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Published on: October 18, 2021
Ridge Preservation Techniques in the Anterior Esthetic Zone
Luis Brandam1, Hans Malmstrom, Fawad Javed
1*Resident, Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, NY. †Professor and Chair, Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, NY. ‡Professor, Department of International Dentistry Research, Faculty of Medicine and Dentistry, San Antonio Catholic University of Murcia (UCAM), Murcia, Spain. §Professor, Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY; Professor, Department of Oral Surgery and Implant Dentistry, University of Frankfurt, Dental School (Carolinum), Frankfurt, Germany.
Ridge preservation (RP) techniques effectively reduce alveolar ridge contraction after tooth extraction, though no single graft material is superior. Further long-term data is needed for dental implant success.
Area of Science:
- Dentistry
- Oral Surgery
- Periodontology
Background:
- Alveolar ridge resorption after tooth extraction can compromise future dental implant placement.
- Various ridge preservation (RP) techniques aim to mitigate this bone loss.
- Promising results have been reported for RP in different clinical scenarios.
Purpose of the Study:
- To evaluate the role and reliability of ridge preservation (RP) in the anterior esthetic zone.
- To assess the effectiveness of RP techniques in preserving alveolar bone height and width.
- To inform decisions regarding implant placement following tooth extraction.
Main Methods:
- Systematic literature search of MEDLINE and PubMed databases.
- Inclusion of 11 human studies (RCTs, CCTs, prospective/retrospective) with at least 5 subjects and 3-month follow-up.
- Exclusion of studies with primary closure or non-single-rooted/bicuspid sites.
Main Results:
- All included studies demonstrated reduced ridge contraction in grafted sites compared to non-grafted sites.
- No specific graft material showed superiority across the evaluated studies.
- Heterogeneity in techniques, materials, and healing times limited direct comparison.
Conclusions:
- Ridge preservation is effective in minimizing alveolar ridge reduction post-extraction.
- Grafting materials appear beneficial, but material-specific advantages are not evident from this review.
- Long-term outcome data for dental implants placed in RP sites are still required.
