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Protocol for ridge preservation at severely compromised extraction sockets: Consecutive case series.

Aaron N Colamarino1, William E Bane1, Gary M Blyleven1

  • 1Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University, Fort Gordon, Georgia, USA.

Clinical Advances in Periodontics
|August 9, 2023
PubMed
Summary

This study introduces a novel alveolar ridge preservation (ARP) protocol for severely compromised extraction sockets. The technique successfully maintained alveolar dimensions, potentially avoiding staged reconstruction for dental implant placement.

Keywords:
alveolar processbone regenerationclinical protocolsdental implantstreatment outcome

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Area of Science:

  • Periodontology
  • Oral Surgery
  • Regenerative Dentistry

Background:

  • Tooth extraction can lead to significant alveolar bone loss, especially in compromised sites.
  • Severe bone loss complicates future dental implant placement.
  • Existing protocols often involve staged reconstruction for severely deficient extraction sockets.

Observation:

  • A novel bilaminar alveolar ridge preservation (ARP) protocol was applied to seven patients with compromised extraction sockets.
  • The protocol utilized a collagen membrane, freeze-dried bone allograft, and a polytetrafluoroethylene membrane.
  • This technique aimed to preserve facial/buccal bone dimensions and soft tissue support.

Findings:

  • All treated extraction sockets healed uneventfully.
  • Favorable alveolar ridge dimensions were achieved, suitable for subsequent implant placement.
  • The bilaminar ARP technique demonstrated efficacy in managing severe alveolar compromise.

Implications:

  • This protocol may offer an alternative to staged reconstruction in select cases of severe alveolar deficiency.
  • Further controlled clinical studies are warranted to validate these findings.
  • The technique has the potential to simplify treatment pathways for patients requiring tooth extraction and future implants.