新鲜拔牙窝的反应性软组织保存的三维变化：锥形束 CT 研究。

Dimensional Changes of Fresh Sockets With Reactive Soft Tissue Preservation: A Cone Beam CT Study.

机构信息

*Adjunct Professor, Department of Dentistry, Vita Salute University, IRCCS San Raffaele Hospital, Milan, Italy. †Researcher, Department of Dentistry, Vita Salute University, IRCCS San Raffaele Hospital, Milan, Italy. ‡Fellow MD, Insubria University, Varese, Italy. §Associate Professor, Dental School, Vita-Salute University, Milan, Italy. ¶Full Professor and Chairmen, Department of Dentistry, Vita Salute University, IRCCS San Raffaele Hospital, Milan, Italy.

出版信息

Implant Dent. 2017 Jun;26(3):417-422. doi: 10.1097/ID.0000000000000587.

DOI:10.1097/ID.0000000000000587

PMID:28475498

Abstract

PURPOSE

The aim of this study was to assess dimensional changes of the fresh sockets grafted with collagen sheets and maintenance of reactive soft tissue, using cone beam computed tomography (CBCT).

MATERIALS AND METHODS

Tooth extractions were performed with maximum preservation of the alveolar housing, reactive soft tissue was left into the sockets and collagen sheets filled bone defects. Cone beam computed tomography were performed before and 3 months after extractions.

RESULTS

One hundred forty-five teeth, 60 monoradiculars and 85 molars, were extracted. In total, 269 alveoli were evaluated. In Group A, not statistically significant differences were found between monoradiculars, whereas statistically significant differences (P < 0.05) were found between molars, both for mesial and distal alveoli. In Group B, not statistically significant differences were found between maxillary and mandibular bone changes values (P > 0.05) for all types of teeth.

CONCLUSIONS

This study reported an atraumatic tooth extraction, reactive soft tissue left in situ, and grafted collagen sponge may be helpful to reduce fresh socket collapse after extraction procedures.

摘要