Dimensional changes of hard and soft tissues in post-extraction sites: evaluation of two biomaterials
DOI:
https://doi.org/10.17533/udea.rfo.v28n1a1Keywords:
Techniques for ridge preservation, Synthetic hydroxyapatite, Mineralized freezed-dried allogenic boneAbstract
Introduction: the techniques for alveolar ridge preservation with different biomaterials show better healing processes than those treatments which do not carry out procedures nor modify the patterns of alveolar bone resorption. The goal of this study was to evaluate the clinical, radiographic, and histological changes of tissues in post-extraction sites after 90 and 180 days by using two biomaterials for alveolar ridge preservation. Materials: descriptive study involving the extraction of twenty-seven uni- and biradicular teeth comparing two biomaterials randomly distributed. Group A received resorbable synthetic hydroxyapatite (OsseoU) and Group B received mineralized freeze-dried allogeneic bone (Tissue Bank®). Quantitative and qualitative measurements were made 180 days post-extraction. The statistical analysis was conducted with the Shapiro-Wilks, Levine, and Student t tests. Results: comparing the two biomaterials on day 180 yielded no statistically significant differences in terms of the “height” variable. The “width” variable yields a p = 0.010 value, suggesting statistically significant differences, since Group A is 0.789 ± 0.276 times better (3.72 ± 0.76) than group B (2.93 ± 0.55). The radiographic evaluation did not yield differences between both groups (p= 0.711). Conclusion: this study shows the dimensional changes of post-extraction sites in both groups, with a clinical difference in ridge width, and no radiographic or histological differences, neither statistically significant changes in terms of alveolar ridge height. Resorbable synthetic hydroxyapatite (OsseoU) is then a biomaterial as effective as mineralized freeze-dried allogeneic bone (Tissue Bank®).
Downloads
References
Bartee BK. Extraction site reconstruction for alveolar ridge preservation. Part 1: rationale and materials selection. J Oral Implantol 2001; 27(4): 187-193.
Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005; 32(2): 212-218.
Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003; 23(4): 313-323.
Cardaropoli G, Araújo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol 2003; 30(9): 809-818.
Minichetti JC, D’Amore JC, Hong AY, Cleveland DB. Human histologic analysis of mineralized bone allograft (Puros) placement before implant surgery. J Oral Implantol 2004; 30(2): 74-82.
Araújo M, Linder E, Wennström J, Lindhe J. The influence of Bio-Oss Collagen on healing of an extraction socket: an experimental study in the dog. Int J Periodontics Restorative Dent 2008; 28(2): 123-135.
Araújo MG, Lindhe J. Ridge preservation with the use of Bio-Oss collagen: A 6-month study in the dog. Clin Oral Implants Res 2009; 20(5): 433-440.
Berglundh T, Lindhe J. Healing around implants placed in bone defects treated with Bio-Oss. An experimental study in the dog. Clin Oral Implants Res 1997; 8(2): 117-124.
Fickl S, Zuhr O, Wachtel H, Bolz W, Huerzeler MB. Hard tissue alterations after socket preservation: an experimental study in the beagle dog. Clin Oral Implants Res 2008; 19(11): 1111-1118.
Reynolds MA, Branch-Mays GL, Aichelmann-Reidy ME. Regeneration of periodontal tissue: bone replacement grafts. Dent Clin Nort Am 2010; 54(1): 55-71.
Stahl SS, Froum SJ. Histologic and clinical responses to porous hydroxylapatite implants in human periodontal defects. Three to twelve months postimplantation. J Periodontol 1987; 58(10): 689-695.
La Rocca AP, Alemany AS, Levi P Jr, Juan MV, Molina JN, Weisgold AS. Anterior maxillary and mandibular biotype: relationship between gingival thickness and width with respect to underlying bone thickness. Implant Dent 2012; 21(6): 507-515.
Fu JH, Yeh CY, Chan HL, Tatarakis N, Leong DJ, Wang HL. Tissue biotype and its relation to the underlying bone morphology. J Periodontol 2010; 81(4): 569-574.
Kan JY, Morimoto T, Rungcharassaeng K, Roe P, Smith DH. Gingival biotype assessment in the esthetic zone: visual versus direct measurement. Int J Periodontics Restorative Dent 2010; 30(3): 237-243.
Tassos I. Preserving the socket dimensions with bone grafting in single sites: an esthetic surgical approach when planning delayed implant placement. J Oral Implantol 2007; 33(3): 156-163.
Agarwal G, Thomas R, Mehta D. Postextraction maintenance of the alveolar ridge: rationale and review. Compend Contin Educ Dent 2012; 33(5): 320-326.
Wilderman MN. Repair after a periosteal retention procedure. J Periodontol 1963; 34(6): 487-503.
Wood DL, Hoag PM, Donnenfeld OW, Rosenfeld LD. Alveolar crest reduction following full and partial thickness flaps. J Periodontol 1972; 43(3): 141-144.
Müller HP, Eger T. Masticatory mucosa and periodontal phenotype: a review. Int J Periodontics Restorative Dent 2002; 22(2): 172-183.
Müller HP, Schaller N, Eger T, Heinecke A. Thickness of masticatory mucosa. J Clin Periodontol 2000; 27(6): 431-436.
Müller HP, Eger T. Gingival phenotypes in young male adults. J Clin Periodontol 1997; 24(1): 65-71.
Sanchis BJ, Donado AA, Peñarrocha DM. Diagnóstico En: Peñarrocha M. Implantología Oral. Barcelona: Medicina STM editores; 2001. p. 35-48.
Gartner LP, Hiatt JL. Cartílago y hueso. En: Gartner LP, Hiatt JL. Histología: texto y atlas. México: McGraw-Hill Interamericana; 1997. p. 119-134.
Henkel KO, Gerber T, Lenz S, Gundlach KK, Bienengräber V. Macroscopical, histological, and morphometric studies of porous bone-replacement materials in minipigs 8 months after implantation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102(5): 606-613.
Jaramillo CD, Rivera JA, Echavarría A, O’byrne J, Congote D, Restrepo LF. Comparación de las propiedades de osteoconducción y osteointegración de una hidroxiapatita reabsorbible comercial con una hidroxiapatita reabsorbible sintetizada. Rev Colomb Cienc Pecu 2009; 22(2): 117-130.
Rothamel D, Schwarz F, Herten M, Engelhardt E, Donath K, Kuehn P et al. Dimensional ridge alterations following socket preservation using a nanocrystalline hydroxyapatite paste: A histomorphometrical study in dogs. Int J Oral Maxillofac Surg 2008; 37(8): 741-747.
Abd El Salam El Askary. Manejo de los tejidos blandos. En: Abd El Salam El Askary. Cirugía estética y reconstructiva en implantes. Barcelona: Publicaciones Médicas ESPAXS; 2005. p. 71-126.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2016 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright Notice
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
