Extraction Defect: Assessment, Classification and Management

Caplanis, Nicholas; Lozada, Jaime; Kan, Joseph Y K

doi:10.5005/jp-journals-10004-1001

Cited by 33 publications

(64 citation statements)

References 16 publications

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“…Fracture of the buccal cortical plate may occur simultaneously with the removal of the root. 3 These factors can create bone defects with negative consequences, especially as they relate to immediate implant placement. In these clinical conditions, hand periotomes sometimes require hand mallets with dental assistants tapping on the handle to expand the PDL to separate the tooth from bone, and this can cause unnecessary discomfort for the patient as benign paroxysmal positional vertigo.…”

Section: Discussionmentioning

confidence: 99%

“…These may include sectioning of the roots or the use of a chisel and mallet to remove sufficient amounts of surrounding bone to allow extraction of the root; however, fracture of the buccal cortical plate may occur simultaneously with the removal of the root. 3 These factors can create bone defects that may have negative consequences, especially as they relate to subsequent or simultaneous implant placement. 4Y7 Several techniques have been proposed for minimally invasive tooth removal including an atraumatic method approach with a screw engaging the root, achieving more secure retention.…”

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confidence: 99%

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The Utility of the Electric Mallet

Crespi

Bruschi

Capparè

et al. 2014

Journal of Craniofacial Surgery

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The aim of this study was to evaluate the efficiency of electrical mallet for tooth extraction evaluating the integrity of fresh sockets walls. From July 2009 to February 2012, 427 hopeless teeth were extracted in 156 patients: 96 males and 60 females, with a mean age of 53.2 ± 26.4 years. Two hundred fifty teeth were extracted from the maxilla and 177 from the mandible. Extractions were performed using an electrical mallet. It pushed blade in a longitudinal movement along central axis, moving up and down toward the periodontal ligament space in a repetitive manner, providing a driving mechanism of longitudinal movements. Intraoral digital radiographic examinations were performed before and immediately after dental extractions to evaluate the lamina dura setting. No fracture or loss of cortical bone plate was observed in fresh sockets of teeth extracted by electrical mallet. All the alveoli revealed full soft tissue secondary healing 2 weeks after complete root extraction. During the healing period, there were no signs of inflamed tissue or exposed bone in any of the cases. As reported in this clinical study, maximum preservation of the alveolar housing and related gingival structures may be achieved following assisted atraumatic tooth extraction by electrical mallet.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The Utility of the Electric Mallet

Crespi

Bruschi

Capparè

et al. 2014

Journal of Craniofacial Surgery

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“…Evaluation of structural and functional state of bone was performed, identifying markers of bone tissue metabolism that react faster in comparison with densitometry. The most specific marker of bone formation is osteocalcin, which reflects the level of circulating bone formation rate [17]. For the quantitative analysis of serum osteocalcin level, the immune-ferment test Nordic Bioscience Diagnostics A/SN-MID Osteocalcin ELISA (Denmark) was used; referent indices range between 9.6-40.8 ng/ml for men, 8.4-33.9 ng/ml for women in premenopause, 9.5-48.3 ng/ml for women in post-menopause.…”

