Primary flap closure in alveolar ridge preservation for periodontally damaged extraction socket: A randomized clinical trial

Seo, Gil-Jong; Lim, Hyun Chang; Chang, Dong‐Wook; Hong, Ji Youn; Shin, Seung‐Il; Kim, Gyu-Tae; Shin, Soo Young

doi:10.1111/cid.13165

Cited by 5 publications

(11 citation statements)

References 52 publications

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“…Our previous study compared hard tissue dimensional change and new bone formation between ARPs with/without PC in periodontally damaged non-molar extraction sockets. 13 The study exhibited no significant difference in both parameters between the two groups, suggesting no obligation for PC.…”

Section: Introductionmentioning

confidence: 69%

“…13 The tissue changes on the hard-tissue level appeared to be somewhat different from those on the soft-tissue level. In our previous study, the dimensional changes on the hard-tissue level slightly favored group SC, 13 whereas group PC is favored on the soft-tissue level (without statistically significant difference). Such was due to the difference in measurement levels between the analyses for hard and soft tissues.…”

Section: Linear and Profilometric Tissue Changes On The Soft-tissue L...mentioning

confidence: 92%

“…From the authors' experience, a significant extent of tissue advancement is needed for PC for ARP due to irregular GMs and downgrowth of junctional epithelium in the periodontally damaged sockets. 13 The tissue changes on the hard-tissue level appeared to be somewhat different from those on the soft-tissue level. In our previous study, the dimensional changes on the hard-tissue level slightly favored group SC, 13 whereas group PC is favored on the soft-tissue level (without statistically significant difference).…”

Section: Linear and Profilometric Tissue Changes On The Soft-tissue L...mentioning

confidence: 92%

“…Surgical procedures were described in our previous study. 13 Briefly, ARP was performed as follows: elevating a full-thickness flap (with/ without vertical incision), meticulous degranulation, grafting bone substitute material (leading to slight horizontal over-augmentation relative to the adjacent bony envelope, but no vertical overfilling), covering the bone substitute material by a collagen membrane. Then, periosteal releasing incision was performed for coronally advancing the flap in the group PC.…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…Therefore, several recent studies have focused on periodontally damaged sockets. [10][11][12][13][14] Alveolar ridge preservation for periodontally damaged sockets tends to entail similar surgical procedures to guided bone regeneration: flap elevation (with a vertical incision [s]), bone substitute material grafting for recreating the ridge contour (possibly overaugmentation relative to the neighboring ridge), 1,15 and applying a barrier membrane. Moreover, considering some parts of the damaged socket walls need to be regenerated, ARP for periodontally damaged sockets might require healing in a fully closed environment, that is, a necessity of primary flap closure (PC).…”

Section: Introductionmentioning

confidence: 99%

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Soft tissue outcomes following alveolar ridge preservation with/without primary flap closure for periodontally damaged extraction socket: A randomized clinical trial

Seo

Lim

Chung

et al. 2023

Clin Implant Dent Rel Res

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IntroductionThe changes in soft tissue profile following alveolar ridge preservation (ARP) with/without primary flap closure (PC) in periodontally damaged sockets have yet to be discovered.MethodsFor periodontally damaged non‐molar extraction sockets, ARP with PC (group PC)/without PC (group SC) was performed using granule‐type xenogeneic bone substitute material and a collagen barrier. Intraoral scans were performed at the time of ARP and 4 months thereafter. Superimposition of STL files was performed to examine tissue change on the soft tissue level. The level of mucogingival junction (MGJ) was also evaluated.ResultsA total of 28 patient (13 in group PC, 15 in group SC) completed the study. Soft tissue profile change was evaluated only when the measurement level was located on the non‐mobile tissue. Group PC tended to shrink less on the long axis of the extraction socket than group SC (−4.3 ± 3.1 mm vs. −5.9 ± 4.4 mm at the 1 mm below the pre‐extraction gingival margin, p > 0.05). Profilometric analysis (on the region of interest) also have a tendency of less tissue profile change in group PC than group SC (−1.0 ± 0.8 mm vs. −1.3 ± 0.5 mm, p > 0.05). The MGJ level change was not statistically significantly different between the groups (p > 0.05) even though the MGJ level was located more apically at 4 months in group SC compared with group PC.ConclusionsAlveolar ridge preservation with PC tended to yield less soft tissue shrinkage than ARP without PC.

