Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 4 Issue 1

Alveolar Ridge Preservation in Mandibular Molars Using Mixture of Autogenous Bone and Anorganic Bovine Bone (ABB) Versus Anorganic Bovine Bone Alone Versus Absorbent Gelatin Sponge (Randomized Clinical Trial)

Dina Mohammed Alesawy1*, Nevien Abd El-Latif Askar2, Mohamed Atef Abdel-Rasoul2 and Hatem Abdel-Fattah Amer3

11Department of Oral Implantology, Faculty of Dentistry - Cairo University, Egypt 2Department of Oral and Maxillofacial Surgery, Faculty of Dentistry - Cairo University, Egypt
3Department of Oral and Maxillofacial Pathology, Faculty of Dentistry - Cairo University, Egypt

*Corresponding Author: Dina Mohammed Alesawy, Department of Oral Implantology, Faculty of Dentistry - Cairo University, Egypt.

Received: December 09, 2020; Published: December 29, 2020

×

Abstract

Purpose: Radiographic and Histomorphometric assessment of Autogenous and Anorganic bovine bone graft mixture (Auto/ABB) vs Anorganic Bovine Bone (ABB) vs Absorbable gelatin sponge in alveolar socket preservation.

Materials and Methods: 30 patients, 1/group required extraction of mandibular molar tooth. Immediate and 6 months post grafting CBCT radiographs. Crestal flaps, followed by core biopsy. Histomorphometric analysis of mean bone/area and residual percent and radiographical evaluation of bone loss.

 Results: Auto/ABB loss buccally 2.64 ± 1.48 mm, lingually 1.59 ± 0.86 mm, width 1.63 ± 0.97mm. Mean bone area percent 42.34% residual material percent 32.19%. The ABB loss buccally 1.62mm, lingually 0.48mm and width 1.55mm. Bone area percent was 48.42% and residual percent of 20.87%. The AGS recorded a buccal loss of 1.29mm, lingual 1.44mm and horizontal 0.89mm. The Bone area percent 58.88% and a residual of 20.36%.

Conclusion: The Auto/ABB loss was highest in all the radiographical dimensions with the least bone area percent and the highest residual material present giving rise to questioning its effectiveness in socket preservation. ABB had the significant least amount of lingual loss of bone. The AGS showed promising results with the bone area percent recorded the most and the least residual material percent.

