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Ridge preservation in molar extraction sites with an open‐healing approach: A randomized controlled clinical trial
Author(s) -
Lim HyunChang,
Shin HyunSeung,
Cho InWoo,
Koo KiTae,
Park JungChul
Publication year - 2019
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.13184
Subject(s) - molar , resorption , alveolar ridge , dentistry , dental alveolus , ridge , alveolar crest , extraction (chemistry) , medicine , chemistry , implant , surgery , pathology , geology , paleontology , chromatography
Aim To determine the effect of alveolar ridge preservation (ARP) in molar sites without primary flap closure. Materials and Methods Three groups were established: extraction sockets grafted with deproteinized bovine bone mineral containing 10% collagen (DBBM‐C) and covered by a native bilayer collagen membrane (NBCM) (test group 1), sockets grafted with DBBM‐C only (test group 2), and sockets that healed naturally (control group). Primary flap closure was not attempted. Conebeam computed tomography scans were obtained immediately and then 4 months after ARP. A biopsy was performed. The change of the marginal bone level was measured. Results There was significantly less horizontal resorption in test group 1 than in the control group at levels 1 mm (−1.02 ± 0.88 [mean ± SD ] vs. −4.44 ± 3.71 mm) and 3 mm (−0.31 ± 1.51 vs. −2.27 ± 1.15 mm) below the crest, and significantly less vertical reduction in the midcrestal area in test group 1 than in test group 2 (−0.25 ± 0.95 vs. −1.15 ± 1.63 mm) ( p < .05). There were no significant differences between test groups in clinical and histomorphometric measurements. All groups exhibited stable marginal bone levels after 1 year of loading. Conclusion Alveolar ridge preservation without primary flap closure in molar areas was effective in minimizing ridge resorption and facilitated implant treatment.