Immediate 3-dimensional ridge augmentation after extraction of periodontally hopeless tooth using chinblock graft
Identifieur interne : 006202 ( Ncbi/Curation ); précédent : 006201; suivant : 006203Immediate 3-dimensional ridge augmentation after extraction of periodontally hopeless tooth using chinblock graft
Auteurs : Ankit Desai [Inde] ; Raison Thomas [Inde] ; Tarunkumar A. Baron [Inde] ; Rucha Shah [Inde] ; Dhoom-Singh Mehta [Inde]Source :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2015.
Abstract
The aim of the present study was to evaluate clinically and radiographically, the efficacy of immediate ridge augmentation to reconstruct the vertical and horizontal dimensions at extraction sites of periodontally hopeless tooth using an autogenous chin block graft.
A total of 11 patients (7 male & 4 female) with localized advanced bone loss around single rooted teeth having hopeless prognosis and indicated for extraction were selected for the study. The teeth were atraumatically extracted and deficient sites were augmented using autogenous chin block graft. Parameters like clinically soft tissue height - width and also radiographic ridge height -width were measured before and 6 months after augmentation. Obtained results were tabulated and analysed statistically.
After 6 months of immediate ridge augmentation, the mean gain in radiographic vertical height and horizontal width was 7.64 + 1.47 mm (
The present study showed predictable immediate ridge augmentation with autogenous chin block graft at periodontally compromised extraction site. It can provide adequate hard and soft tissue foundation for perfect 3-Dimensional prosthetic positioning of implant in severely deficient ridges.
Url:
DOI: 10.4317/jced.52366
PubMed: 26644832
PubMed Central: 4663058
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of periodontally hopeless tooth using chinblock graft</title><author><name sortKey="Desai, Ankit" sort="Desai, Ankit" uniqKey="Desai A" first="Ankit" last="Desai">Ankit Desai</name><affiliation wicri:level="1"><nlm:aff id="A1">MDS, Senior Lecturer, Department of Periodontics & Oral Implantology, Ahmedabad Dental College & Hospital, Bhadaj - Ranchodpura Road, Ahmedabad- 382115 Gujarat, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Senior Lecturer, Department of Periodontics & Oral Implantology, Ahmedabad Dental College & Hospital, Bhadaj - Ranchodpura Road, Ahmedabad- 382115 Gujarat</wicri:regionArea><wicri:noRegion>Ahmedabad- 382115 Gujarat</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, Raison" sort="Thomas, Raison" uniqKey="Thomas R" first="Raison" last="Thomas">Raison Thomas</name><affiliation wicri:level="1"><nlm:aff id="A2">MDS, Professor, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Professor, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="A Baron, Tarunkumar" sort="A Baron, Tarunkumar" uniqKey="A Baron T" first="Tarunkumar" last="A. Baron">Tarunkumar A. Baron</name><affiliation wicri:level="1"><nlm:aff id="A2">MDS, Professor, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Professor, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Shah, Rucha" sort="Shah, Rucha" uniqKey="Shah R" first="Rucha" last="Shah">Rucha Shah</name><affiliation wicri:level="1"><nlm:aff id="A3">MDS, Lecturer, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Lecturer, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mehta, Dhoom Singh" sort="Mehta, Dhoom Singh" uniqKey="Mehta D" first="Dhoom-Singh" last="Mehta">Dhoom-Singh Mehta</name><affiliation wicri:level="1"><nlm:aff id="A4">MDS, Professor and Head, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Professor and Head, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26644832</idno><idno type="pmc">4663058</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663058</idno><idno type="RBID">PMC:4663058</idno><idno type="doi">10.4317/jced.52366</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000318</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000318</idno><idno type="wicri:Area/Pmc/Curation">000318</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000318</idno><idno type="wicri:Area/Pmc/Checkpoint">000D58</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000D58</idno><idno type="wicri:Area/Ncbi/Merge">006202</idno><idno type="wicri:Area/Ncbi/Curation">006202</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Immediate 3-dimensional ridge augmentation after extraction
