拜拜的英文-lavie
Ridge Preservation of the Molar
ExtractionSocket Using Collagen Sponge
and Xenogeneic Bone Grafts
Young-Kyun
Kim,
DDS,
PhD,*
Pil-
Young
Yun,
DDS,
PhD,
?
Hyo-Jung
Lee,
DDS,
PhD,
?
Ji-YeonAhn,
DDS,
§
and Su-Gwan
Kim, DDS, PhD
I
t
has been reported that the resorptionof the
residual alveolar bone inthe vicinity of
extraction
sockets
occursprimarily
during
the
initial
periodafter
tooth
extraction,
and
in
cases
withteeth
infected
with
periodontal
diseases,it
shows
more
widely.
1,2
Chen
et
al,
3
andSchropp
et
al
4
have
reported that 6 to
12months after tooth extraction, 0.34 to 7.7mm
horizontal and 0.2 to 3.25 mm
verticalbone loss occurs, and bone
resorptionoccurs most abundantly during theinitial
3 months.
The
progression
of
bone
resorptionafter
extraction
renders
the
placementof
implant
difficult
or
inducesthe difficulty of manufacturing
prosthesisin the future and the managementof oral
hygiene
in
the
vicinity
ofimplants.
Therefore,
by
applying
diversemethods,
efforts
have
been
madeto
preserve
the
alveolar
ridge
and
toprevent
bone
resorption.
It
has
beenreported
that
bone
substitution materialssuch as HTR,
BioOss, DFDBA,Bioglass,Hydroxyapatite, and
materialssuch
as
collagen,
polylactide,
andpolyglycolide
sponge
were
used
aloneor
in
combination,
and
the
resorptionof the alveolar bone was
less.
Darby et
al
10
reported that it ismore
preferable to perform ridge preservationin the
area where the
thicknessof
the
buccal
bone
plate
is
lessthan
1.5
to
2
mm.
Cases
in
whichseveral
teeth
wereextracted,
major
anatomicalstructures
such
as
the
maxillarysinus
and
mandibular
canal
werelocated in the adjacent area, the
arearequiring high aesthetics.
On
the
other
hand,
the
negativeopinion
on
alveolar
preservation
techniquewas
also
presented.
Rothameletal
11
have
reported
in
a
study
on
thesocket
preservation
usingnanocrystallinehydroxyapatite
paste that due to theunpredictable resorption of
materials,the
effect of alveolar ridge
preservationtechnique was not useful. Becker et
al
12
and Pinholt et
al
13
have
reported
that
incases
that
grafted
bone
substitution
materialsto
extraction
sockets,
graft
materialsmay
impede
the
normal
healingprocess
of
the
extraction
socket
itself
orthe
extraction
socket
with
implant
placement,
and
thus
suggested
that
graftingimplant
materials
to
fresh
extractionsocket
causes
problems.
The
purpose
ofthis
study
was
to
evaluate
the
efficacy
ofthe
alveolar ridge preservation
techniqueusing collagen sponge and xenograftafter
extraction.
Objective:
The
purpose
of
thisstudy
was
to
evaluate
the
efficacy
ofthe
alveolar
ridgepreservation
techniqueusing collagen sponge andxenograft after
extraction.
Study Design:
Twenty patientswere divided into the
control group andthe experimental group,
which containedabout 10 patients each.
The controlgroup patients were planned
3-unitbridge
without performing implant
andwithout special treatments for the extraction
socket, and prosthetic treatmentswere
performed after
3 months. Inthe
experimental group,
using
collagensponge and xenogeneic bone graft,
alveolarridge preservation was performed
simultaneously
with
tooth
extraction;implants
were
placed
after
3
al
and
histological evaluationsand statistical
analysis were performed.
Results:
The resorption rate
of thewidth of alveolar bone 3 mm belowthe
alveolar ridge of the
control groupwas
shown to be 20.74% and of theexperimental group
was an average of
14.26%,
approximately
a
difference
of6%
was
observed,
and
it
was
statisticallysignificant.
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