The need for socket preservation: a systematic review.

Area of Science:

• Dental Implantology
• Periodontology
• Oral Surgery

Background:

• Tooth extraction often leads to significant alveolar bone resorption, compromising future dental implant placement.
• Maintaining bone volume and architecture post-extraction is crucial for successful prosthetic rehabilitation.
• Socket preservation aims to mitigate bone loss and facilitate predictable implant outcomes.

Purpose of the Study:

• To evaluate the clinical necessity and impact of socket preservation techniques.
• To systematically review and categorize various socket preservation methods based on randomized clinical trials.
• To assess the efficacy of different materials and techniques in preserving alveolar bone dimensions.

Main Methods:

• A systematic literature search was conducted across PubMed, Google Scholar, and Cochrane databases.
• Inclusion criteria focused on randomized clinical trials comparing socket preservation methods.
• Eight randomized controlled trials were included in the final analysis.

Main Results:

• Multiple socket preservation techniques were identified as effective in preserving both horizontal and vertical bone dimensions.
• Each reviewed material demonstrated a degree of efficacy in maintaining socket integrity post-extraction.
• The included studies support the use of socket preservation for optimizing conditions for future implant placement.

Conclusions:

• Socket preservation is clinically indicated to protect bone volume following tooth extraction.
• Various materials and techniques contribute to successful bone preservation for subsequent dental implant procedures.
• Effective socket preservation enhances patient preparedness for prosthetic restoration.