of periodontally hopeless tooth using chinblock graft</title><author><name sortKey="Desai, Ankit" sort="Desai, Ankit" uniqKey="Desai A" first="Ankit" last="Desai">Ankit Desai</name><affiliation wicri:level="1"><nlm:aff id="A1">MDS, Senior Lecturer, Department of Periodontics & Oral Implantology, Ahmedabad Dental College & Hospital, Bhadaj - Ranchodpura Road, Ahmedabad- 382115 Gujarat, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Senior Lecturer, Department of Periodontics & Oral Implantology, Ahmedabad Dental College & Hospital, Bhadaj - Ranchodpura Road, Ahmedabad- 382115 Gujarat</wicri:regionArea><wicri:noRegion>Ahmedabad- 382115 Gujarat</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, Raison" sort="Thomas, Raison" uniqKey="Thomas R" first="Raison" last="Thomas">Raison Thomas</name><affiliation wicri:level="1"><nlm:aff id="A2">MDS, Professor, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Professor, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="A Baron, Tarunkumar" sort="A Baron, Tarunkumar" uniqKey="A Baron T" first="Tarunkumar" last="A. Baron">Tarunkumar A. Baron</name><affiliation wicri:level="1"><nlm:aff id="A2">MDS, Professor, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Professor, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Shah, Rucha" sort="Shah, Rucha" uniqKey="Shah R" first="Rucha" last="Shah">Rucha Shah</name><affiliation wicri:level="1"><nlm:aff id="A3">MDS, Lecturer, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Lecturer, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mehta, Dhoom Singh" sort="Mehta, Dhoom Singh" uniqKey="Mehta D" first="Dhoom-Singh" last="Mehta">Dhoom-Singh Mehta</name><affiliation wicri:level="1"><nlm:aff id="A4">MDS, Professor and Head, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>MDS, Professor and Head, Department of Periodontics, Bapuji Dental College and Hospital, Davangere-577004, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical and Experimental Dentistry</title><idno type="eISSN">1989-5488</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p> The aim of the present study was to evaluate clinically and radiographically, the efficacy of immediate ridge augmentation to reconstruct the vertical and horizontal dimensions at extraction sites of periodontally hopeless tooth using an autogenous chin block graft. </p></sec><sec><title> Material and Methods </title><p> A total of 11 patients (7 male & 4 female) with localized advanced bone loss around single rooted teeth having hopeless prognosis and indicated for extraction were selected for the study. The teeth were atraumatically extracted and deficient sites were augmented using autogenous chin block graft. Parameters like clinically soft tissue height - width and also radiographic ridge height -width were measured before and 6 months after augmentation. Obtained results were tabulated and analysed statistically.</p></sec><sec><title> Results </title><p> After 6 months of immediate ridge augmentation, the mean gain in radiographic vertical height and horizontal width was 7.64 + 1.47 mm (<italic>P</italic> = 0.005) and 5.28 + 0.46 mm (<italic>P</italic> = 0.007) respectively which was found to be statistically significant (<italic>P</italic> < 0.05). Mean change of width gain of 0.40mm and height loss of 0.40mm of soft tissue parameters, from the baseline till completion of the study at 6 months was observed.</p></sec><sec><title> Conclusions </title><p> The present study showed predictable immediate ridge augmentation with autogenous chin block graft at periodontally compromised extraction site. It can provide adequate hard and soft tissue foundation for perfect 3-Dimensional prosthetic positioning of implant in severely deficient ridges.</p><p><bold> Key words:</bold>Immediate ridge augmentation, periondontally hopeless tooth, autogenous chin graft, dental implant.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Eklund, Sa" uniqKey="Eklund S">SA Eklund</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tan, K" uniqKey="Tan K">K Tan</name></author><author><name sortKey="Pjetursson, Be" uniqKey="Pjetursson B">BE Pjetursson</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author><author><name sortKey="Chan, Es" uniqKey="Chan E">ES Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Albrektsson, T" uniqKey="Albrektsson T">T Albrektsson</name></author><author><name sortKey="Donos, N" uniqKey="Donos N">N 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