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Immediate Ridge Augmentation Using Autogenous Tooth Root as a Block Graft in a Periodontally Hopeless Extraction

Jana Shejali1, Raison Thomas1, Tarun Kumar1

  • 1Department of Periodontics, Bapuji Dental College & Hospital, Karnataka, India.

The Journal of Oral Implantology
|December 10, 2019
PubMed
Summary

Autogenous tooth roots effectively augment bone in hopeless extraction sites. This bone grafting technique reconstructs vertical and horizontal dimensions, proving suitable for future dental implant placement.

Keywords:
alveolar ridge augmentationbone regenerationbone transplantationdental implantstoothtooth extraction

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Regenerative Medicine

Background:

  • Periodontally compromised teeth often require extraction, leading to significant bone loss.
  • Reconstructing lost bone volume is crucial for successful dental implant placement.
  • Autogenous bone grafts are a gold standard, but donor site morbidity can be a concern.

Purpose of the Study:

  • To evaluate the efficacy of autogenous tooth roots as block bone grafts.
  • To assess vertical and horizontal ridge augmentation in periodontally compromised extraction sites.
  • To determine the suitability of this technique for future implantology.

Main Methods:

  • Utilized decoronated, cementum-free dentin blocks from extracted hopeless teeth.
  • Augmented periodontally compromised extraction sockets with these autografts.
  • Evaluated clinical and radiographic outcomes at 6 months post-surgery.

Main Results:

  • Achieved a significant gain in clinical ridge width (5.9 mm).
  • Demonstrated a significant reduction in apico-coronal defect depth (8.2 mm, P = .001).
  • Observed a substantial increase in ridge width (5.8 mm, P = .001) at 6 months.

Conclusions:

  • Autogenous tooth roots serve as an effective block bone graft material.
  • This method successfully reconstructs bone dimensions in challenging extraction sites.
  • Tooth root grafting is a viable option for enhancing sites for future dental implants.