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Is ridge preservation/augmentation at periodontally compromised extraction sockets safe? A retrospective study
Jung-Ju Kim1, Heithem Ben Amara1, Frank Schwarz2
1Department of Periodontology and Dental Research Institute, Translational Research Laboratory for Tissue Engineering (TTE), School of Dentistry, Seoul National University, Seoul, Korea.
Journal of Clinical Periodontology
|June 24, 2017
Summary
Ridge preservation and augmentation procedures at compromised tooth extraction sites are safe, with a 99.3% success rate. Thorough removal of infection sources is key to successful outcomes in these dental procedures.
Area of Science:
- Dentistry
- Periodontology
- Oral Surgery
Background:
- Periodontally compromised extraction sockets pose challenges for alveolar ridge preservation/augmentation.
- Assessing the safety of these procedures in compromised sites is crucial for clinical decision-making.
Purpose of the Study:
- To evaluate the safety of ridge preservation/augmentation when performed in periodontally compromised extraction sockets.
Main Methods:
- A retrospective chart review of patients undergoing ridge preservation/augmentation at compromised sockets was conducted.
- Exclusion criteria included acute infections; only chronic lesions detectable via radiography were considered.
- Re-infection was defined by persistent inflammatory symptoms despite therapy, necessitating biomaterial removal.
Main Results:
- Out of 297 reviewed cases, eight patients required additional antimicrobial and anti-inflammatory therapy.
- Two patients experienced re-infection, leading to biomaterial removal.
- The overall safety rate for ridge preservation/augmentation was 99.3%.
Conclusions:
- Alveolar ridge preservation/augmentation in periodontally compromised sockets is a safe procedure.
- Complete elimination of the infectious source is essential for successful outcomes.
