Comparison of Autogenous Tooth Graft With Polylactic Co-Glycolic Acid in Postextraction Socket for Alveolar Ridge
Harshad Sharma1, Amit Gupta2, Birsubhra Roy3
1Consultant, Oral and Maxillofacial Surgery, Khandelwal Dental Clinic and Implant Center, Noida, Uttar Pradesh, India.
Summary
Autogenous tooth grafting (ATG) shows potential advantages over polylactic co-glycolic acid (PLGA) for alveolar ridge preservation, with fewer complications observed. This study compared clinical and radiographic outcomes of both materials for socket grafting.
Area of Science:
- Dental surgery
- Biomaterials science
- Regenerative medicine
Background:
- Alveolar ridge preservation is crucial after tooth extraction.
- Traditional bone graft materials include autografts, allografts, xenografts, and alloplasts.
Purpose of the Study:
- To compare autogenous tooth graft (ATG) and polylactic co-glycolic acid (PLGA) for alveolar ridge preservation.
- To evaluate clinical and radiographic parameters of these grafting materials.
Main Methods:
- A prospective randomized controlled double-blind trial was conducted.
- Patients received either ATG or PLGA for alveolar ridge preservation.
- Clinical and radiographic dimensions were assessed at baseline and 6 months post-procedure.
Main Results:
- A statistically significant difference in horizontal bone dimension was observed between ATG and PLGA at 6 months (P = .01).
- Both groups showed significant increases in alveolar ridge dimensions from baseline to 6 months.
- The ATG group had no complications, while the PLGA group experienced regeneration failure in 2 patients.
Conclusions:
- Autogenous tooth grafting (ATG) may be superior to PLGA for socket preservation due to a lower complication rate.
- Further research is warranted to confirm the long-term efficacy and safety of ATG in alveolar ridge preservation.
