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Objectives: The aim of this following study was to assess dimensional changes after two different socket sealing techniques. Material and methods: Twelve patients, 5 males and 7 females, aged from 37 to 75, requiring a tooth and a delayed implant placement were randomly selected to receive two different alveolar ridge preservation techniques. In the control group the extraction socket was filled with demineralized bovine bone mineral (DBBM) and sealed with a gingival soft tissue punch and in the test group the extraction socket was also filled with DBBM but sealed with a hemostatic gelatin sponge. Impressions were assessed before and six months after tooth extraction, the casts were digitalized and compared on horizontal (Level 1, 3, 5) and vertical dimensions. A visual pain scale was used to compare pain between groups. Results: The mean vertical loss for the control group was 1, 25 ± 0, 44 mm. The test group showed vertical loss of 0, 86 ± 0, and 71 mm. The horizontal dimensional changes of the alveolar socket were 5, 15 ± 1, 69/ 3, 15 ± 0, 90 at levels 3 and 5 mm for the control group, no statistically significant dimensional changes could be assessed at level 1 mm du to important vertical loss. The test group showed dimensional changes of 6, 51 ± 3,54/3,54 ± 1.27/1,79 ± 0.70 mm at the three different levels. When these horizontal and vertical dimensions were tested with an unpaired t-test no statistical significance could be found between the groups (P-value > 0, 05). Regarding the post-operative pain, patients reported more severe pain in the control group (5.5/10) compared to the test groups (3.5/10) but the difference was not statistically significant .Conclusion: the finding of this present study confirm that a complete preservation of the alveolar crest with an alveolar preservation technique is unlikely. No significant difference was found between the control and test group regarding the horizontal dimensional changes and post-operative pain was reported to be higher in the control group. Concerning these results, the socket sealing technique with a homeostatic sponge provides a ready-to-use, inexpensive protocol with less post-operative pain and avoids the disadvantages of a palatal donor site.

Alveolar Ridge Augmentation --- Tooth Socket --- Randomized Controlled Trials as Topic

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Ilium --- Maxilla --- Mandible --- Alveolar Process --- Alveolar Ridge Augmentation --- Bone Transplantation --- Cleft Palate --- transplantation --- surgery --- pathology

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This book describes all methods of bone management currently employed within the field of dental implantology, with the aim of equipping oral surgeons and other practitioners with a sound practical understanding of bone augmentation. The different possibilities for augmentation of the jaw in the vertical and horizontal dimensions are explained, and detailed information provided on the latest techniques of augmentation, including guided bone regeneration, mandibular bone grafting, 3D technique, extraoral bone augmentation, and microvascular bone transplantation. Readers will find clear guidance on diagnosis and treatment planning and helpful discussion of the basic principles of bone augmentation. Individual chapters also address the role of lasers, complications and risks, and emerging trends. The extensive case documentation, with numerous color illustrations and photos, highlights what is possible today in the field of bone regeneration. This book is a “must read” for all implantologists, oral maxillofacial surgeons, periodontists, and dentists with an interest in oral surgery.

Dentistry. --- Surgery. --- Oral and Maxillofacial Surgery. --- Dental implants. --- Surgery, Primitive --- Medicine --- Dental surgery --- Odontology --- Surgery, Dental --- Oral medicine --- Teeth --- Dental implants --- Mouth --- Alveolar Ridge Augmentation --- Dental Implantation, Endosseous --- Bone Regeneration. --- Bone Transplantation. --- Methods. --- methods. --- Grafting, Bone --- Transplantation, Bone --- Bone Grafting --- Bone and Bones --- Osteoconduction --- Bone Regenerations --- Regeneration, Bone --- Regenerations, Bone --- Bone Density Conservation Agents --- Oral surgery --- Surgery, Oral --- Oral surgeons --- Dental implantation --- Dental prosthesis, Surgical --- Implant dentures --- Oral implantology --- Surgical dental prosthesis --- Dentures --- Implants, Artificial --- transplantation --- Surgery --- Oral surgery. --- Maxillofacial surgery.