Influence of partially exposed nonabsorbable membrane for alveolar ridge preservation: A randomized controlled trial

Autor: Edson Ken Matumoto, Mônica Grazieli Corrêa, Emilio Couso‐Queiruga, Mabelle Freitas Monteiro, Zachary Graham, Silvia Helena Garcia Braz, Fernanda Vieira Ribeiro, Suzana Peres Pimentel, Fabiano Ribeiro Cirano, Marcio Zaffalon Casati
Rok vydání: 2023
Předmět:
DOI: 10.48350/180539
Popis: AIM This randomized controlled trial evaluated the impact of a partially exposed non-absorbable membrane (dPTFE) in Alveolar Ridge Preservation (ARP) procedures on clinical, tomographic, immunoenzymatic, implant-related, and patient-centered outcomes. MATERIALS AND METHODS Patients with a hopeless maxillary single-rooted tooth demanding rehabilitation with implants were included. Patients were randomized into two groups: dPTFE (n = 22)-tooth extraction followed by ARP using a partially exposed dPTFE membrane; USH (n = 22)-unassisted socket healing. Clinical and tomographic analyses were performed at baseline and after 3 months. After 3 months, patients received one dental implant. Implant stability quotient was obtained following implant placement. Bone-related markers were analyzed in bone biopsies using an immunoenzymatic assay. RESULTS Greater gain in Keratinized Mucosa Width (KMW) was observed in the dPTFE (1.33 ± 0.98 mm) compared to USH (0.59 ± 0.98 mm) (Mann-Whitney test, Z = 2,28, p 0.05). CONCLUSION dPTFE was superior to USH by increasing KMW gain. However, dPTFE without bone graft presented similar bone loss compared to USH. This clinical trial was not registered prior to participant recruitment and randomization (NCT04329351).
Databáze: OpenAIRE