outlined allogenic bone blocks as valid alternative to autologous block grafting. Clinical Considerations In this report, we demonstrate the regeneration of two large osseous defects in the maxilla with allogenic bone blocks made from human donor bone. The bone blocks were customized using the CAD/CAM technology in order to enable the insertion of four dental implants. Conclusions Both blocks perfectly matched the defect geometry, showed limited resorption, led to the formation of sufficient amounts of mineralized bone in both horizontal and vertical dimensions and enabled the installation of implants according to the treatment plan. The implementation of innovative technologies for individualization of allogenic bone blocks simplifies the restoration of complex and extensive osseous defects and poses great benefits for both practitioners and patients. Clinical Significance The here presented procedure demonstrates the successful regeneration of two extensive osseous defects in a patient suffering from hypodontia using two CAD/CAM manufactured allogenic bone blocks, rendering the procedure far less invasive as compared to guided bone regeneration carried out with autologous transplants. Furthermore, to the best of our knowledge, this is the first case report that radiographically demonstrates the new formation of a cortical bone layer following block grafting with solely cancellous bone blocks.

show abstract

“…Therefore, treatment planning should include consideration of maintaining alveolar ridge dimension, which is called alveolar ridge preservation (ARP) . Several systematic reviews and meta‐analyses have demonstrated that ARP significantly reduces ridge shrinkage compared to natural socket healing . However, there is substantial heterogeneity in the surgical methods and materials used for ARP …”

Section: Introductionmentioning

confidence: 99%

“…The effect of this bone substitute on ARP has been demonstrated clinically, radiographically, and histologically . A recent Bayesian network meta‐analysis even demonstrated that freeze‐dried bone graft with a membrane shows superior effectiveness in the reduction of bone height remodeling compared with other modalities …”

Section: Introductionmentioning

confidence: 99%

Alveolar ridge preservation using an open membrane approach for sockets with bone deficiency: A randomized controlled clinical trial

Sun

Lim

Lee

2018

Clin Implant Dent Rel Res

View full text Add to dashboard Cite

Background Various approaches are used for alveolar ridge preservation (ARP); however, there is no standard method or material. Purpose To investigate the effect of ARP with a dense polytetrafluoroethylene (d‐PTFE) membrane and freeze‐dried irradiated allogenic bone for sockets with bone deficiency. Materials and Methods Thirty‐four patients (with sockets exhibiting ≥3 mm hard tissue loss in ≥1 walls) were randomized to undergo natural socket healing (control) or ARP with a d‐PTFE membrane and freeze‐dried irradiated allogenic bone (test group). After 4 months, horizontal and vertical ridge changes were measured using cone beam computed tomography. Results Ridge width at l mm below the ridge crest demonstrated significantly less change in the test group (median =2.3; Q1 = 0.6; Q3 = 4.3 mm) than in the control group (median =3.9; Q1 =2.6; Q3 = 7.8 mm; P = .021). There was no significant difference between the two groups in horizontal ridge changes at 3 and 5 mm below the crest or vertical changes ( P > .05). Requirement for bone augmentation at implant placement was significantly reduced in the test group compared to the control group ( P < .001). Conclusion ARP with a d‐PTFE membrane and freeze‐dried irradiated allogenic bone substitute reduced horizontal bone resorption in sockets with bone deficiency.

show abstract

Alveolar ridge preservation after tooth extraction: a Bayesian Network meta‐analysis of grafting materials efficacy on prevention of bone height and width reduction

Cited by 92 publications

References 35 publications

Ridge preservation procedures revisited: A randomized controlled trial to evaluate dimensional changes with two different surgical protocols

Ridge preservation procedures revisited: A randomized controlled trial to evaluate dimensional changes with two different surgical protocols

Bilateral maxillary augmentation using CAD/CAM manufactured allogenic bone blocks for restoration of congenitally missing teeth: A case report

Alveolar ridge preservation using an open membrane approach for sockets with bone deficiency: A randomized controlled clinical trial

Contact Info

Product

Resources

About