Use of autologous tooth-derived graft material in the post-extraction dental socket. Pilot study

  1. Alejandra del Canto-Díaz 1
  2. Joaquín de Elío-Oliveros 2
  3. Mariano del Canto-Díaz 3
  4. M.A. Alobera Gracia 4
  5. M. del Canto Pingarrón 4
  6. José María Martínez González 5
  1. 1 DDS, MSc. Master’s Degree in Dental Science, Complutense University of Madrid, Spain
  2. 2 DDS, PhD. Professor of the Master’s Degree in Oral Surgery, Implantology and Periodontics, University of León, Spain
  3. 3 DDS. Private Practice in del Canto Clinic, Madrid, Spain
  4. 4 MD, DDS, PhD. Director of the Master’s Degree in Oral Surgery, Implantology and Periodontics, University of León, Spain
  5. 5 MD, DDS, PhD. Department of Bucco-Facial Medicine and Surgery, Complutense University of Madrid, Spain
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Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2019

Volumen: 24

Número: 1

Páginas: 8

Tipo: Artículo

DOI: 10.4317/MEDORAL.22536 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumen

The objectives of the present pilot study are to compare via CBCT the alveolar contraction suffered both vertically and horizontally between the control group and the group using autologous dental material (ADM), as well as to study the densitometric differences between both post-extraction sockets. A split-mouth study was performed in n = 9 patients who required two extraction of single-rooted teeth deemed suitable for deferred rehabilitation with osseointegrated implants. Two groups were formed — a control group, in which the post-extraction socket was not filled, and an ADM group, in which the alveolar defect was filled with freshly processed autogenous dental material. Both dimensional and densitometric analyses of the alveoli were performed in both groups immediately after surgery (baseline), as well as 8 weeks and 16 weeks later. The mean height of alveolar bone loss was: VL (Control 1.77 mm, loss of 16.87% of initial alveolar height; ADM 0.42 mm, loss of 4.2% of initial alveolar height), HL-BCB (Control 2.22 mm, ADM 0.16 mm, p= 0.067 at 16 weeks). The mean bone loss of the vestibular width (VL-BCB) was much higher in the control group (1.91 mm at 1 mm, 1.3 mm at 3 mm, and 0.89 mm at 5 mm) than in the ADM group (0.46 mm at 1 mm, 0.21 mm at 3 mm, 0.01 at 5 mm, p=0.098 at 16 weeks). At 16 weeks, densitometric analysis of the coronal alveolar area revealed a bone density of 564.35 ± 288.73 HU in the control group and 922.68 ± 250.82 HU in the ADM group (p=0.045 ). In light of these preliminary results, autologous dentine may be considered a promising material for use in socket preservation techniques.

Referencias bibliográficas

  • Cardaropoli, G,Araujo, M,Lindhe, . (2003). Dynamics of bone tissue formation in tooth exttraction sites. An experimental study in dogs. J Clin Periodontol. 30. 809
  • Cawood, Jl,Howell, R. (1991). Reconstructive preprosthetics surgery. I Anatomical considerations. Int J Oral Maxillofac Implants. 20. 75-82
  • Araújo, MG,Lindhe, . (2005). Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 32. 212
  • Schropp, L,Wenzel, A,Kostopoulos, L,Karring, . (2003). Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12 – month prospective study. Int J Periodontics Restorative Dent. 23. 313
  • Araújo, MG,Lindhe, . (2009). Ridge alterations following tooth extraction with and without flape elevation: an experimental study in the dog. Clin Oral Implants Res. 20. 545
  • Araujo, MG,Sukekava, F,Wennstrom, JL,Lindhe, . (2005). "Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog". J Clin Periodontol. 32. 645
  • Elian, N,Cho, SC,Froum, S,Smith, RB,Tarnow, D. (2007). A simplified socket classification and repair technique. Pract Proced Aesthet Dent. 19. 99-104
  • Fickl, S,Zuhr, O,Wachtel, H,Bolz, W,Huerzeler, M. (2008). Hard tissue alterations after socket preservation: an experimental study in the beagle dog. Clin Oral Implants Res. 19. 1111
  • Lasella, JM,Greenwell, H,Miller, RL,Hill, M,Drisko, C,Bohra, A. (2003). Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol. 74. 990
  • Hussain, I,Moharamzadeh, K,Brook, IM,José de Oliveira Neto, P,Salata, L. (2012). Evaluation of osteoconductive and osteogenic potential of a dentin-based bone substitute using a calvarial defect model. Int J Dent. 2012. 1-7
  • Kim, YK,Kim, SG,Byeon, J. (2010). Development of a novel bone grafting material using autogenous teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 109. 496
  • Linde, . (1989). Dentin matrix proteins: composition and possible functions in calcification. Anat Rec. 224. 154
  • Andersson, . (2010). Dentin xenografts to experimental bone defects in rabbit tibia are ankylosed and undergo osseous replacement. Dental Traumatology. 26. 398-402
  • Qin, X,Raj, RM,Liao, X,Shi, W,Ma, B,Gong, S. (2014). Using rigidly fixed autogenous tooth graft to repair bone defect: an animal model. Dental Traumatology. 30. 380
  • Kim, YK,Kim, SG,Byeon, J. (2010). Development of a novel bone grafting material using autogenous teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 109. 496
  • Schwarz, F,Golubovic, V,Mihatovic, I,Becker, . (2016). Periodontally diseased tooth roots used for lateral alveolar ridge augmentation. A proof-of-concept study. J Clin Periodontol. 43. 797-803
  • Schwarz, F,Golubovic, V,Becker, K,Mihatovic, . (2016). Extracted tooth roots used for lateral alveolar ridge augmentation: a proof-of-concept study. J Clin Periodontol. 43. 345
  • Becker, K,Drescher, D,Ho€nscheid, R,Golubovic, V,Mihatovic, I,Schwarz, . (2016). Biomechanical, micro-computed tomographic and immunohistochemical analysis of early osseous integration at titanium implants placed following lateral ridge augmentation using extracted tooth roots. Clin. Oral Impl. Res. 28. 334
  • Ten Heggeler, JM,Slot, DE,Van der Weijden, G. (2011). Effect of socket preservation therapies following tooth extraction in non-molar regions in humans: a systematic review. Clin Oral Implants Res. 22. 779
  • Hämmerle, CH,Araújo, MG,Simion, M,Osteology Consensus Group, 201. (2012). Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Implants Res. 23. 80
  • Joshi, CP,Dani, NH,Khedkar, S. (2016). Alveolar ridge preservation using autogenous tooth graft versus beta-tricalcium phosphate alloplast: A randomized, controlled, prospective, clinical pilot study. J Indian Soc Periodontol. 20. 429
Fuente de los datos: Dialnet