Madi Marwa, Almindil Ibrahim, Alrassasi Maria, Alramadan Doha, Zakaria Osama, Alagl Adel S
Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 32210, Saudi Arabia.
College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 32210, Saudi Arabia.
J Funct Biomater. 2023 May 18;14(5):282. doi: 10.3390/jfb14050282.
Socket preservation techniques have been used to maintain the ridge dimension following tooth extraction. The materials used influence the quality and quantity of newly formed bone. Therefore, the aim of this article was to systematically review the literature reporting both histological and radiographic outcomes of socket preservation techniques after tooth extraction in human subjects.
A systematic electronic search was performed in the electronic databases. English language clinical studies that were published between 2017 and 2022 and included both histological and radiographic findings for the test and control groups. Our primary search produced 848 articles, and of these, 215 were duplicate studies. A total of 72 articles were then eligible for full-text reading.
The review included eight studies that met its inclusion criteria. Three outcomes were compared in the included studies. The percentage of newly formed bone ranged from 21.34 ± 9.14% to more than 50% of new bone formation. The materials that showed more than 50% of newly formed bone formation were demineralized dentin graft, platelet-rich fibrin, freeze-dried bone allograft, corticocancellous porcine, and autogenous bone. Four Studies did not report the percentage of the residual graft materials, while those who reported showed a variable range of a minimum 1.5% to more than 25%. One study did not report the changes in horizontal width at the follow-up period, while other studies ranged from 0.6 mm to 10 mm.
Socket preservation represents an efficient technique to preserve the ridge contour with satisfactory newly formed bone in the augmented site and maintaining the vertical and horizontal dimensions of the ridge.
拔牙后牙槽窝保存技术已被用于维持牙槽嵴尺寸。所使用的材料会影响新形成骨的质量和数量。因此，本文旨在系统回顾报道人类拔牙后牙槽窝保存技术组织学和影像学结果的文献。
在电子数据库中进行系统的电子检索。纳入2017年至2022年发表的英文临床研究，这些研究包括试验组和对照组的组织学和影像学结果。初步检索得到848篇文章，其中215篇为重复研究。共有72篇文章符合全文阅读条件。
该综述纳入了八项符合纳入标准的研究。纳入研究中比较了三个结果。新形成骨的百分比范围为21.34±9.14%至新骨形成超过50%。显示新形成骨超过50%的材料有脱矿牙本质移植物、富血小板纤维蛋白、冻干同种异体骨、皮质松质猪骨和自体骨。四项研究未报告残余移植物材料的百分比，而报告的研究显示其范围在1.5%至超过25%之间变化。一项研究未报告随访期水平宽度的变化，而其他研究的范围为0.6毫米至10毫米。
牙槽窝保存是一种有效的技术，可在增龄部位保留牙槽嵴轮廓，并具有令人满意的新形成骨，同时维持牙槽嵴的垂直和水平尺寸。