Section: Methodsmentioning

confidence: 99%

Features of Dental Implants in the Complex Treatment of Periodontal Disease

Prots

Рожко

Pjuryk

et al. 2017

EUREKA: Health Sciences

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Aim: To Improve the treatment of patients with partial edentia and chronic generalized periodontitis by including dental implantation to the complex of therapeutic measures. Materials and methods: There have been presented the results of 240 patients with varying severity degrees of generalized periodontitis who underwent surgery on periodontal tissues with dental implantation. The research was conducted at the OCH of Ivano-Frankivsk 2007–2017.To improve the efficiency for dental implants and periodontal surgical intervention is necessary to determine the quality of bone remodeling, identifying markers of bone tissue metabolism. Results: It was established that in 40,81 % patients the results of research showed markers of bone remodeling indicating a high rate of bone formation (25,12±2,23 ng / ml) and a slight increase in rate of resorption marker, which results in low rates of bone resorption (8,54±1,23 nmol/L). These patients were not prescribed with osteotropic drugs. 50,83 % of patients with osteopenia were noticed to manifest the formation of bone possible raise of bone resorption (10.82±1.34n/mole), which was the indication for antiresorptive medication prescription. In 8,36 % of patients with osteoporosis was observed inhibition of bone formation processes (18,05±2,08 ng / ml) and increased resorption indices (15,34±1,87 nmol/L). Medications that stimulate osteogenesis and prevent bone resorption were prescribed. Conclusions: When planning dental implants and periodontal surgical intervention it is necessary to identify markers of bone remodeling to assess the structural and functional state of bone tissue and prescribe osteotrophic drugs that promote positive postoperative period.

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“…A fogak előrehaladott endodontalis eredetű gyulladás és jelentős szövethiány miatt kerültek eltávolításra. Az EDS (extraction defect sounding) -klasszifikáció az extrakciós alveolusokat négy csoportra osztja, és jól kiszámítható kezelési alternatívát ajánl [18]. Eseteink során egyforma, EDS 4-es defektusokat kezeltünk, amelyeknél jelentős volt a szöveti káro-sodás.…”

Section: Módszerunclassified

Fogeltávolítást követően visszamaradt szöveti defektus ellátása. Három eset ismertetése

et al. 2017

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Kiterjedt gyulladással körülvett fog eltávolítását követően gyakran jelentős lágy-és keményszöveti defektus marad vissza. Ezt tovább súlyosbítja, ha a foghúzás után a fogmedret -alveolust -magára hagyjuk. A szövetek így még jobban összeesnek, és a terület alkalmatlanná válik implantátum behelyezésére. Az esztétikai régióban hídpótlás sem hozza meg a várt eredményt. A bemutatásra kerülő esetekkel azt szeretnénk demonstrálni, hogy fogeltávolítást követően elvégzett alveolusprezerváció lehetővé teszi implantátum behelyezését, valamint megfelelő esztétikai eredményt biztosít még frontális terüle-ten is. CBCT-felvételeket készítettünk a fogeltávolítást követő alveolusprezerváció előtt és a beavatkozást követő hatodiknyolcadik hónapban. Vertikális és területméréseket végeztünk, illetve összehasonlítottuk pre-és posztoperatív értéke-iket. Az implantátum mindhárom esetben beültethető volt, valamint jelentős buccalis csontnövekedést (4,24 mm, 6,22 mm, 9,57 mm) és területnövekedést (129%, 145%, 167%) tapasztaltunk mindegyik esetben. Az alveolusprezerváció megfelelő terápiát biztosít a fogeltávolítást követően visszamaradó nagy szövethiány komplett rekonstrukciójában. Orv Hetil. 2017; 158(31): 1228-1235. Kulcsszavak: fogeltávolítás, rekonstruktív sebészi terápia, alveoláris reszorpció, alveolusprezerváció Treating tissue defects following tooth removal Three case reportsFollowing tooth removal, three dimensional hard-and soft-tissue loss take place. Spontaneous healing makes the defect more severe and results in collapsing tissues. Implant placement is not feasible. In the aestethic zone even fixed partial dentures will not deliver the expected result.Our aim was to demonstrate that only ridge preservation enables implant placement and also provides excellent aestetic result even at frontal areas. CBCT was made before and 6-8 months after ridge preservation. Vertical and socket area measurements were carried out and compared in pre-, and postoperative images. Implant placement was feasible in all three cases; furthermore favourable buccal bone (4.24 mm, 6.22 mm, 9.57 mm) and area growth (129%, 145%, 167%) were measured. Ridge preservation provides appropriate therapy for complete reconstruction of tissues after tooth removal.

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Extraction Defect: Assessment, Classification and Management

Cited by 33 publications

References 16 publications

The Utility of the Electric Mallet

The Utility of the Electric Mallet

Features of Dental Implants in the Complex Treatment of Periodontal Disease

Fogeltávolítást követően visszamaradt szöveti defektus ellátása. Három eset ismertetése

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