Oral Surgery Department, Regional Hospital Halmstad, Halmstad, Sweden.
Oral and Maxillofacial Radiology Department, Regional Hospital Halmstad.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2021 Aug;132(2):e55-e61. doi: 10.1016/j.oooo.2021.01.012. Epub 2021 Jan 16.
The objective of this study was to evaluate the dimensional changes in alveolar bone and soft tissue after dental extraction/postextraction in alveoli filled/grafted with collagen (Collacone) compared with those left empty/ungrafted.
Twenty-three patients with a single maxillary incisor to be extracted were included in the study. The patients were randomized into either the treatment group, receiving a collagen sponge, or into the control group with an empty alveolus. All participants were examined and followed with cone beam computed tomography and 3-dimensional soft tissue scanning procedures during the healing process. The outcomes were statistically evaluated with Mann-Whitney U tests.
Seventeen patients were available for follow-up. The radiographic outcome showed an average loss of bone in the bucco-palatal width of 1.15 mm (range, 0.2-2.2) in the test group and 0.57 mm (range, 0-1.6) among the controls. There was no significant difference between the 2 groups (P = .092). The soft tissue topography height measurements revealed an average decrease of 1.737 mm (range, 0.118-2.872) in the test group and 1.899 mm (range, 0.454-3.014) in the control group. The difference was not significant (P = .847).
The use of a Collacone collagen sponge does not enhance the bone and soft tissue healing outcome after extraction of an incisor in the maxilla compared with leaving the alveolus empty.
本研究旨在评估与牙槽空植相比,用胶原(Collacone)填充/移植后的牙槽在拔牙/拔牙后牙槽骨和软组织的三维变化。
纳入 23 例需拔除上颌单颗切牙的患者。将患者随机分为治疗组(接受胶原海绵)或对照组(牙槽空植)。所有参与者均在愈合过程中接受锥形束 CT 和 3 维软组织扫描程序检查和随访。采用 Mann-Whitney U 检验对结果进行统计学评估。
17 例患者可进行随访。影像学结果显示,试验组颊腭宽度的平均骨丢失为 1.15mm(范围,0.2-2.2),对照组为 0.57mm(范围,0-1.6)。两组间无显著差异(P=0.092)。软组织表面高度测量显示,试验组平均减少 1.737mm(范围,0.118-2.872),对照组减少 1.899mm(范围,0.454-3.014)。差异无统计学意义(P=0.847)。
与牙槽空植相比,使用 Collacone 胶原海绵并不能增强上颌切牙拔牙后牙槽骨和软组织的愈合效果。