Keywords: Autogenous; Anorganic Bovine; Alveolar Bone

×

References

  1. B Shakibaie. “Socket and ridge preservation from the three-dimensional perspective”. (2009): 24-33.
  2. P R Schmidlin., et al. “Prevention of alveolar ridge resorption after tooth extraction--a review”. Schweizer Monatsschrift fur Zahnmedizin = Rev. Mens. suisse d’odonto-stomatologie = Riv. Mens. Svizz. di Odontol. e Stomatol 4 (2004): 328-336.
  3. MG Araújo., et al. “Alveolar socket healing: what can we learn?”. Periodontology 1 (2015): 122-134.
  4. GA Kumar. “Criteria for immediate placement of oral implants-a mini review Biology and Medicine Criteria for immediate placement of oral implants-a mini review” (2012).
  5. Schropp L., et al. “Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study”. International Journal of Periodontics and Restorative Dentistry 4 (2003): 313-323.
  6. P G Carlsson GE. “Morphologic changes of the mandible after extraction and wearing of dentures. A longitudinal, clinical, and x-ray cephalometric study covering 5 ye”. Odontology Review 1 (1967): 27-54.
  7. P Mercier and R Lafontant. “Residual alveolar ridge atrophy: Classification and influence of facial morphology”. Journal of Prosthetic Dentistry 1 (1979): 90-100.
  8. D A Atwood. “Some clinical factors related to rate of resorption of residual ridges”. Journal of Prosthetic Dentistry 3 (1962): 441-450.
  9. Q Gu., et al. “Macrophages and bone inflammation”. Journal of Orthopaedic Translation 10 (2017): 86-93.
  10. C Baat., et al. “Factors connected with alveolar bone resorption among institutionalized elderly people”. Community Dentistry and Oral Epidemiology 5 (1993): 317-320.
  11. F S., et al. “Histological comparison of healing extraction sockets implanted with bioactive glass or demineralized freeze-dried bone allograft: A pilot study”. Journal of Periodontology1 (2002).
  12. Gabriel Zubillaga., et al. “Changes in alveolar bone height and width following post-extraction ridge augmentation using a fixed bioabsorbable membrane and demineralized freeze-dried bone osteoinductive graft”. Journal of Periodontology7 (2003): 965-975.
  13. A Z and N CE. “The application of deproteinized bovine bone mineral for ridge preservation prior to implantation. Clinical and histological observations in a case report”. Journal of Periodontology9 (1998): 1062-1067.
  14. C D., et al. “Healing of human extraction sockets filled with Bio-Oss”. Clinical Oral Implants Research 2 (2003): 137-143.
  15. S GKB., et al. “Preservation of ridge dimensions following grafting with coral granules of 48 post-traumatic and post-extraction dento-alveolar defects”. Dental Traumatology4 (2003): 221-227.
  16. G R., et al. “Medial-grade calcium sulfate hemihydrate (surgiplaster) in healing of a human extraction socket--histologic observation at 3 months: a case report”. The International Journal of Oral and Maxillofacial Implants 4 (2005): 636-641.
  17. V Lekovic., et al. “Preservation of Alveolar Bone in Extraction Sockets Using Bioabsorbable Membranes”. Journal of Periodontology9 (1998): 1044-1049.
  18. F Diès., et al. “Bone regeneration in extraction sites after immediate placement of an e-PTFE membrane with or without a biomaterial: A report on 12 consecutive cases”. Clinical Oral Implants Research (1996).
  19. , et al. “Alveolar Bone Preservation in Extraction Sockets Using Non-Resorbable dPTFE Membranes: A Retrospective Non-Randomized Study”. Journal of Periodontology 79.8 (2008): 1355-1369.
  20. I JM., et al. “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”. Journal of Periodontology 7 (2003): 990-999.
  21. D Cardaropoli and G Cardaropoli. “Preservation of the postextraction alveolar ridge: a clinical and histologic study”. International Journal of Periodontics and Restorative Dentistry (2008).
  22. D Laurito., et al. “Alveolar Ridge Preservation with nc-HA and d-PTFE Membrane: A Clinical, Histologic, and Histomorphometric Study”. International Journal of Periodontics and Restorative Dentistry 2 (2017): 283-290.
  23. C Laurencin., et al. “Bone graft substitutes”. Expert Review of Medical Devices 1 (2006): 49-57.
  24. B Kyle. “Implant Site Development and Extraction Site Grafting” (2011).
  25. T Albrektsson and C Johansson. “Osteoinduction, osteoconduction and osseointegration”. European Spine Journal 10 (2001): S96-S101.
  26. P V Giannoudis., et al. “Bone substitutes: An update”. Injury3 (2005): S20-S27.
  27. C S and MG Zeeshan Sheikh. “Bone Replacement Materials and Techniques Used for Achieving Vertical Alveolar Bone Augmentation”. Materials (Basel) 8 (2015): 2953-2993.
