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The effect of immediate implant placement on alveolar ridge preservation compared to spontaneous healing after tooth extraction: Soft tissue findings from a randomized controlled clinical trial
Author(s) -
Clementini Marco,
Castelluzzo Walter,
Ciaravino Vincenzo,
Agostinelli Agnese,
Vignoletti Fabio,
Ambrosi Alessandro,
De Sanctis Massimo
Publication year - 2020
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.13369
Subject(s) - soft tissue , alveolar ridge , dentistry , buccal administration , biomedical engineering , implant , medicine , surgery
Aim To compare soft tissue dimensional changes and relative differences in soft and hard tissue volumes 4 months after single‐tooth extraction and three different treatment modalities: spontaneous healing (SH) and alveolar ridge preservation by means of a deproteinized bovine bone mineral and a collagen matrix, with (IMPL/DBBM/CM) or without (DBBM/CM) immediate implant placement. Materials and Methods STL files from study casts obtained at baseline and after 4 months were matched to calculate buccal soft tissue linear and volumetric changes. DICOM files from CBCTs were superimposed to STL files allowing the evaluation of soft tissue thickness at baseline and 4 months. Results Mean horizontal reduction accounted for 1.46 ± 0.20 (SH), 0.85 ± 0.38 (DBBM‐CM) and 0.84 ± 0.30 IMPL/DBBM‐CM, with no statistical differences. Soft tissue thickness had a significant mean increase of 0.95 for SH group, compared to a non‐significant mean decrease for DBBM‐CM (0.20) and IMPL/DBBM‐CM groups (0.07). Conclusion A preservation technique with DBBM‐CM, with or without immediate implant placement, did not reduce the horizontal linear and volumetric changes at the buccal soft tissue profile significantly at 4 months after tooth extraction when compared to spontaneous healing. This is due to a significant increase in soft tissue thickness in spontaneously healing sites.