A study of the fate of the buccal wall of extraction sockets of teeth with prominent roots.
Identifieur interne : 001915 ( Ncbi/Checkpoint ); précédent : 001914; suivant : 001916A study of the fate of the buccal wall of extraction sockets of teeth with prominent roots.
Auteurs : Myron Nevins [États-Unis] ; Marcelo Camelo ; Sergio De Paoli ; Bernard Friedland ; Robert K. Schenk ; Stefano Parma-Benfenati ; Massimo Simion ; Carlo Tinti ; Barry WagenbergSource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 2006.
Descripteurs français
- KwdFr :
- Alvéole dentaire (), Alvéole dentaire (anatomopathologie), Alvéole dentaire (imagerie diagnostique), Alvéoloplastie, Cicatrisation de plaie (physiologie), Densité osseuse (physiologie), Extraction dentaire, Femelle, Humains, Maladies parodontales (), Maxillaire, Minéraux (usage thérapeutique), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâle, Processus alvéolaire (imagerie diagnostique), Racine dentaire (anatomopathologie), Résorption alvéolaire (), Résorption alvéolaire (imagerie diagnostique), Substituts osseux (usage thérapeutique), Tomodensitométrie, Trame osseuse (transplantation), Études de suivi.
- MESH :
- anatomopathologie : Alvéole dentaire, Racine dentaire.
- imagerie diagnostique : Alvéole dentaire, Mâchoire partiellement édentée, Processus alvéolaire, Résorption alvéolaire.
- physiologie : Cicatrisation de plaie, Densité osseuse.
- usage thérapeutique : Minéraux, Substituts osseux, Trame osseuse.
- Alvéole dentaire, Alvéoloplastie, Extraction dentaire, Femelle, Humains, Maladies parodontales, Maxillaire, Mâchoire partiellement édentée, Mâle, Résorption alvéolaire, Tomodensitométrie, Études de suivi.
English descriptors
- KwdEn :
- Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (prevention & control), Alveolar Process (diagnostic imaging), Alveoloplasty, Bone Density (physiology), Bone Matrix (transplantation), Bone Substitutes (therapeutic use), Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (surgery), Male, Maxilla, Minerals (therapeutic use), Periodontal Diseases (therapy), Tomography, X-Ray Computed, Tooth Extraction, Tooth Root (pathology), Tooth Socket (diagnostic imaging), Tooth Socket (pathology), Tooth Socket (surgery), Wound Healing (physiology).
- MESH :
- chemical , therapeutic use : Bone Substitutes, Minerals.
- diagnostic imaging : Alveolar Bone Loss, Alveolar Process, Jaw, Edentulous, Partially, Tooth Socket.
- pathology : Tooth Root, Tooth Socket.
- physiology : Bone Density, Wound Healing.
- prevention & control : Alveolar Bone Loss.
- surgery : Jaw, Edentulous, Partially, Tooth Socket.
- therapy : Periodontal Diseases.
- transplantation : Bone Matrix.
- Alveoloplasty, Female, Follow-Up Studies, Humans, Male, Maxilla, Tomography, X-Ray Computed, Tooth Extraction.
Abstract
The objective of this investigation was to determine the fate of thin buccal bone encasing the prominent roots of maxillary anterior teeth following extraction. Resorption of the buccal plate compromises the morphology of the localized edentulous ridge and makes it challenging to place an implant in the optimal position for prosthetic restoration. In addition, the use of Bio-Oss as a bone filler to maintain the form of the edentulous ridge was evaluated. Nine patients were selected for the extraction of 36 maxillary anterior teeth. Nineteen extraction sockets received Bio-Oss, and seventeen sockets received no osteogenic material. All sites were completely covered with soft tissue at the conclusion of surgery. Computerized tomographic scans were made immediately following extraction and then at 30 to 90 days after healing so as to assess the fate of the buccal plates and resultant form of the edentulous sites. The results were assessed by an independent radiologist, with a crest width of 6 mm regarded as sufficient to place an implant. Those sockets treated with Bio-Oss demonstrated a loss of less than 20% of the buccal plate in 15 of 19 test sites (79%). In contrast, 12 of 17 control sockets (71%) demonstrated a loss of more than 20% of the buccal plate. In conclusion, the Bio-Oss test sites outperformed the control sites by a significant margin. No investigator was able to predict which site would be successful without the grafting material even though all were experienced clinicians. This leads to the conclusion that a patient has a significant benefit from receiving grafting materials at the time of extraction.
