Simple preservation of a maxillary extraction socket using beta-tricalcium phosphate with type I collagen: preliminary clinical and histomorphometric observations.
Alveolar atrophy following tooth extraction remains a challenge for future dental implant placement. Immediate implant placement and postextraction alveolar preservation are 2 methods that are used to prevent significant postextraction bone loss. In this article, we report the management of a maxillary tooth extraction socket using an alveolar preservation technique involving placement of a cone of beta-tricalcium phosphate (beta -TCP) combined with type I collagen without the use of barrier membranes or flap surgery. Clinical examination revealed solid new bone formation 9 months after the procedure. At the time of implant placement, histomorphometric analysis of the biopsied bone showed that it contained 62.6% mineralized bone, 21.1% bone marrow and 16.3% residual beta -TCP graft. The healed bone was able to support subsequent dental implant placement and loading.
Brkovic
Bozidar M B
BM
Clinic of Oral Surgery, School of Dentistry, University of Belgrade, Belgrade, Serbia.
Prasad
Hari S
HS
Konandreas
George
G
Milan
Radulovic
R
Antunovic
Dragana
D
Sándor
George K B
GK
Rohrer
Michael D
MD
D000328:Adult; D016301:Alveolar Bone Loss / Q000517:prevention & control; D000543:Alveoloplasty; D001641:Bicuspid / Q000601:surgery; D001672:Biocompatible Materials / Q000627:therapeutic use*; D001853:Bone Marrow / Q000473:pathology; D018786:Bone Substitutes / Q000627:therapeutic use*; D002113:Calcification, Physiologic / Q000502:physiology; D002130:Calcium Phosphates / Q000627:therapeutic use*; D024042:Collagen Type I / Q000627:therapeutic use*; D003758:Dental Implantation, Endosseous; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D010012:Osteogenesis / Q000502:physiology; D014081:Tooth Extraction; D020390:Tooth Socket / Q000601:surgery*
D001672:Biocompatible Materials; D018786:Bone Substitutes; D002130:Calcium Phosphates; D024042:Collagen Type I; C485817:beta-tricalcium phosphate