Alveolar preservation after tooth extraction for later installation of dental implant: a case report
DOI:
https://doi.org/10.33448/rsd-v11i4.27903Keywords:
Exodontia; Dental implant; Bone graft.Abstract
There are several causes that can lead to the loss of a dental element, such as: dental fracture, periodontal disease, among others. The removal of this tooth causes the bone tissue that surrounds it to undergo a physiological loss. In order to maintain bone height and thickness (alveolar preservation), for the future rehabilitation of this patient with dental implant, bone graft and membrane are used. Therefore, the objective of this work was to describe the technique performed in a clinical case, in which an alveolus was preserved that, due to its bone deficiency, it was not possible to install an implant. Element 15 was removed due to a root fracture, and the socket was filled with xenogeneic bone graft, along with a resorbable membrane, aiming at preserving this socket for future installation of an implant. It was concluded that alveolar proservation with the use of xenogeneic graft and resorbable membrane is a favorable technique that provided the necessary bone quantity and the preservation of bone walls, enabling a future implant installation.
References
Andreiuolo, R., Vasconcellos, F., Andrade, A., Groisman, M., & Júnior, G. (2016). Implante imediato na região anterior: aspectos cirúrgicos e protéticos. Rev. bras. odontol., 73 (1), 84-88. http://revista.aborj.org.br/index.php/rbo/article/view/682/492
Araujo, M. G., Silva, C. O., Misawa, M. & Sukekava, F. (2015). Alveolar socket healing: what can we learn? Periodontology 2000 68, 122–134.
Atieh, M. A., Alsabeeha, N. H., Payne, A. G., Duncan, W., Faggion, C. M. & Esposito,M. (2021). Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site development. Cochrane Database Syst Rev. 2015 May 28;2015(5):CD010176. doi: 10.1002/14651858.CD010176.pub2. Update in: Cochrane Database Syst Rev. 2021 Apr 26;4:CD010176. PMID: 26020735; PMCID: PMC6464392.
Avila-ortiz, G., Chambrone, L. & Vignoletti, F. (2019). Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta-analysis. J Clin Periodontol, jun, 46 (21), 195-223.
Bengazi, F., Wennstrom, J. L. & Lekholm, U. (1996). Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res. 7, 303–310.
Behring, J., Junker, R., Walboomers, X.F., Chessnut, B. & Jansen, J. A. (2008). Toward guided tissue and bone regeneration: morphology, attachment, proliferation, and migration of cells cultured on collagen barrier membranes. A systematic review. Odontology. 96(1), 1–11.
Berglundh, T. & Lindhe, J. (1996). Dimension of the periimplant mucosa. Biological width revisited. J Clin Periodontol. 23, 971–973.
Bernardes, R. A., Moraes, I. G., Duarte, M. A. H., Azevedo, B. C., de Azevedo, J. R. &Bramante, C. m. (2009). et al. Use of cone-beam volumetric tomography in the diagnosis of root fractures. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. Aug, 108(2), 270-277. doi: 10.1016/j.tripleo.2009.01.017. Epub 2009 Mar 9. PMID: 19272806.
Buser, D., Martin, W. & Belser, U. C. (2004). Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants, 19, 43-61.
Demetter, R. S., Calahan, B. G.& Mealey, B. L. (2017). Histologic Evaluation of Wound Healing After Ridge Preservation With Cortical, Cancellous, and Combined Cortico-Cancellous Freeze-Dried Bone Allograft: A Randomized Controlled Clinical Trial. J Periodontol. Sep, 88(9), 860-868. doi: 10.1902/jop.2017.170155. Epub 2017 Apr 28. PMID: 28452622.
Eskow, A. J. & Mealey, B. L. (2014). Evaluation of healing following tooth extraction with ridge preservation using cortical versus cancellous freeze-dried bone allograft. J Periodontol. Apr, 85(4), 514-524. doi: 10.1902/jop.2013.130178. Epub 2013 May 31. PMID: 23725026.
Gholami, G. A., Najafi, B., Mashhadiabbas, F., Goetz, W. & Najafi, S. (2012). Clinical, histologic and histomorphometric evaluation of socket preservation using a synthetic nanocrystalline hydroxyapatite in comparison with a bovine xenograft: a randomized clinical trial. Clin Oral Implants Res. Oct, 23(10), 1198-1204. doi: 10.1111/j.1600-0501.2011.02288.x. Epub 2011 Aug 18. PMID: 22092485.
Iasella, J. M., Greenwell, H., Miller, R. L., Hill, M., Drisko, C., Bohra, A. A. & Scheetz, J. P. (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. Jul, 74(7), 990– 999. doi: 10.1902/jop.2003.74.7.990. PMID: 12931761.
Jeong, S. M., Choi, B. H., Li, J. & Xuan, F. (2008). The effect of thick mucosa on peri-implant tissues: An experimental study in dogs. J Periodontol. Nov, 79(11), 2151–2155. doi: 10.1902/jop.2008.070647. PMID: 18980524.
Lekovic, V., Camargo, P. M., Klokkevold, P. R., Weinlaender, M., Kenney, E. B., Dimitrijevic, B. & Nedic, M. (1998). Preservation of alveolar bone in extraction sockets using bioabsorbable membranes. J Periodontol Jun, 69(9), 1044- 1049. doi: 10.1902/jop.1998.69.9.1044. PMID: 9776033.
