TY - JOUR
T1 - The effect of immediate implant placement on alveolar ridge preservation compared to spontaneous healing after tooth extraction
T2 - Radiographic results of a randomized controlled clinical trial
AU - Clementini, Marco
AU - Agostinelli, Agnese
AU - Castelluzzo, Walter
AU - Cugnata, Federica
AU - Vignoletti, Fabio
AU - De Sanctis, Massimo
PY - 2019/7
Y1 - 2019/7
N2 - Aim: To radiographically evaluate the effect of immediate implant placement plus alveolar ridge preservation (ARP) with a deproteneized bovine bone mineral and a collagen matrix (IMPL/DBBM/CM) as compared to ARP (DBBM/CM) or spontaneous healing (SH) on vertical and horizontal bone dimensional changes after 4 months of healing. Materials and methods: Thirty patients requiring extraction of one single-rooted tooth or premolar were randomly assigned to IMPL/DBBM/CM, ARP DBBM/CM or SH. Cone-beam computed tomography (CBCT) scans, performed before tooth extraction and after 4 months, were superimposed in order to assess changes in ridge height at the buccal and lingual aspect and in ridge width at 1 mm, 3 mm and 5 mm apical to the bone crest. Kruskal–Wallis test was applied for comparison of differences between groups. Results: No statistically significant differences between the groups were observed for the vertical bone resorption of the buccal and the lingual side, while significant differences were found between SH group (−3.37 ± 1.55 mm; −43.2 ± 25.1%) and both DBBM/CM (−1.56 ± 0.76 mm; −19.2 ± 9.1%) and IMPL/DBBM/CM (−1.29 ± 0.38 mm; −14.9 ± 4.9%) groups in the horizontal dimension at the most coronal aspect. Conclusion: Ridge preservation techniques using DBBM and CM reduce the horizontal bone morphological changes that occur, mostly in the coronal portion of the buccal bone plate following tooth extraction, when compared to spontaneous healing. This is true regardless of whether immediate implant placement is performed or not.
AB - Aim: To radiographically evaluate the effect of immediate implant placement plus alveolar ridge preservation (ARP) with a deproteneized bovine bone mineral and a collagen matrix (IMPL/DBBM/CM) as compared to ARP (DBBM/CM) or spontaneous healing (SH) on vertical and horizontal bone dimensional changes after 4 months of healing. Materials and methods: Thirty patients requiring extraction of one single-rooted tooth or premolar were randomly assigned to IMPL/DBBM/CM, ARP DBBM/CM or SH. Cone-beam computed tomography (CBCT) scans, performed before tooth extraction and after 4 months, were superimposed in order to assess changes in ridge height at the buccal and lingual aspect and in ridge width at 1 mm, 3 mm and 5 mm apical to the bone crest. Kruskal–Wallis test was applied for comparison of differences between groups. Results: No statistically significant differences between the groups were observed for the vertical bone resorption of the buccal and the lingual side, while significant differences were found between SH group (−3.37 ± 1.55 mm; −43.2 ± 25.1%) and both DBBM/CM (−1.56 ± 0.76 mm; −19.2 ± 9.1%) and IMPL/DBBM/CM (−1.29 ± 0.38 mm; −14.9 ± 4.9%) groups in the horizontal dimension at the most coronal aspect. Conclusion: Ridge preservation techniques using DBBM and CM reduce the horizontal bone morphological changes that occur, mostly in the coronal portion of the buccal bone plate following tooth extraction, when compared to spontaneous healing. This is true regardless of whether immediate implant placement is performed or not.
KW - alveolar ridge preservation
KW - CBCT
KW - immediate implant placement
KW - radiographic changes
KW - tooth extraction
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U2 - 10.1111/jcpe.13125
DO - 10.1111/jcpe.13125
M3 - Article
C2 - 31050359
AN - SCOPUS:85066879241
VL - 46
SP - 776
EP - 786
JO - Journal of Clinical Periodontology
JF - Journal of Clinical Periodontology
SN - 0303-6979
IS - 7
ER -