Evaluation of Immediate Implant Placement With a Modified Socket Shield Technique Using Xenogenic Bone Graft (A Randomized Controlled Clinical Trial)

Abstract

BACKGROUND: Modified Socket shield technique, is an approach used to help maintain buccal bone level after implant insertion. However, the significance of bone grafting of the gap between the labial shield and the implant, in improving bone regeneration and prevention of the soft tissue ingrowth, has been described. AIM OF THE STUDY: Evaluation of clinical and radiographic outcomes of using xenogenic bone graft on outcome of immediate dental implant placement using the modified socket shield technique. MATERIAL AND METHOD: 16 patients were divided into two study groups. Control group received an immediate implant with modified socket shield technique. Test group received immediate implant with modified socket shield and bone graft put in the buccal gap. Outcome measurement was primary and secondary implant stability measurement and radiographic evaluation. RESULTS: Patients in both groups experienced minimum to moderate postoperative pain and no postoperative edema was noticed. Peri-implant Bone Mineral Density (BMD) after 6 months for the test group showed to increase with a % change median of 39.4 % and this was found to be significantly higher than the control group. Implant secondary stability was found to be significantly higher in the test group with a median of 78 Implant Stability Quotient (ISQ) compared to 73 ISQ for the control group. CONCLUSION: Deproteinized Bovine Bone Mineral (DBBM) is effective in healing of peri-implant defect and provides an appropriate stability and enhanced Bone Mineral Density (BMD). However, this technique requires proper case selection and is considered highly sensitive.

Effect of Xeno-Hydroxyapetite Bone Graft on the Healing Of Unfavorable Mandibular Fractures on Dogs

“…This means that fixing the mandibular fractures with reconstruction bone plate and filling the bone defect with the xeno-Hydroxyapetite bone graft is better as an increase in opacity indicated an increase in bone formation in the defect area (13) . This could be attributed to the fact that HA as a natural structure has low immunogenicity with low inflammatory response and good integration of HA (14) . In addition, it was reported that HA significantly prevents loss of bone after extraction in animal and human trials (15).…”