Processing the Extracted Tooth to Graft the Fresh Socket (Split Mouth Prospective Clinical Study)
Author(s): Farah Abid Yousif* and Saif Saadedeen Abdulrazaq
Abstract
Background: The dimensional change of alveolar ridge is normal effect of teeth extraction, with unfavourable functional and esthetical outcomes that might jeopardize implant placement. To reduce the biological effects of the dimensional changes of alveolar ridge, various surgical procedures have been recommended, called alveolar ridge preservation. In the previous decade, autogenously teeth have been proposed as bone graft substitution in fresh extraction socket with successful results, yet with various preparation protocols.
Aim: Evaluate the formation of new bone derived from the freshly extracted teeth that are grafted immediately in the post extraction sockets, in comparison with sockets without graft filling, by using CBCT and to compare the vertical and horizontal contraction of alveolar ridge between both groups.
Materials and methods: Twenty patients with an overall of 40 extraction sockets were selected for this study from department of oral and maxillofacial surgery. These cases were divided in two groups, control group (20 extraction sockets left to heal by clot formation) and study group (20 extraction sockets grafted with autogenously teeth particulates). The extracted teeth were processed immediately with smart dentin grinder device. CBCT scans were taken on one week after extraction as baseline image and four months later.
Results: All extraction sites healed uneventfully. Reduction of ridge height and width were lower in grafted sites compared with sites left healed naturally. The bone healing density in grafted sites was statistically significantly higher that of sites healed naturally.
Conclusion: The application of autogenously tooth bone graft (Auto BTG) in to fresh extraction socket is efficient in preservation of alveolar ridge by minimizing vertical and horizontal ridge loss and promoting healing of bone for up to 4 months as shown radio graphically.