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Clinical and biometrical evaluation of socket preservation using demineralized freeze-dried bone allograft with and without the palatal connective tissue as a biologic membrane

Identifieur interne : 002B65 ( Pmc/Curation ); précédent : 002B64; suivant : 002B66

Clinical and biometrical evaluation of socket preservation using demineralized freeze-dried bone allograft with and without the palatal connective tissue as a biologic membrane

Auteurs : Hamid Moghaddas [Iran] ; Mohammad Reza Amjadi [Iran] ; Narges Naghsh [Iran]

Source :

RBID : PMC:3612227

Abstract

Background:

Alveolar ridge preservation following tooth extraction has the ability to maintain the ridge dimensions and allow the implant placement in an ideal position fulfilling both functional and aesthetic results. The aim of this study was to evaluate the efficacy of the palatal connective tissue as a biological membrane for socket preservation with demineralized freeze-dried bone allograft (DFDBA).

Materials and Methods:

Twelve extraction sites were treated with DFDBA with (case group) and without (control group) using autogenous palatal connective tissue membrane before placement of implants. Alveolar width and height, amount of keratinized tissue, and gingival level were measured at pre-determined points using a surgical stent at two times, the time of socket preservation surgery

Results:

In both groups a decrease in all socket dimensions was found. The average decrease in socket width, height, keratinized tissue, and gingival level in case group was 1.16, 0.72, 3.58, and 1.27 mm, and in control group was 2.08, 0.86, 4.52, and 1.58 mm respectively. Statistical analysis showed that decrease in socket width (P = 0.012), keratinized tissue (P ≤ 0.001), and gingival level (P = 0.031) in case group was significantly lower than that of the control group. Results showed no meaningful difference in socket height changes when compared with case and control groups (P = 0.148).

Conclusion:

Under the limits of this study, connective tissue membrane could preserve socket width, amount of keratinized tissue, and the gingival level more effectively than DFDBA alone.


Url:
PubMed: 23559955
PubMed Central: 3612227

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PMC:3612227

Le document en format XML

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<title>Background:</title>
<p>Alveolar ridge preservation following tooth extraction has the ability to maintain the ridge dimensions and allow the implant placement in an ideal position fulfilling both functional and aesthetic results. The aim of this study was to evaluate the efficacy of the palatal connective tissue as a biological membrane for socket preservation with demineralized freeze-dried bone allograft (DFDBA).</p>
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<p>Twelve extraction sites were treated with DFDBA with (case group) and without (control group) using autogenous palatal connective tissue membrane before placement of implants. Alveolar width and height, amount of keratinized tissue, and gingival level were measured at pre-determined points using a surgical stent at two times, the time of socket preservation surgery</p>
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<title>Results:</title>
<p>In both groups a decrease in all socket dimensions was found. The average decrease in socket width, height, keratinized tissue, and gingival level in case group was 1.16, 0.72, 3.58, and 1.27 mm, and in control group was 2.08, 0.86, 4.52, and 1.58 mm respectively. Statistical analysis showed that decrease in socket width (
<italic>P</italic>
= 0.012), keratinized tissue (
<italic>P</italic>
≤ 0.001), and gingival level (
<italic>P</italic>
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<title>Conclusion:</title>
<p>Under the limits of this study, connective tissue membrane could preserve socket width, amount of keratinized tissue, and the gingival level more effectively than DFDBA alone.</p>
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<journal-id journal-id-type="nlm-ta">Dent Res J (Isfahan)</journal-id>
<journal-id journal-id-type="iso-abbrev">Dent Res J (Isfahan)</journal-id>
<journal-id journal-id-type="publisher-id">DRJ</journal-id>
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<journal-title>Dental Research Journal</journal-title>
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<issn pub-type="ppub">1735-3327</issn>
<issn pub-type="epub">2008-0255</issn>
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<publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
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<article-id pub-id-type="pmid">23559955</article-id>
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<subject>Original Article</subject>
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<title-group>
<article-title>Clinical and biometrical evaluation of socket preservation using demineralized freeze-dried bone allograft with and without the palatal connective tissue as a biologic membrane</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Moghaddas</surname>
<given-names>Hamid</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Amjadi</surname>
<given-names>Mohammad Reza</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Naghsh</surname>
<given-names>Narges</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
Department of Periodontology, Faculty of Dentistry, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran</aff>
<aff id="aff2">
<label>2</label>
Torabinejad Dental Research Center and Department of Periodontology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</aff>
<aff id="aff3">
<label>3</label>
Dental Implant Research Center and Department of Periodontology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</aff>
<author-notes>
<corresp id="cor1">
<bold>Address for correspondence:</bold>
Dr. Mohammad Reza Amjadi, Torabinejad Dental Research Center and Department of Periodontology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran. E-mail:
<email xlink:href="amjadi@dnt.mui.ac.ir">amjadi@dnt.mui.ac.ir</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Nov-Dec</season>
<year>2012</year>
</pub-date>
<volume>9</volume>
<issue>6</issue>
<fpage>758</fpage>
<lpage>763</lpage>
<history>
<date date-type="received">
<month>4</month>
<year>2012</year>
</date>
<date date-type="accepted">
<month>7</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: © Dental Research Journal</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec id="st1">
<title>Background:</title>
<p>Alveolar ridge preservation following tooth extraction has the ability to maintain the ridge dimensions and allow the implant placement in an ideal position fulfilling both functional and aesthetic results. The aim of this study was to evaluate the efficacy of the palatal connective tissue as a biological membrane for socket preservation with demineralized freeze-dried bone allograft (DFDBA).</p>
</sec>
<sec id="st2">
<title>Materials and Methods:</title>
<p>Twelve extraction sites were treated with DFDBA with (case group) and without (control group) using autogenous palatal connective tissue membrane before placement of implants. Alveolar width and height, amount of keratinized tissue, and gingival level were measured at pre-determined points using a surgical stent at two times, the time of socket preservation surgery</p>
</sec>
<sec id="st3">
<title>Results:</title>
<p>In both groups a decrease in all socket dimensions was found. The average decrease in socket width, height, keratinized tissue, and gingival level in case group was 1.16, 0.72, 3.58, and 1.27 mm, and in control group was 2.08, 0.86, 4.52, and 1.58 mm respectively. Statistical analysis showed that decrease in socket width (
<italic>P</italic>
= 0.012), keratinized tissue (
<italic>P</italic>
≤ 0.001), and gingival level (
<italic>P</italic>
= 0.031) in case group was significantly lower than that of the control group. Results showed no meaningful difference in socket height changes when compared with case and control groups (
<italic>P</italic>
= 0.148).</p>
</sec>
<sec id="st4">
<title>Conclusion:</title>
<p>Under the limits of this study, connective tissue membrane could preserve socket width, amount of keratinized tissue, and the gingival level more effectively than DFDBA alone.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Connective tissue</kwd>
<kwd>dental implant</kwd>
<kwd>membrane</kwd>
<kwd>tooth socket</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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