Alveolar ridge preservation: an overview of systematic reviews

Aribau-Gumà, C; Jorba-García, Adrià; Sánchez‐Torres, Alba; Sánchez-Garcés, María Angels

doi:10.1016/j.ijom.2021.06.002

Cited by 12 publications

(8 citation statements)

References 38 publications

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“…In order to achieve successful implantation and long-term effect, sufficient bone volume, keratinized gingiva and appropriate occlusal relationship should be obtained. Therefore, alveolar bone should be preserved as much as possible during tooth extraction to reduce edentulous ridge resorption rate and promote the bone remodeling of alveolar bone [ 19 ]. Compared with the natural healing, ARP has significant advantages in preserving the size and contour of alveolar bone, especially in the maxilla [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical application of concentrate growth factors combined with bone substitute in Alveolar ridge preservation of anterior teeth

et al. 2022

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Objective To investigate the clinical effect of concentrated growth factors (CGF) combined with deproteinized bovine bone mineral (DBBM) on Alveolar ridge preservation during implantology. Methods A total of 38 patients were selected and randomly divided into 2 groups, with 19 cases in each group. The extraction sockets were filled with DBBM with or without CGF. Visual analogue scale (VAS) pain score was recorded within1 week and Landry wound healing index (LWHI) was recorded at 1, 2 and 3 weeks after operation. CBCT was taken preoperatively and 3 and 6 months postoperatively to measure and compare the changes of vertical height, width and gray value of alveolar bone at extraction site. The changes of alveolar bone contour were observed clinically and compared between the two groups. Results The VAS score of CGF group was lower than control group on the 1st and 3rd day after operation (P < 0.05). The LWHI of CGF group was higher than control group 1 week after operation (P < 0.05). The absorption of the labial and palatal plates height and the width in the CGF group was significantly less than the control group at 3 months (P < 0.05). The gray value of alveolar bone in CGF group was significantly higher than control group at 3 months (P < 0.05). There was no significant difference in new bone contour between the two groups (P > 0.05). 94.7% cases in CGF group did not undergo bone grafting, which was significantly higher than control group (78.9%). Conclusions The use of CGF combined with DBBM can help to reduce postoperative pain at the early stage of healing, form sufficient keratinized gingival tissue, effectively maintain the height and width of alveolar bone in the three-dimensional direction and provide good conditions for implant repair in the future.

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Section: Discussionmentioning

confidence: 99%

Clinical application of concentrate growth factors combined with bone substitute in Alveolar ridge preservation of anterior teeth

et al. 2022

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“…49 Previous overviews have highlighted the limited methodological quality of systematic reviews about ARP, which have addressed a wide range of techniques and methodologies. [20][21][22] Considering this, the present study was designed with the aim of providing valuable scientific data focused on the scope of the review, which was the use of xenogeneic bone substitutes in combination with resorbable nonautogenous sealing material, one of the most widely used biomaterial combination in ARP procedures. Although this approach incurs higher costs, the proposed intervention has been reported as cost-effective once a ridge width and facial height resorption can be reduced.…”

Section: Discussionmentioning

confidence: 99%

“…13,[16][17][18] Despite several systematic reviews are available, quality assessment studies on ARP showed that none of them met all the AMSTAR-2 tool (measurement tool to assess reviews) 19 or Glenny quality criteria. [20][21][22] Methodological and structural heterogeneity among the systematic reviews were found, indicating the need for standardization in future reviews. Specifically, critical aspects for consideration are the difficulties in pooling information from different outcome assessment methods, 22 that is, from molar-and non-molar teeth since dimensional alterations in molar region is unlikely comparable with those of anterior teeth, 23,24 and from different ARP protocols together.…”

Section: Introductionmentioning

confidence: 99%

“…Despite several systematic reviews are available, quality assessment studies on ARP showed that none of them met all the AMSTAR‐2 tool (measurement tool to assess reviews) 19 or Glenny quality criteria 20–22 . Methodological and structural heterogeneity among the systematic reviews were found, indicating the need for standardization in future reviews.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of alveolar ridge preservation with xenografts and resorbable socket sealing materials in the esthetic region: A systematic review with meta‐analyses

