Three dimensional socket preservation: a technique for soft tissue augmentation along with socket grafting

Gholami, Gholam Ali; Aghaloo, Maryam; Ghanavati, Farzin; Amid, Reza; Kadkhodazadeh, Mahdi

doi:10.1186/1750-1164-6-3

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Control of plaque, restorative manipulation, protection from bacterial invasion, maturation of soft tissue and maintenance of oral hygiene around implant supported crowns are enhanced with enough keratinized tissue around it. Rehabilitation of soft tissue after tooth extraction is default method today in modern implantology along with hard tissue reconstruction [15]. Soft tissue in this case was preserved with crestal incision during regeneration procedure and implant placement and shaped with temporary FRC bridges.…”

Section: Discussionmentioning

confidence: 94%

Implant Rehabilitation of Internal Root Resorption after Dental Trauma

Gabrić¹,

Vuletić²,

Baraba³

et al. 2018

JDODT

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Internal root resorption is a result of complex interaction of resorbing and inflammatory cells which are responsible for progressive destruction of intraradicular dentin along the middle and apical thirds of the canal walls due to osteoclastic action. It is a rare phenomenon that can manifest through a slow or rapid progression. If the IRR is extensive and the prognosis of endodontic treatment questionable, extraction of the tooth with socket preservation is recommended so that further complications can be avoided. After tooth extraction, a series of processes take place including scarring of the alveoli, with an inevitable three-dimensional loss of alveolar bone. Over the years many different techinques of socket preservation and socket grafting have been used, preserving the socket from collapse during normal healing process. A 20-year old female patient was referred by the endodontist to the Department of Oral Surgery, School of Dental Medicine, University of Zagreb because of a progressive internal root resorption of upper right lateral incisor and upper left central incisor. She reported trauma in the area of upper incisors in her childhood during playing with peers but without any further consequences until now. After analysing few different solutions, the patient agreed to have her teeth extracted with socket preservation and after healing period of 6 months for the implants to be placed in the extracted site. Dental implants (4.0 mm/12 mm for central incisor; 3.3 mm/12 mm for lateral incisor) were inserted in the positions of the missing teeth. The implants were loaded after 6 months with individual CAD/CAM made zirconia abutments with CAD/CAM made temporary acrylic crowns mainly for emergence profile modelling. Two lithium-disilicate crowns, supported with individual CAD/CAM zirconia abutments served as final restoration. Keywords: Root resorption; Alveolar bone; Socket; Dental implant; Crown;

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Section: Discussionmentioning

confidence: 94%

Implant Rehabilitation of Internal Root Resorption after Dental Trauma

Gabrić¹,

Vuletić²,

Baraba³

et al. 2018

JDODT

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“…[ 2 ] Most of the alveolar ridge preservation approaches using graft materials and barrier membranes aim at regenerating the bone and improving bone quality as a prerequisite for gaining a proper implant site. [ 3 ] Minimal ridge remodeling has been observed when using resorbable hydroxyapatite grafts,[ 4 5 ] demineralized freeze-dried bone allograft (DFDBA) covered with an expanded polytetrafluoroethylene membrane or even allogenic or xenogenic bone grafts covered with a collagen plug. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

Optimizing dimensional changes of soft tissue in alveolar ridge preservation using rotational palatal pedicle flap in posterior maxilla – A randomized controlled clinical trial

Rayalla

Gottumukkala

Gautami

et al. 2022

Journal of Indian Society of Periodontology

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Background: After tooth extraction, it is critical to maintain alveolar bone proportions as well as soft tissue integrity for rehabilitation. The common procedure for closing the socket is a coronally advanced flap, however, it compromises the keratinized tissue dimensions. As a result, the current study’s goal is to assess and compare the soft tissue dimensional alterations caused by the new palatal rotational pedicle flap versus the conventional coronally advanced flap as an adjunct to alveolar ridge preservation. Materials and Methods: Fifty-four participants requiring extraction of single maxillary posterior teeth were randomized into two groups. While both groups used a 1:1 mixture of demineralized freeze dried bone allograft and platelet rich fibrin to preserve the ridge after atraumatic extraction, the control group used a coronally advanced flap to seal the socket, whereas the test group used a rotational palatal pedicle flap to close the socket. At baseline, 3 and 6 months after surgery, the clinical parameters, i.e., vertical ridge height (VRH), horizontal ridge width (HRW), width of keratinized gingiva (WKG), thickness of keratinized gingiva (TKG), and papillary height (PH) were measured. Results: Intergroup comparison demonstrated a significantly greater gain in WKG ( P = 0.001), TKG ( P = 0.029) and PH ( P = 0.021) in the test group. The VRH and HRW, on the other hand, were preserved in both groups. The data were analyzed using unpaired t -test for intergroup and analysis of variance for intragroup comparison. Conclusion: Both groups effectively preserved hard tissue dimensional changes, with the test group showing superior soft tissue enhancement.

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