A randomized controlled evaluation of alveolar ridge preservation following tooth extraction using deproteinized bovine bone mineral and demineralized freeze-dried bone allograft
Identifieur interne : 000B07 ( Main/Exploration ); précédent : 000B06; suivant : 000B08A randomized controlled evaluation of alveolar ridge preservation following tooth extraction using deproteinized bovine bone mineral and demineralized freeze-dried bone allograft
Auteurs : Rokhsareh Sadeghi [Iran] ; Maryam Babaei [Iran] ; S. Asghar Miremadi [Iran] ; Fatemeh Mashadi Abbas [Iran]Source :
- Dental Research Journal [ 1735-3327 ] ; 2016.
Abstract
Alveolar ridge preservation could be performed immediately following tooth extraction to limit dimensional changes of alveolar process due to bone resorption. The aim of this study was to compare the clinical and histologic outcomes of socket preservation using two different graft materials; deproteinized bovine bone mineral (DBBM) and demineralized freeze-dried bone allograft (DFDBA) with absorbable collagen membrane.
Twenty extraction sockets in 20 patients were randomly divided into 2 treatment groups: 10 sockets were augmented with DBBM and collagen membrane whereas 10 sockets were filled with DFDBA and covered by collagen membrane. Primary closure was achieved over extraction sockets by flap advancement. Horizontal and vertical ridge dimensional changes were assessed at baseline and after 4-6 months at the time of implant placement. For histological and histomorphometrical analysis, bone samples were harvested from the augmented sites with trephine during implant surgery. All data were analyzed using SPSS version 18 (α=0.05).
Clinical measurements revealed that average horizontal reduction was 2.3 ± 0.64 mm for DFDBA and 2.26 ± 0.51 mm for DBBM. Mean vertical ridge resorption at buccal side was 1.29 ± 0.68 mm for DFDBA and 1.1 ± 0.17 mm for DBBM. Moreover, mean vertical ridge reduction at lingual site was 0.41 ± 0.38 mm and 0.35 ± 0.34 mm for DFDBA and DBBM, respectively. No significant differences were seen between two groups in any of those clinical parameters. Histologic analysis showed statistically significant more new bone deposition for DFDBA compared to DBBM (34.49 ± 3.19 vs. 18.76 ± 3.54) (
Based on the findings of this study, both materials have positive effect on alveolar ridge preservation after tooth extraction, but there was more new bone formation and less residual graft particles in DFDBA group than in DBBM group.
Url:
PubMed: 27076830
PubMed Central: 4810913
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A randomized controlled evaluation of alveolar ridge preservation following tooth extraction using deproteinized bovine bone mineral and demineralized freeze-dried bone allograft</title><author><name sortKey="Sadeghi, Rokhsareh" sort="Sadeghi, Rokhsareh" uniqKey="Sadeghi R" first="Rokhsareh" last="Sadeghi">Rokhsareh Sadeghi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Periodontics, Faculty of Dentistry, Shahed University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Periodontics, Faculty of Dentistry, Shahed University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Babaei, Maryam" sort="Babaei, Maryam" uniqKey="Babaei M" first="Maryam" last="Babaei">Maryam Babaei</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Periodontics, Faculty of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Periodontics, Faculty of Dentistry, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Miremadi, S Asghar" sort="Miremadi, S Asghar" uniqKey="Miremadi S" first="S. Asghar" last="Miremadi">S. Asghar Miremadi</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Periodontics, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Periodontics, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Abbas, Fatemeh Mashadi" sort="Abbas, Fatemeh Mashadi" uniqKey="Abbas F" first="Fatemeh Mashadi" last="Abbas">Fatemeh Mashadi Abbas</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27076830</idno><idno type="pmc">4810913</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4810913</idno><idno type="RBID">PMC:4810913</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000621</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000621</idno><idno type="wicri:Area/Pmc/Curation">000621</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000621</idno><idno type="wicri:Area/Pmc/Checkpoint">000927</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000927</idno><idno type="wicri:Area/Ncbi/Merge">006629</idno><idno type="wicri:Area/Ncbi/Curation">006629</idno><idno type="wicri:Area/Ncbi/Checkpoint">006629</idno><idno type="wicri:doubleKey">1735-3327:2016:Sadeghi R:a:randomized:controlled</idno><idno type="wicri:Area/Main/Merge">000B07</idno><idno type="wicri:Area/Main/Curation">000B07</idno><idno type="wicri:Area/Main/Exploration">000B07</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A randomized controlled evaluation of alveolar ridge preservation following tooth extraction using deproteinized bovine bone mineral and demineralized freeze-dried bone allograft</title><author><name sortKey="Sadeghi, Rokhsareh" sort="Sadeghi, Rokhsareh" uniqKey="Sadeghi R" first="Rokhsareh" last="Sadeghi">Rokhsareh Sadeghi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Periodontics, Faculty of Dentistry, Shahed University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Periodontics, Faculty of Dentistry, Shahed University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Babaei, Maryam" sort="Babaei, Maryam" uniqKey="Babaei M" first="Maryam" last="Babaei">Maryam Babaei</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Periodontics, Faculty