Apaza‐Bedoya,

Magrin,

Romandini

et al. 2023

Clin Implant Dent Rel Res

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AimThe present systematic review aimed to identify and summarize the clinical, radiographic, and histological outcomes of alveolar ridge preservation using bone xenografts and absorbable sealing materials compared with spontaneous healing in the esthetic zone.Materials and methodsRandomized clinical trials (RCTs) fulfilling specific eligibility criteria were included. Two review authors independently searched for eligible studies, extracted data from the published reports and performed the risk of bias assessment (RoB 2 tool). Study results were summarized using random effects meta‐analyses.ResultsThirteen articles concerning 10 RCTs were included, involving a total of 357 participants. Most of studies were considered as “low” risk of bias. Meta‐analyses indicated less horizontal (difference in means—MD = 1.88 mm; p < 0.001), vertical mid‐buccal (MD = 1.84 mm; p < 0.001) and vertical mid‐lingual (MD = 2.27 mm; p < 0.001) bone resorption in alveolar ridge preservation compared to spontaneous healing as assessed clinically. Bone changes assessed radiographically showed consistent results in terms of horizontal (at 1 mm: MD = 1.84 mm, p < 0.001), vertical mid‐buccal (MD = 0.95 mm; p < 0.001) and mid‐lingual (MD = 0.62 mm; p = 0.05) resorption. Part of the bone resorption in the spontaneous healing group was compensated by soft‐tissues, since the observed differences between groups in linear ridge reduction evaluated through cast models superimposition were smaller (MD = 0.52 mm; p < 0.001).ConclusionsAlveolar ridge preservation with xenogeneic bone substitutes and non‐autogenous resorbable socket sealing materials is efficacious in reducing post‐extraction bone and ridge changes in the esthetic region.

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“…For this reason, elective alveolar ridge preservation (ARP) has been utilized before implant placement to minimize the loss of ridge dimensions after tooth extraction and avoid more demanding surgical bone augmentation procedures [5]. Even though the loss of alveolar ridge dimensions cannot be entirely prevented by any graft material [1], various ARP techniques have been published to treat healing socket sites by preserving the postextraction bone structures [6][7][8][9][10][11][12]. Animal and clinical studies [13,14] have shown significant preservation of the post-extraction socket dimensions using a bovine bone xenograft without preventing the resorption of the buccal-lingual alveolar ridge.…”

Section: Introductionmentioning

confidence: 99%

Cone-beam computed tomographic evaluation of dimensional hard tissue changes following alveolar ridge preservation with leucocyte and platelet-rich fibrin techniques: a pilot study

Silva¹,

Silva²,

Freitas

et al. 2022

Braz. Dent. Sci.

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Objective: This study evaluated the effect of leucocyte and platelet-rich fibrin (L-PRF) techniques used in alveolar ridge preservation on dimensional hard tissue changes of the alveolar ridge assessed using cone-beam computed tomography (CBCT) scans. Material and Methods: Elective alveolar ridge preservation surgeries were performed on seven systemically healthy patients who underwent single posterior tooth extraction. Patients were randomly treated with PRF mixed with a commercial bone xenograft (n = 3) or PRF plug (n = 4). CBCT scans were taken immediately after tooth extraction and then four months later, just before implant surgery. Dimensional alterations in socket height (SH), socket area (SA) and socket volume (SV) were evaluated on CBCT scans by percentage differences before and after treatments. Results: Sockets treated with PRF plus bone xenograft had a tendency to maintain alveolar bone dimensions over time (SH= 11.22% to 82.74%, SA= 1.84% to 48.91% and SV= 9.11% to 203.62%), while sockets treated only with PRF plug technique presented only a modest increase in height (SH= 1.47% to 11.11%) but greater alveolar ridge resorption confirmed by a decrease in socket area and volume dimensions (SA= 0.21% to -24.09% SV= 8.53% to -54.12%). Conclusion: Within the limitations of this study, the maintenance of alveolar socket dimensions was observed when PRF was associated with a xenograft. However, the loss of alveolar ridge dimensions was not entirely prevented by PRF treatment alone.

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Alveolar ridge preservation: an overview of systematic reviews

Cited by 12 publications

References 38 publications

Clinical application of concentrate growth factors combined with bone substitute in Alveolar ridge preservation of anterior teeth

Clinical application of concentrate growth factors combined with bone substitute in Alveolar ridge preservation of anterior teeth

Efficacy of alveolar ridge preservation with xenografts and resorbable socket sealing materials in the esthetic region: A systematic review with meta‐analyses

Cone-beam computed tomographic evaluation of dimensional hard tissue changes following alveolar ridge preservation with leucocyte and platelet-rich fibrin techniques: a pilot study

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