  28. R E Marx. “Clinical application of bone biology to mandibular and maxillary reconstruction”. Clinics in Plastic Surgery 3 (1994): 377-392.
  29. G J Zipfel., et al. “Bone grafting”. Neurosurgery Focus 2 (2008): e8.
  30. J A Obwegeser. “Absorbable and bioconvertible osteosynthesis materials in maxillofacial surgery”. Kiefer. Gesichtschir 2.6 (1998): 288-308.
  31. H Burchardt. “The biology of bone graft repair”. Clinical Orthopaedics and Related Research 174 (1983): 28-42.
  32. MR Urist. “Bone: Formation by Autoinduction”. Science 3698 (1965): 893-899.
  33. A Barone., et al. “Clinical and Histological changes after ridge preservation with two xenografts: preliminary results from a multicentre randomized controlled clinical trial”. Journal of Clinical Periodontology 2 (2017): 204-214.
  34. R U Light and H R Prentice. “Surgical Investigation of a New Absorbable Sponge Derived from Gelatin for Use in Hemostasis”. Journal of Neurosurgery 5 (1945): 435-455.
  35. A Smith. “NEW AND NONOFFICIAL REMEDIES”. Council on Pharmacy and Chemistry 14 (1947): 921.
  36. M Hoque., et al. “Gelatin Based Scaffolds for Tissue Engineering-a Review”. Journal of Polymer Research 1 (2015): 15.
  37. D Olsen., et al. “Recombinant collagen and gelatin for drug delivery”. Advanced Drug Delivery Reviews 12 (2003): 1547-1567.
  38. R A de la Torre., et al. “Hemostasis and hemostatic agents in minimally invasive surgery”. Surgery 4 (2007): S39-S45.
  39. K B Djagny., et al. “Gelatin: A Valuable Protein for Food and Pharmaceutical Industries: Review”. Critical Reviews in Food Science and Nutrition 6 (2001): 481-492.
  40. M Meyer. “Processing of collagen based biomaterials and the resulting materials properties”. BioMedical Engineering OnLine1 (2019)24.
  41. S Gorgieva and V Kokol. “Collagen- vs. Gelatine-Based Biomaterials and Their Biocompatibility: Review and Perspectives”. in Biomaterials Applications for Nanomedicine, InTech (2011).
  42. W C Guralnick and L Berg. “Gelfoam in oral surgery”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology 7 (1948): 632-639.
  43. N A Faculty. “Efficacy of Chitosan and Absorbable Gelatin Sponge on Hemostasis and Wound Healing Following Tooth Extraction ‘a Comparative Study”. (2016).
  44. , et al. “Biocompatibility and performance in vitro of a hemostatic gelatin sponge”. Journal of Biomaterials Science, Polymer Edition 11.7 (2000): 685-699.
  45. D Timothy Kosinski. “A Simple and Cost-Effective Socket Preservation Technique”. 35.4 (2016): 90.
  46. M C Echave., et al. “Gelatin as Biomaterial for Tissue Engineering”. Current Pharmaceutical Design 24 (2017): 3567-3584.
  47. R Rohanizadeh., et al. “Gelatin sponges (Gelfoam ®) as a scaffold for osteoblasts”. Journal of Materials Science: Materials in Medicine 3 (2008): 1173-1182.
  48. L Bodner. “Effect of decalcified freeze-dried bone allograft on the healing of jaw defects after cyst enucleation”. Journal of Oral and Maxillofacial Surgery 11 (1986): 1282-1286.
  49. MD Finn., et al. “Osseous regeneration in the presence of four common hemostatic agents”. Journal of Oral and Maxillofacial Surgery 6 (1992): 608-612.
  50. A Desai., et al. “Current concepts and guidelines in chin graft harvesting: A literature review”. International Journal of Oral Health Sciences 1 (2013): 16.
  51. “Neo-Biotech ACM Auto Chip Maker - Swallow Dental”.
  52. D Goodarzi Pour., et al. “Accuracy of Cone Beam Computed Tomography for Detection of Bone Loss”. Journal of Dentistry (Tehran) 7 (2015): 513-523.
  53. P Wenjian Zhang., et al. “Cone Beam Computerized Tomography Measurement of Alveolar Ridge at Posterior Mandible for Implant Graft Estimation”. Journal of Oral Implantology 6 (2015): 231-237.
  54. D Cardaropoli. “Ridge Preservation-Dealing with extraction sockets” (2018).
  55. V Chappuis., et al. “Clinical relevance of dimensional bone and soft tissue alterations post-extraction in esthetic sites”. Periodontology 1 (2000): 73-83.
  56. “Bone healing and soft tissue contour changes following single-tooth extraction: A clinical and radiographic 12-month prospective study”. Journal of Prosthetic Dentistry 1 (2004): 92.
  57. M G Araújo and J Lindhe. “Dimensional ridge alterations following tooth extraction. An experimental study in the dog”. Journal of Clinical Periodontology 2 (2005): 212-218.
×

Citation

Citation: Dina Mohammed Alesawy., et al. “Alveolar Ridge Preservation in Mandibular Molars Using Mixture of Autogenous Bone and Anorganic Bovine Bone (ABB) Versus Anorganic Bovine Bone Alone Versus Absorbent Gelatin Sponge (Randomized Clinical Trial)".Acta Scientific Orthopaedics 4.1 (2021): 56-73.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US