of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Periodontics, Faculty of Dentistry, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Miremadi, S Asghar" sort="Miremadi, S Asghar" uniqKey="Miremadi S" first="S. Asghar" last="Miremadi">S. Asghar Miremadi</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Periodontics, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Periodontics, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Abbas, Fatemeh Mashadi" sort="Abbas, Fatemeh Mashadi" uniqKey="Abbas F" first="Fatemeh Mashadi" last="Abbas">Fatemeh Mashadi Abbas</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></analytic><series><title level="j">Dental Research Journal</title><idno type="ISSN">1735-3327</idno><idno type="eISSN">2008-0255</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Alveolar ridge preservation could be performed immediately following tooth extraction to limit dimensional changes of alveolar process due to bone resorption. The aim of this study was to compare the clinical and histologic outcomes of socket preservation using two different graft materials; deproteinized bovine bone mineral (DBBM) and demineralized freeze-dried bone allograft (DFDBA) with absorbable collagen membrane.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Twenty extraction sockets in 20 patients were randomly divided into 2 treatment groups: 10 sockets were augmented with DBBM and collagen membrane whereas 10 sockets were filled with DFDBA and covered by collagen membrane. Primary closure was achieved over extraction sockets by flap advancement. Horizontal and vertical ridge dimensional changes were assessed at baseline and after 4-6 months at the time of implant placement. For histological and histomorphometrical analysis, bone samples were harvested from the augmented sites with trephine during implant surgery. All data were analyzed using SPSS version 18 (α=0.05).</p></sec><sec id="st3"><title>Results:</title><p>Clinical measurements revealed that average horizontal reduction was 2.3 ± 0.64 mm for DFDBA and 2.26 ± 0.51 mm for DBBM. Mean vertical ridge resorption at buccal side was 1.29 ± 0.68 mm for DFDBA and 1.1 ± 0.17 mm for DBBM. Moreover, mean vertical ridge reduction at lingual site was 0.41 ± 0.38 mm and 0.35 ± 0.34 mm for DFDBA and DBBM, respectively. No significant differences were seen between two groups in any of those clinical parameters. Histologic analysis showed statistically significant more new bone deposition for DFDBA compared to DBBM (34.49 ± 3.19 vs. 18.76 ± 3.54) (<italic>P</italic> < 0.01). Residual graft particles were identified significantly more in DBBM (12.77 ± 1.85) than DFDBA (6.06 ± 1.02).</p></sec><sec id="st4"><title>Conclusion:</title><p>Based on the findings of this study, both materials have positive effect on alveolar ridge preservation after tooth extraction, but there was more new bone formation and less residual graft particles in DFDBA group than in DBBM group.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lekovic, V" uniqKey="Lekovic V">V Lekovic</name></author><author><name sortKey="Kenney, Eb" uniqKey="Kenney E">EB Kenney</name></author><author><name sortKey="Weinlaender, M" uniqKey="Weinlaender M">M Weinlaender</name></author><author><name sortKey="Han, T" uniqKey="Han T">T Han</name></author><author><name sortKey="Klokkevold, P" uniqKey="Klokkevold P">P Klokkevold</name></author><author><name sortKey="Nedic, M" uniqKey="Nedic M">M 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Mealey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Calasans Maia, M" uniqKey="Calasans Maia M">M Calasans-Maia</name></author><author><name sortKey="Resende, R" uniqKey="Resende R">R Resende</name></author><author><name sortKey="Fernandes, G" uniqKey="Fernandes G">G Fernandes</name></author><author><name sortKey="Calasans Maia, J" uniqKey="Calasans Maia J">J Calasans-Maia</name></author><author><name sortKey="Alves, At" uniqKey="Alves A">AT Alves</name></author><author><name sortKey="Granjeiro, Jm" uniqKey="Granjeiro J">JM Granjeiro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Artzi, Z" uniqKey="Artzi Z">Z Artzi</name></author><author><name sortKey="Tal, H" uniqKey="Tal H">H Tal</name></author><author><name sortKey="Dayan, D" uniqKey="Dayan D">D Dayan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zitzmann, Nu" uniqKey="Zitzmann N">NU Zitzmann</name></author><author><name sortKey="Sch Rer, P" uniqKey="Sch Rer P">P Schärer</name></author><author><name sortKey="Marinello, Cp" uniqKey="Marinello C">CP Marinello</name></author><author><name sortKey="Schupbach, P" uniqKey="Schupbach P">P Schüpbach</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T Berglundh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carmagnola, D" uniqKey="Carmagnola D">D Carmagnola</name></author><author><name sortKey="Adriaens, P" uniqKey="Adriaens P">P Adriaens</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T Berglundh</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Sadeghi, Rokhsareh" sort="Sadeghi, Rokhsareh" uniqKey="Sadeghi R" first="Rokhsareh" last="Sadeghi">Rokhsareh Sadeghi</name></noRegion><name sortKey="Abbas, Fatemeh Mashadi" sort="Abbas, Fatemeh Mashadi" uniqKey="Abbas F" first="Fatemeh Mashadi" last="Abbas">Fatemeh Mashadi Abbas</name><name sortKey="Babaei, Maryam" sort="Babaei, Maryam" uniqKey="Babaei M" first="Maryam" last="Babaei">Maryam Babaei</name><name sortKey="Miremadi, S Asghar" sort="Miremadi, S Asghar" uniqKey="Miremadi S" first="S. Asghar" last="Miremadi">S. Asghar Miremadi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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