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Conservative Socket Regeneration with Buccal Wall Defect Using Guided Tissue.

Mohammed Jasim Al-Juboori1

  • 1Department of Periodontology, Al-Rafidain University College, Baghdad, Iraq.

The Open Dentistry Journal
|November 19, 2016
PubMed
Summary
This summary is machine-generated.

Guided tissue regeneration using bovine bone and a collagen membrane can minimize alveolar bone loss after tooth extraction, though some challenges like vestibule shallowing persist. This technique aids dental implant placement.

Keywords:
Bovine boneDehiscenceFlaplessGuided tissue regenerationSocket preservation

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Area of Science:

  • Dentistry
  • Periodontology
  • Regenerative Medicine

Background:

  • Alveolar bone resorption post-extraction complicates dental implant procedures.
  • Buccal bone dehiscence presents specific challenges for socket preservation.

Purpose of the Study:

  • To evaluate the efficacy of guided tissue regeneration (GTR) in preserving alveolar bone width and facilitating dental implant placement following extraction of a premolar with buccal dehiscence.
  • To assess the outcomes of socket grafting with bovine bone and a collagen membrane using a flapless approach.

Main Methods:

  • Preservative extraction of an irreparable lower left second premolar with a buccal periodontal lesion.
  • Flapless socket grafting using bovine bone and a collagen membrane to cover buccal bone dehiscence.
  • A 6-month healing period followed by dental implant placement.

Main Results:

  • Minimal reduction in socket width observed after 6 months.
  • Successful dental implant placement with high primary stability and adequate buccal plate thickness.
  • Shallowing of the buccal vestibule was noted as a potential complication.

Conclusions:

  • Guided tissue regeneration with bovine bone and collagen membrane effectively minimizes alveolar bone resorption in extraction sockets with buccal dehiscence.
  • The flapless GTR technique facilitates predictable dental implant placement.
  • Challenges including technical difficulties and buccal vestibule reduction require consideration.