PubMed: 16515093
Affiliations:
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pubmed:16515093Le document en format XML
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<series><title level="j">The International journal of periodontics & restorative dentistry</title>
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<term>Alveolar Bone Loss (prevention & control)</term>
<term>Alveolar Process (diagnostic imaging)</term>
<term>Alveoloplasty</term>
<term>Bone Density (physiology)</term>
<term>Bone Matrix (transplantation)</term>
<term>Bone Substitutes (therapeutic use)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Maxilla</term>
<term>Minerals (therapeutic use)</term>
<term>Periodontal Diseases (therapy)</term>
<term>Tomography, X-Ray Computed</term>
<term>Tooth Extraction</term>
<term>Tooth Root (pathology)</term>
<term>Tooth Socket (diagnostic imaging)</term>
<term>Tooth Socket (pathology)</term>
<term>Tooth Socket (surgery)</term>
<term>Wound Healing (physiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Alvéole dentaire ()</term>
<term>Alvéole dentaire (anatomopathologie)</term>
<term>Alvéole dentaire (imagerie diagnostique)</term>
<term>Alvéoloplastie</term>
<term>Cicatrisation de plaie (physiologie)</term>
<term>Densité osseuse (physiologie)</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies parodontales ()</term>
<term>Maxillaire</term>
<term>Minéraux (usage thérapeutique)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
<term>Racine dentaire (anatomopathologie)</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Substituts osseux (usage thérapeutique)</term>
<term>Tomodensitométrie</term>
<term>Trame osseuse (transplantation)</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Bone Substitutes</term>
<term>Minerals</term>
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<term>Racine dentaire</term>
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<term>Alveolar Process</term>
<term>Jaw, Edentulous, Partially</term>
<term>Tooth Socket</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Alvéole dentaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Processus alvéolaire</term>
<term>Résorption alvéolaire</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Tooth Root</term>
<term>Tooth Socket</term>
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<term>Densité osseuse</term>
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<term>Wound Healing</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Tooth Socket</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Periodontal Diseases</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Bone Matrix</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Minéraux</term>
<term>Substituts osseux</term>
<term>Trame osseuse</term>
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<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Maxilla</term>
<term>Tomography, X-Ray Computed</term>
<term>Tooth Extraction</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Alvéole dentaire</term>
<term>Alvéoloplastie</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies parodontales</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en">The objective of this investigation was to determine the fate of thin buccal bone encasing the prominent roots of maxillary anterior teeth following extraction. Resorption of the buccal plate compromises the morphology of the localized edentulous ridge and makes it challenging to place an implant in the optimal position for prosthetic restoration. In addition, the use of Bio-Oss as a bone filler to maintain the form of the edentulous ridge was evaluated. Nine patients were selected for the extraction of 36 maxillary anterior teeth. Nineteen extraction sockets received Bio-Oss, and seventeen sockets received no osteogenic material. All sites were completely covered with soft tissue at the conclusion of surgery. Computerized tomographic scans were made immediately following extraction and then at 30 to 90 days after healing so as to assess the fate of the buccal plates and resultant form of the edentulous sites. The results were assessed by an independent radiologist, with a crest width of 6 mm regarded as sufficient to place an implant. Those sockets treated with Bio-Oss demonstrated a loss of less than 20% of the buccal plate in 15 of 19 test sites (79%). In contrast, 12 of 17 control sockets (71%) demonstrated a loss of more than 20% of the buccal plate. In conclusion, the Bio-Oss test sites outperformed the control sites by a significant margin. No investigator was able to predict which site would be successful without the grafting material even though all were experienced clinicians. This leads to the conclusion that a patient has a significant benefit from receiving grafting materials at the time of extraction.</div>
</front>
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<tree><noCountry><name sortKey="Camelo, Marcelo" sort="Camelo, Marcelo" uniqKey="Camelo M" first="Marcelo" last="Camelo">Marcelo Camelo</name>
<name sortKey="De Paoli, Sergio" sort="De Paoli, Sergio" uniqKey="De Paoli S" first="Sergio" last="De Paoli">Sergio De Paoli</name>
<name sortKey="Friedland, Bernard" sort="Friedland, Bernard" uniqKey="Friedland B" first="Bernard" last="Friedland">Bernard Friedland</name>
<name sortKey="Parma Benfenati, Stefano" sort="Parma Benfenati, Stefano" uniqKey="Parma Benfenati S" first="Stefano" last="Parma-Benfenati">Stefano Parma-Benfenati</name>
<name sortKey="Schenk, Robert K" sort="Schenk, Robert K" uniqKey="Schenk R" first="Robert K" last="Schenk">Robert K. Schenk</name>
<name sortKey="Simion, Massimo" sort="Simion, Massimo" uniqKey="Simion M" first="Massimo" last="Simion">Massimo Simion</name>
<name sortKey="Tinti, Carlo" sort="Tinti, Carlo" uniqKey="Tinti C" first="Carlo" last="Tinti">Carlo Tinti</name>
<name sortKey="Wagenberg, Barry" sort="Wagenberg, Barry" uniqKey="Wagenberg B" first="Barry" last="Wagenberg">Barry Wagenberg</name>
</noCountry>
<country name="États-Unis"><region name="Massachusetts"><name sortKey="Nevins, Myron" sort="Nevins, Myron" uniqKey="Nevins M" first="Myron" last="Nevins">Myron Nevins</name>
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