Journal article
Efficacy of Alveolar Ridge Preservation: A Randomized Controlled Trial
Journal of dental research, Vol.99(4), pp.402-409
04/2020
DOI: 10.1177/0022034520905660
PMID: 32050833
Abstract
Alveolar ridge preservation (ARP) therapy is indicated to attenuate the physiologic resorptive events that occur as a consequence of tooth extraction with the purpose of facilitating tooth replacement therapy. This randomized controlled trial was primarily aimed at testing the efficacy of ARP as compared with unassisted socket healing. A secondary objective was to evaluate the effect that local phenotypic factors play in the volumetric reduction of the alveolar bone. A total of 53 subjects completed the study. Subjects were randomized into either the control group, which involved only tooth extraction (EXT n = 27), or the experimental group, which received ARP using a combination of socket grafting with a particulate bone allograft and socket sealing with a nonabsorbable membrane (dPTFE) following tooth extraction (ARP n = 26). A set of clinical, linear, volumetric, implant-related, and patient-reported outcomes were assessed during a 14-wk healing period. All linear bone assessments (horizontal, midbuccal, and midlingual reduction) revealed that ARP is superior to EXT. Likewise, volumetric bone resorption was significantly higher in the control group (mean ± SD: EXT = −15.83% ± 4.48%, ARP = −8.36% ± 3.81%, P < 0.0001). Linear regression analyses revealed that baseline buccal bone thickness is a strong predictor of alveolar bone resorption in both groups. Interestingly, no significant differences in terms of soft tissue contour change were observed between groups. Additional bone augmentation to facilitate implant placement in a prosthetically acceptable position was deemed necessary in 48.1% of the EXT sites and only 11.5% of the ARP sites ( P < 0.004). Assessment of perceived postoperative discomfort at each follow-up visit revealed a progressive decrease over time, which was comparable between groups. Although some extent of alveolar ridge remodeling occurred in both groups, ARP therapy was superior to EXT as it was more efficacious in the maintenance of alveolar bone and reduced the estimated need for additional bone augmentation at the time of implant placement (ClinicalTrials.gov NCT01794806).
Details
- Title: Subtitle
- Efficacy of Alveolar Ridge Preservation: A Randomized Controlled Trial
- Creators
- G Avila-Ortiz - Department of Periodontics, College of Dentistry, University of Iowa, Iowa City, IA, USAM Gubler - Department of Periodontics, College of Dentistry, University of Iowa, Iowa City, IA, USA, Private practice, Saint George, UT, USAM Romero-Bustillos - Department of Periodontics, College of Dentistry, University of Iowa, Iowa City, IA, USAC.L Nicholas - Department of Orthodontics, University of Illinois at Chicago, Chicago, IL, USAM.B Zimmerman - Biostatistics Consulting Center, College of Public Health, University of Iowa, Iowa City, IA, USAC.A Barwacz - Department of Family Dentistry, College of Dentistry, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Journal of dental research, Vol.99(4), pp.402-409
- DOI
- 10.1177/0022034520905660
- PMID
- 32050833
- ISSN
- 0022-0345
- eISSN
- 1544-0591
- Grant note
- name: Osteogenics Biomedical Inc; DOI: 10.13039/100008893, name: university of iowa, award: Department of Periodontics Graduate Student Research Fund
- Language
- English
- Date published
- 04/2020
- Academic Unit
- Biostatistics; Family Dentistry; Periodontics
- Record Identifier
- 9984214812202771
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