Alveolar Ridge Preservation With the Socket-Plug Technique Utilizing an Alloplastic Putty Bone Substitute or a Particulate Xenograft: A Histological Pilot Study

Abstract

Following tooth extraction, ridge preservation procedures are employed to regenerate bone in the extraction socket, limit consequent ridge resorption, and provide a stable base for implant placement. The purpose of this study is to histologically evaluate and compare bone regeneration in extraction sockets grafted with either a putty alloplastic bone substitute or particulate anorganic bovine xenograft utilizing the socket-plug technique. Nineteen patients underwent 20 tooth extractions and ridge preservation following a standardized protocol. Ten sites were grafted with calcium phosphosilicate putty (CPS group) and the remaining 10 with anorganic bovine bone substitute (BO group). Patients were recalled after 4-6 months to evaluate the bone regeneration and to proceed with implant placement. A bone core was obtained during the implant procedure from each site and was used for histologic analysis. Histomorphometry revealed that residual graft values were significantly higher in the BO group (25.60% ± 5.89%) compared to the CPS group (17.40% ± 9.39%) (P < .05). The amount of new bone regenerated was also statistically significant higher in the alloplast group (47.15% ± 8.5%) as compared to the xenograft group (22.2% ± 3.5%) (P < .05). Results suggest that ridge preservation using a putty calcium phosphosilicate alloplastic bone substitute demonstrates more timely graft substitution and increased bone regeneration when compared to an anorganic bovine bone xenograft.

A Novel HA/β-TCP-Collagen Composite Enhanced New Bone Formation for Dental Extraction Socket Preservation in Beagle Dogs

“…This loss has a detrimental effect on potential treatment with dental implants or conventional prostheses. Ideally, sufficient vertical and horizontal alveolar bone volume must be preserved at the site of implant insertion or prosthesis loading, AR preservation becoming important for successful restorative treatments [8]. Therefore, limiting consequent ridge resorption is important after tooth extraction.…”

Bone and soft tissue changes after alveolar ridge preservation using PRF socket plug technique versus socket plug technique:

“…In 2014, Kotsakis et al 24 introduced the term "socket plug" to describe different techniques using collagen dressing to cover grafted sockets. They recommended 4 distinct steps for this technique: (1) atraumatic flapless extraction, (2) socket grafting, (3) socket coverage with collagen dressing, (4) suturing [24][25][26][27][28][29][30] .…”

A simplified approach to the minimally invasive antral membrane elevation technique utilizing a viscoelastic medium for hydraulic sinus floor elevation

“…Calcium phosphosilicate alloplastic bone substitutes have been successfully used in various osseous defects, including sinus augmentation in a predictable manner [12][13][14].…”