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Section: Introductionmentioning

confidence: 69%

Section: Linear and Profilometric Tissue Changes On The Soft-tissue L...mentioning

confidence: 92%

Section: Linear and Profilometric Tissue Changes On The Soft-tissue L...mentioning

confidence: 92%

Section: Surgical Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Soft tissue outcomes following alveolar ridge preservation with/without primary flap closure for periodontally damaged extraction socket: A randomized clinical trial

Seo

Lim

Chung

et al. 2023

Clin Implant Dent Rel Res

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Bone augmentation using bioresorbable mesh domes containing bone graft granules

Yanagisawa,

Hayashi,

Ishikawa

2024

J Mater Sci: Mater Med

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Bone graft granules are valuable tools for ridge area bone grafting owing to their ease of manipulation and interconnected porous structure. Guided bone regeneration (GBR) using barrier membranes is commonly used for alveolar ridge augmentation; however, the surgical procedures are technically complicated. In this study, we fabricated bioresorbable mesh domes (BMDs) using two types of Vicryl mesh (woven and knitted types) containing carbonate apatite granules. BMD samples were prepared in three groups: upper sides made from the woven type (UW) and lower sides made from the woven type (LW) (the UW/LW group), upper sides made from the woven type (UW) and lower sides made from the knitted type (LK) (the UW/LK group), and upper sides made from the knitted type (UK) and lower sides made from the knitted type (LK) (the UK/LK group). The samples were subsequently implanted into rabbit calvaria, and radiomorphometric and histological analyses were conducted. The UK/LK group exhibited enhanced appositional bone formation because the knitted mesh on the skin side prevented the infiltration of a substantial amount of fibrous tissue. This increase in bone formation could be attributed to the interaction between granules and osteoprogenitors that pass through the mesh from the host bone. Conversely, the UW/LW and UW/LK groups presented limited appositional bone formation. Compared with knitted mesh, woven mesh might tend to be absorbed over a short span, allowing fibrous tissue invasion and inhibiting new bone formation. Additionally, BMDs could retain granules in a targeted location and avoid displacement of the granules to unintended locations. Graphical Abstract

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Ridge preservation in periodontally compromised molar sockets with and without primary wound closure: A comparative controlled clinical trial

Wei,

Zhao,

Zhang

et al. 2023

Clinical Oral Implants Res

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ObjectiveThis study aimed to compare hard‐ and soft‐tissue changes after ridge preservation in periodontally compromised molar sockets with and without primary wound closure.Materials and MethodsForty molars with severe periodontitis requiring extraction were included and allocated to two treatment modalities. After tooth extraction, the sockets were filled with deproteinized bovine bone mineral and covered with a bioabsorbable porcine collagen membrane. Primary wound closure was achieved in the control group, whereas the test group underwent minimally invasive open healing. The dimensions of the bone and soft tissue were recorded at baseline and 6 months.ResultsOver 6 months, the control and test groups had similar mean ridge heights at the center of sockets of 8.59 ± 2.47 mm and 8.47 ± 2.51 mm, respectively. The total volume of the control group increased from 1070.17 to 1713.52 mm3 for a mean gain of 643.35 mm3, whereas that of the test group increased from 992.51 to 1514.05 mm3 for a mean gain of 521.54 mm3. Compared with the test group, the control group showed a statistically significant decrease in keratinized tissue width of 1.08 ± 1.63 mm.ConclusionsBone dimensional changes following ridge preservation with and without primary wound closure were comparable. ARP without primary wound closure preserves more keratinized tissue than that with (Chinese Clinical Trial Registry: ChiCTR‐ONN‐16009433).

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Primary flap closure in alveolar ridge preservation for periodontally damaged extraction socket: A randomized clinical trial

Cited by 5 publications

References 52 publications

Soft tissue outcomes following alveolar ridge preservation with/without primary flap closure for periodontally damaged extraction socket: A randomized clinical trial

Soft tissue outcomes following alveolar ridge preservation with/without primary flap closure for periodontally damaged extraction socket: A randomized clinical trial

Bone augmentation using bioresorbable mesh domes containing bone graft granules

Ridge preservation in periodontally compromised molar sockets with and without primary wound closure: A comparative controlled clinical trial

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