« Prev |
2019 Jan-Mar; Vol 10, No 1:e2 |
Next » |
e2 |
Alveolar Ridge Preservation after Tooth Extraction Using Different Bone Graft Materials and Autologous Platelet Concentrates: a Systematic Review J Oral Maxillofac Res 2019;10(1):e2 doi:10.5037/jomr.2019.10102 Abstract | HTML | PDF | XML |
Alveolar Ridge Preservation after Tooth Extraction Using Different Bone Graft Materials and Autologous Platelet Concentrates: a Systematic Review
1Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
2Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Corresponding Author:
Department of Maxillofacial Surgery
Lithuanian University of Health Sciences
Eivenių g. 2, LT-50028, Kaunas
Lithuania
E-mail: arturas.stu@gmail.com
ABSTRACT
Objectives: To review and assess the efficiency of different post extraction socket preservation techniques.
Material and Methods: An electronic literature search was performed on the MEDLINE and Embase databases. The review included human studies published between from January 1st, 2007 to January 1st, 2018, in English. Outcome measures included dimensional changes and/or histological evaluation of alveolar bone.
Results: Twenty-six full text articles were reviewed, 16 of which met the inclusion criteria and were selected for the study. Autogenous tooth graft prevented vertical resorption the most: -0.28 (SD 0.13) mm, observation period (OP): 4 months, while the least effective approach was beta tri-calcium phosphate (β-TCP): -1.72 (SD 0.56) mm, OP: 4 months. Estimating horizontal resorption, the most effective technique was biphasic calcium sulphate (BCS) with β-TCP and hydroxyapatite (HA) - BCS + TCP + HA: 0.03 (SD 2.32) mm, OP: 4 months, while β-TCP was the least efficient: -1.45 (SD 0.4) mm, OP: 4 months. Evaluating residual graft particles (RG) and newly formed bone (NFB) ratio the best results were achieved with demineralized freeze-dried bone allograft: RG: 8.88%, NFB: 38.42%, OP: 5 months, whereas magnesium-enriched hydroxyapatite was least effective: RG: 40.82%, NFB: 31.85%, OP: 4 months.
Conclusions: This review revealed that even though there are numerous types of biomaterials for socket preservation none of them can completely stop alveolar bone loss after tooth extraction. Furthermore, lack of information about qualitative evaluation of bone was noticed indicating that further studies regarding this topic are needed.
J Oral Maxillofac Res 2019;10(1):e2
doi: 10.5037/jomr.2019.10102
Accepted for publication: 12 March 2019
Keywords: allografts; alveolar bone loss; biocompatible materials; platelet-rich fibrin; tooth extraction.
To cite this article: Alveolar Ridge Preservation after Tooth Extraction Using Different Bone Graft Materials and Autologous Platelet Concentrates: a Systematic Review J Oral Maxillofac Res 2019;10(1):e2 URL: http://www.ejomr.org/JOMR/archives/2019/1/e2/v10n1e2ht.htm |
Received: 4 January 2019 | Accepted: 12 March 2019 | Published: 31 March 2019
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2019.