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Is alveolar ridge preservation an overtreatment?
Nikos Mardas1, Neil Macbeth1,2, Nikolaos Donos1
1Centre for Oral Clinical Research, Institute of Dentistry, Queen Mary University of London (QMUL), Barts & The London School of Medicine & Dentistry, London, UK.
Periodontology 2000
|August 25, 2023
Summary
Alveolar ridge preservation (ARP) helps maintain bone and soft tissue dimensions after tooth extraction, aiding dental implant placement. This review evaluates ARP
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Postextraction alveolar ridge morphology is crucial for dental implant success.
- Preserving ridge dimensions and soft tissue is key for aesthetic and functional restorations.
- Alveolar ridge preservation (ARP) aims to limit dimensional changes and promote healing.
Purpose of the Study:
- To critically review the evidence supporting the four key objectives of ARP.
- To determine the clinical benefits of ARP compared to unassisted socket healing.
Main Methods:
- Critical review of existing scientific literature.
- Evaluation of evidence for ARP's efficacy in bone and soft tissue preservation.
- Comparison of outcomes between ARP and natural healing.
Main Results:
- Evidence supports ARP in limiting dimensional changes and promoting bone formation.
- Soft tissue healing and contour preservation benefits are less definitively established.
- The necessity of ARP over unassisted healing is debated in specific clinical contexts.
Conclusions:
- ARP can be beneficial for predictable implant placement and ridge dimension maintenance.
- Further research is needed to clarify benefits in soft tissue aspects and specific indications.
- The decision for ARP should consider individual patient factors and potential overtreatment.
