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Natural Bone Healing In Compromised Sockets After Tooth Extraction: Digital Measurement Methods With Cone-Beam

Xueyin An1, Ji-Hyeon Oh1, Seung-Mi Jeong1

  • 1Department of Dentistry, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.

The Journal of Oral Implantology
|July 15, 2020
PubMed
Summary
This summary is machine-generated.

Bone regeneration in infected extraction sockets with defects shows significant horizontal and vertical bone gains one year after implant placement. This supports using a prosthetically driven approach for dental implants in compromised sites.

Keywords:
bone defectbone healingdental implantextraction socketsflaplessperiodontal disease

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Radiology

Background:

  • Periodontal disease often leads to bone defects in extraction sockets, complicating dental implant placement.
  • Assessing bone regeneration in compromised extraction sites is crucial for successful implantology.

Purpose of the Study:

  • To evaluate bone regeneration in infected extraction sockets with bone defects.
  • To assess the feasibility of a prosthetically driven implant approach in these sites using cone-beam computed tomography (CBCT).

Main Methods:

  • Forty-eight patients with premolar/molar extractions due to periodontal disease were included.
  • Cone-beam computed tomography (CBCT) was used to assess bone volume changes at 1-year follow-up.
  • Virtual implant planning software guided implant positioning.

Main Results:

  • Significant horizontal bone gain (mean buccolingual width: 5.46 mm) and vertical bone gain (mean buccal: 3.50 mm, lingual: 0.27 mm) were observed at 1 year.
  • Implants were successfully virtually positioned in the center of the edentulous space in most cases (44/48 sites).

Conclusions:

  • Despite initial bone defects and infection, substantial bone regeneration occurs within 1 year.
  • A prosthetically driven implant approach is viable in compromised posterior extraction sockets, facilitating predictable implant placement.