Tissue alterations after tooth extraction with and without surgical trauma: a volumetric study in the beagle dog.
OBJECTIVE
The aim of this study is to evaluate whether tooth extraction without the elevation of a muco-periosteal flap has advantageous effects on the resorption rate after tooth extraction.


METHODS
In five beagle dogs polyether impressions were taken before the surgery. The roots of the first and second pre-molars (P(1) and P(2)) were extracted and the sites were assigned to one of the following treatments: treatment group (Tx) 1, no treatment; Tx 2, surgical trauma (flap elevation and repositioning); Tx 3, the extraction socket was filled with BioOss Collagen and closed with a free soft-tissue graft; Tx 4, after flap elevation and repositioning, the extraction socket was treated with BioOss Collagen and a free soft-tissue graft. Impressions were taken 2 and 4 months after surgery. The casts were scanned, matched together with baseline casts and evaluated with digital image analysis.


RESULTS
The "flapless groups" demonstrated significant lower resorption rates both when using socket-preservation techniques and without. Furthermore, socket-preservation techniques yielded better results compared with not treating the socket.


CONCLUSIONS
The results demonstrate that leaving the periosteum in place decreases the resorption rate of the extraction socket. Furthermore, the treatment of the extraction socket with BioOss Collagen and a free gingival graft seems beneficial in limiting the resorption process after tooth extraction.
Fickl
Stefan
S
Private Institute for Periodontology and Implantology, Munich, Germany. fickl@ipi-muc.de
Zuhr
Otto
O
Wachtel
Hannes
H
Bolz
Wolfgang
W
Huerzeler
Markus
M
D016301:Alveolar Bone Loss / Q000209:etiology* / Q000517:prevention & control*; D000704:Analysis of Variance; D000818:Animals; D018786:Bone Substitutes; D004285:Dogs; D005881:Gingiva / Q000637:transplantation; D008903:Minerals; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D010513:Periodontal Ligament / Q000601:surgery; D013524:Surgical Flaps; D014081:Tooth Extraction / Q000009:adverse effects*; D020390:Tooth Socket / Q000601:surgery*
C077540:Bio-Oss; D018786:Bone Substitutes; D008903:Minerals