October 2022
Alveolar ridge and keratinized gingiva preservation using collagen matrix and inorganic bone substitute in flapless extractions: A case series of exposed biomaterials
Abstract
Aim: To evaluate the dimensional changes after alveolar ridge preservation (ARP) with flapless and flapped techniques, using demineralized bovine bone mineral (DBBM) and a collagen matrix (CM) intentionally left exposed. Materials and methods: In this case series, randomly selected patients were divided into one of two surgical approaches, Group 1 (G1): ARP flapless and Group 2 (G2): ARP flapped. Clinical and cone beam computed tomography assessments were performed at 1 week, 4 and 24 months after ARP. Evaluations of postoperative discomfort with visual analogue scale (VAS) were also performed. Results: Surgical procedures run uneventfully with no healing complications of the treated sockets. There were reductions in the horizontal and vertical dimensions of the socket and in the width of the keratinized gingiva, but they were smaller for G1. The thickness of the keratinized gingiva increased in G1 and reduced in G2. Only the VAS had a statistically significant difference between the groups (P=0.03). Conclusions: The ARP limited vertical and horizontal socket changes, regardless of the surgical technique used when the biomaterials where left exposed. The flapless approach seems to provide better results regarding dimensional changes and significantly less discomfort.
Other articles in this issue
| Article | |
| Relationship between gingival crevicular trappin-2 and gingipain levels in periodontal health and disease - An observational report Pavithra Durgesh, Srikumar Prabhu, Srirangarajan Sridharan, Ravi Rao, Shashidara Raju, Oradiyath Deepika | Download |
| Characterization of the human root dentin, in the use of EDTA 24%. Intercalated or continuous application? Anne Karoline Fernandes de Matos, Fernanda Aparecida Silva, Tomaz Gonçalves Martins Neto, Priscila dos Santos Simões, Gabriel Gonçalves Amaral, Fernando Antônio Mauad de Abreu | Download |
| A comparative evaluation of non-incised papillae and entire papilla preservation surgical approaches in treatment of intrabony defects – a clinical and radiographic study Vallabhdas Santosh, Vallabhdas Santosh, Bandi Divya Elenora Martina, Rampalli Viswa Chandra, Aileni Amarender Reddy | Download |
| Efficacy of recombinant human fibroblast growth factor-2 (rhfgf-2) impregnated absorbable collagen scaffold in sites with multiple gingival recession defects Viswa Chandra Rampalli , Rajini Kandikatla, Sneha Kidambi, Santosh Vallabhdas, Amarendhar Reddy Aileni | Download |
| Association of periodontitis and psoriasis: a systematic review and meta-analysis Maiara Rodrigues de Freitas, Fabiana Martins de Oliveira Campos, Isabelle Schalch de Oliveira Campos, Victor Silva Mendes, Monique Vieira Furukawa, Fernando O Costa, José R Cortelli, Emanuel Silva Rovai, Sheila Cavalca Cortelli | Download |
| Proof of Principle: human histologic demonstration of socket healing with socket shield and grafting using non-demineralized autologous tooth dentin graft Snježana Pohl, Narayan Tondikulam Venkataraman, Jelena Tomac | Download |
| Cure of type II diabetes mellitus by anti-infectious (step 2) periodontal therapy and the reduction of body weight Jens Martin Herrmann, Kay-Arne Walther, Negar Mirzabeygi, Joerg Meyle | Download |
| Somatosensory evaluation of donor and recipient sites of subepithelial connective tissue graft: case-control preliminary study Talyta Sasaki Jurkevicz, Yuri Martins Costa, Matheus Völz Cardoso, Carla Andreotti Damante, Adriana Campos Passanezi Sant’Ana, Leonardo Rigoldi Bonjardim, Mariana Schutzer Ragghianti Zangrando | Download |
| Painless osteoid osteoma over anterior hard palate: A case report and review of literature Nishat Sultan, Mohammad Faisa, Zeba Jafri, Madhuri Sawai, Ashu Bhardwaj | Download |
| Alveolar ridge and keratinized gingiva preservation using collagen matrix and inorganic bone substitute in flapless extractions: A case series of exposed biomaterials Mariana Moraes de Souza, Cristhiam de Jesus Hernandez Martinez, Valessa Florindo Carvalho, Flávia Aparecida Chaves Furlaneto Messora, Daniela Bazan Palioto Bulle, Michel Reis Messora, Sérgio Luís Scombatti de Souza, Arthur Belém Novaes Jr, Mario Taba | Download |
