A Bone Regenerative Approach to Alveolar Ridge Maintenance Following Tooth Extraction. Report of 10 Cases
| Autor: | Perry R. Klokkevold, M. Orsini, Vojislav Lekovic, Melica Nedic, E. B. Kenney, Michael Weinlaender, T. Han |
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| Rok vydání: | 1997 |
| Předmět: |
Male
Bone Regeneration Barrier membrane Alveolar Bone Loss Dentistry Pilot Projects Surgical Flaps 03 medical and health sciences 0302 clinical medicine medicine Alveolar ridge Humans Polytetrafluoroethylene Anterior teeth Wound Healing Socket preservation business.industry Alveolar process Soft tissue Membranes Artificial 030206 dentistry Middle Aged Ridge (differential geometry) Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Tooth Extraction Guided Tissue Regeneration Periodontal Periodontics Female business |
| Zdroj: | Journal of Periodontology. 68:563-570 |
| ISSN: | 1943-3670 0022-3492 |
| DOI: | 10.1902/jop.1997.68.6.563 |
| Popis: | TEN PATIENTS WHO REQUIRED two or more anterior teeth extractions were utilized in this study. Extraction procedures were carried out with a full thickness surgical flap approach. After flap reflection, teeth were removed with a minimum of trauma to the surrounding bone. Following extraction silicone-based impression techniques were used to produce a model of the alveolar process and small metal pins were placed in the alveolus to be used as fixed points to make measurements of ridge dimensions. One socket was covered with an expanded polytetrafluoroethylene (ePTFE) barrier membrane (experimental site); the other socket was a conventional control. The soft tissue flaps were then mobilized using periosteal releasing incision and the wound closed with ePTFE mattress sutures. Six months following extraction, patients were treated with flap surgery to expose both extractions sites to remove the ePTFE membranes and to measure ridge dimensions using the pins as fixed points. Clinical and model measurements have shown statistically significant better ridge dimensions at experimental sites than at control (Por = 0.05). Three patients with exposed membranes had similar dimensional changes as controls. Results from this study suggested that this improved technique offers a predictable alveolar ridge maintenance enhancing the bone quality for dental implant procedures and esthetic restorative dentistry. |
| Databáze: | OpenAIRE |
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