Immediate Augmentation of Compromised Extraction Sockets in Chronic Periodontitis Patients: 1-Year Results of a Case Series on Volumetric and Histologic Response

Int J Periodontics Restorative Dent. 2019 Mar/Apr;39(2):245-251. doi: 10.11607/prd.3337.

Abstract

The present case series evaluated three-dimensional volumetric bone tissue changes and new bone formation in severely resorbed extraction sockets augmented with Bio-Oss collagen and a covering collagen membrane in nine chronic periodontitis patients. Healing was by secondary intention. After 12 months of healing, the augmentation procedure appeared not only to compensate for bone remodeling but also appeared to repair a significant portion of the buccal wall. The mineralized tissue filled the 91.49% ± 6.77% of the maximum volume for regeneration. Overall, a mean of 49.6% new bone, 27.1% residual graft material, and 23.3% connective tissue were detected.

MeSH terms

  • Alveolar Process / diagnostic imaging
  • Alveolar Process / pathology
  • Alveolar Ridge Augmentation / methods*
  • Chronic Periodontitis / pathology
  • Chronic Periodontitis / surgery*
  • Cone-Beam Computed Tomography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Minerals / therapeutic use
  • Osteogenesis
  • Radiography, Dental
  • Tooth Extraction / adverse effects
  • Tooth Socket / pathology
  • Tooth Socket / surgery*

Substances

  • Bio-Oss
  • Minerals