Lundgren, D., Sennerby, L., Falk, H., Friberg, B. & Nyman, S. (1994). The use of a new bioresorbable barrier for guided bone regeneration in connection with implant installation. Case reports. Clin Oral Implants Res. 5(3), 177–84.
Macbeth, N., Trullenque-Eriksson, A., Donos, N. & Mardas, N. (2017). Hard and soft tissue changes following alveolar ridge preservation: a systematic review. Clin Oral Implants Res. Aug, 28(8), 982-1004.
Majzoub, J., Ravida, A., Starch-Jensen, T., Tattan, M. & Suárez-López Del Amo, F. (2019). The Influence of Different Grafting Materials on Alveolar Ridge Preservation: a Systematic Review. J Oral Maxillofac Res. Sep, 10(3), 6. doi: 10.5037/jomr.2019.10306. PMID: 31620268; PMCID: PMC6788425.
Mardas, N., D’Aiuto, F., Mezzomo, L., Arzoumanidi, M. & Donos, N. (2011a) Radiographic alveolar bone changes following ridge preservation with two different biomaterials. Clinical Oral Implants Research 22: 416–423.
Mardas, N., D’Aiuto, F., Mezzomo, L., Arzoumanidi, M. & Donos, N. (2011b) Alveolar ridge preservation with guided bone regeneration and a synthetic bone substitute or a bovine-derived xenograft: a randomized, controlled clinical trial. Clinical Oral Implants Research 22: 416– 423.
Moon, I. S., Berglundh, T., Abrahamsson, I., Linder, E., & Lindhe, J. (1999). The barrier between the keratinized mucosa and the dental implant. An experimental study in the dog. Journal of clinical periodontology, 26(10), 658–663. https://doi.org/10.1034/j.1600-051x.1999.261005.x
Nair, M. K., Nair UDP, Gröndahl, H. G., Webber, R. L., & Wallace, J. A. (2001). Detection of artificially induced vertical radicular fractures using tuned aperture computed tomography. European journal of oral sciences, 109(6), 375–379. https://doi.org/10.1034/j.1600-0722.2001.00085.x
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM. 6.2)
Rosen, P. S., & Rosen, A. D. (2013). Purposeful exposure of a polylactic acid barrier to achieve socket preservation for placement of dental implants: case series report. Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 34(1), 34–40.
Sadeghi, R., Babaei, M., Miremadi, S. A., & Abbas, F. M. (2016). A randomized controlled evaluation of alveolar ridge preservation following tooth extraction using deproteinized bovine bone mineral and demineralized freeze-dried bone allograft. Dental research journal, 13(2), 151–159. https://doi.org/10.4103/1735-3327.178202
Scheyer, E. T., Heard, R., Janakievski, J., Mandelaris, G., Nevins, M. L., Pickering, S. R., Richardson, C. R., Pope, B., Toback, G., Velásquez, D., & Nagursky, H. (2016). A randomized, controlled, multicentre clinical trial of post-extraction alveolar ridge preservation. Journal of clinical periodontology, 43(12), 1188–1199. https://doi.org/10.1111/jcpe.12623
Schropp, L., Wenzel, A., Kostopoulos, L., & Karring, T. (2003). Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. The International journal of periodontics & restorative dentistry, 23(4), 313–323.
Tan, W. L., Wong, T. L., Wong, M. C., & Lang, N. P. (2012). A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clinical oral implants research, 23 Suppl 5, 1–21. https://doi.org/10.1111/j.1600-0501.2011.02375.
Troiano, G., Zhurakivska, K., Lo Muzio, L., Laino, L., Cicciù, M., & Lo Russo, L. (2018). Combination of bone graft and resorbable membrane for alveolar ridge preservation: A systematic review, meta-analysis, and trial sequential analysis. Journal of periodontology, 89(1), 46–57. https://doi.org/10.1902/jop.2017.170241
Van der Weijden, F., Dell'Acqua, F., & Slot, D. E. (2009). Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. Journal of clinical periodontology, 36(12), 1048–1058. https://doi.org/10.1111/j.1600-051X.2009.01482.x
Vignoletti, F., Matesanz, P., Rodrigo, D., Figuero, E., Martin, C., & Sanz, M. (2012). Surgical protocols for ridge preservation after tooth extraction. A systematic review. Clinical oral implants research, 23 Suppl 5, 22–38. https://doi.org/10.1111/j.1600-0501.2011.02331.x
Villaça, J. H., Pesqueira, E. I. De O., & Guimarães, C. M. (2015). Relato de caso clínico de implante e provisionalização imediatos com um inovador sistema de cirurgia guiada – benefícios e avaliação da acurácia. Prótese News, 2 (2), 180-191. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-853949?lang=fr
Zani, S, Alves, R., Korb, S., Rivaldo, E., & Frasca, L. (2011). Colocação de implante imediato após exodontia: relato de caso clínico. Odontologia Clínico- Científica, 10 (3), 281-284. http://revodonto.bvsalud.org/pdf/occ/v10n3/a18v10n3.pdf
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Copyright (c) 2022 Ricardo Seixas de Paiva Lima; Gustavo Seixas de Paiva Lima; Carlos Kiyoshi Moreira Massuda; Francisco Carlos dos Santos Reis; Wilson Roberto Sendyk; Heloisa Fonseca Marão
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