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Classification Based on Extraction Socket Buccal Bone Morphology and Related Treatment Decision Tree.
Larissa Steigmann1, Riccardo Di Gianfilippo1, Marius Steigmann2
1Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA.
Materials (Basel, Switzerland)
|February 15, 2022
Summary
Alveolar ridge preservation (ARP) reduces bone loss after tooth extraction. This study presents a decision tree to select the best ARP technique based on the socket
Area of Science:
- Dentistry
- Oral Surgery
- Periodontology
Background:
- Alveolar ridge preservation (ARP) is crucial for minimizing volumetric bone changes post-extraction.
- Optimal ARP technique selection remains debated for specific clinical situations.
Purpose of the Study:
- To introduce a treatment decision tree for predictable ARP procedures.
- To guide clinicians in choosing ARP techniques based on buccal bone morphology and integrity of the extraction socket.
Main Methods:
- Classification of extraction sockets into three types (ST) based on buccal bone characteristics: intact, dehiscence, or fenestration.
- Development of a decision tree integrating ST classification with appropriate treatment modalities.
- Discussion on criteria for unassisted healing versus ARP.
Main Results:
- A decision tree was developed to guide ARP technique selection.
- Treatment options discussed include bone grafting with collagen plugs, and absorbable or non-resorbable membranes, with or without flap elevation.
- The decision tree links socket morphology to specific ARP interventions.
Conclusions:
- A decision tree for alveolar ridge preservation (ARP) procedures is presented.
- This tool assists clinicians in selecting the most conservative and predictable ARP approach.
- Selection is based on the anatomical structures of the extraction socket remaining after tooth removal.
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