scholarly journals Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective Study

2020 ◽  
Vol 11 (1) ◽  
pp. 324
Author(s):  
Cobi Landsberg ◽  
Omer Bender ◽  
Miron Weinreb ◽  
Ronald Wigler ◽  
Tali Chackartchi ◽  
...  

Background and objectives: Preservation of alveolar ridge contour following tooth extraction is important to allow for restoration with prosthetics and implants. Socket seal surgery was introduced more than two decades ago for preservation of the form, volume and bone quality of the postextraction ridge. The aim of this retrospective study was to assess the changes in alveolar ridge contour following socket seal surgery and to evaluate the survival of the soft tissue grafts sealing the extraction site. Materials and Methods: Digital images of the extraction sites treated with the socket seal surgery were obtained immediately after extraction and after a healing time of 6 months to measure the changes in the alveolar width. In addition, the sites were photographed 1 week postsurgery to evaluate the vitality of the soft tissue grafts. Results: The overall mean loss of buccal width following socket seal surgery was 5.3% (SD = 13.4%). The mean change in width at the incisor area (1.5% ± 13.1) was significantly lesser than those in the canine area (−17.0% ± 2.1, p < 0.01) or premolar area (−10.5% ± 11.2, p < 0.01). One-week post-surgery 69% of the grafts were vital, and 31% were partially vital. Complete necrosis of the grafts did not occur. Conclusions: Our results suggest that socket seal surgery has a beneficial effect on alveolar dimensional changes 6 months following tooth extraction and that the teeth that benefit mostly from socket seal surgery are incisors.

2008 ◽  
Vol 9 (4) ◽  
pp. 99-106 ◽  
Author(s):  
Clemens Walter ◽  
Leonard Büttel ◽  
Roland Weiger

Abstract Aim The purpose of this report is to present the use of different soft tissue grafting procedures for surgical ridge augmentation. Background Multiple augmentative procedures may be indicated for the esthetic reconstruction of edentulous alveolar ridge deformities due to unpredictable shrinkage of augmented tissues. Report A 38-year-old woman with a moderate Class III alveolar ridge defect received periodontal plastic surgery treatment using a combined onlay-interpositional graft procedure and a subepithelial connective tissue graft. Summary This case illustrates the aesthetic reconstruction of a moderate alveolar ridge defect using a twostep approach. Clinical Significance Using different soft tissue grafting procedures might be helpful in planning and treating moderate alveolar ridge defects. The time for remodelling of the augmented tissues needs to be respected before the final prosthesis is placed. Citation Walter C, Büttel L, Weiger R. Localized Alveolar Ridge Augmentation Using a Two-step Approach with Different Soft Tissue Grafts: A Clinical Report. J Contemp Dent Pract 2008 May; (9)4:099-106.


Author(s):  
Luigi Canullo ◽  
Paolo Pesce ◽  
Donato Antonacci ◽  
Andrea Ravidà ◽  
Matthew Galli ◽  
...  

Abstract Background Alveolar ridge preservation (ARP) is a proactive treatment option aiming at attenuating post-extraction hard and soft tissue dimensional changes. A high number of different types of biomaterials have been utilized during ARP to seal the socket, but their effectiveness in terms of soft tissue outcomes has rarely been investigated and compared in the literature. Objective To evaluate the efficacy of different types of membranes and graft materials in terms of soft tissue outcomes (keratinized tissue width changes, vertical buccal height, and horizontal changes) after ARP, and to assign relative rankings based on their performance. Materials and methods The manuscript represents the proceedings of a consensus conference of the Italian Society of Osseointegration (IAO). PUBMED (Medline), SCOPUS, Embase, and Cochrane Oral Health’s Information Specialist were utilized to conduct the search up to 06 April 2021. English language restrictions were placed and no limitations were set on publication date. Randomized controlled trials that report ARP procedures using different sealing materials, assessing soft tissue as a primary or secondary outcome, with at least 6-week follow‐up were included. Network meta-analysis (NMA) was performed using mean, standard deviation, sample size, bias, and follow-up duration for all included studies. Network geometry, contribution plots, inconsistency plots, predictive and confidence interval plots, SUCRA (surface under the cumulative ranking curve) rankings, and multidimensional (MDS) ranking plots were constructed. Results A total of 11 studies were included for NMA. Overall, the level of bias for included studies was moderate. Crosslinked collagen membranes (SUCRA rank 81.8%) performed best in vertical buccal height (VBH), autogenous soft tissue grafts (SUCRA rank 89.1%) in horizontal width change (HWch), and control (SUCRA rank 85.8%) in keratinized mucosa thickness (KMT). Conclusions NMA confirmed that the use of crosslinked collagen membranes and autogenous soft tissue grafts represented the best choices for sealing sockets during ARP in terms of minimizing post-extraction soft tissue dimensional shrinkage. Clinical relevance Grafting materials demonstrated statistically significantly better performances in terms of soft tissue thickness and vertical buccal height changes, when covered with crosslinked collagen membranes. Instead, soft tissue grafts performed better in horizontal width changes. Non-crosslinked membranes and other materials or combinations presented slightly inferior outcomes.


2020 ◽  
Vol 31 (S20) ◽  
pp. 39-39
Author(s):  
Marco Clementini ◽  
Walter Castelluzzo ◽  
Vincenzo Ciaravino ◽  
Agnese Agostinelli ◽  
Fabio Vignoletti ◽  
...  

2019 ◽  
Vol 30 (3) ◽  
pp. 1907145 ◽  
Author(s):  
Sarah Van Belleghem ◽  
Leopoldo Torres ◽  
Marco Santoro ◽  
Bhushan Mahadik ◽  
Arley Wolfand ◽  
...  

2005 ◽  
Vol 19 (03) ◽  
pp. 251-260 ◽  
Author(s):  
Michael S Stosich ◽  
Jeremy J Mao

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