Wróbel Piotr, Piecuch Adam, Bąk Michał, Krynicki Paweł, Adamczyk Jakub, Mojżesz Piotr, Kiełboń Agnieszka, Wójcik Sylwia, Starosta Martin, Lee Won-Pyo, Morawiec Tadeusz
Department of Oral Surgery, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 15 Poniatowskiego Street, 40-055 Katowice, Poland.
Private Dental Practice Comfortmed, 12 Wspólna Street, 44-240 Żory, Poland.
J Funct Biomater. 2025 May 23;16(6):192. doi: 10.3390/jfb16060192.
BACKGROUND: The socket preservation technique involves filling the bone defect created after tooth extraction with a bone substitute material. This helps to reduce bone resorption of the post-extraction alveolar ridge. Various types of bone substitute biomaterials are used as augmentation materials, including autogeneic, allogeneic, and xenogeneic materials. The purpose of this study was to evaluate changes in alveolar ridge dimensions and alterations of optical bone density in sockets grafted with two different biomaterials. Additionally, bone biopsies taken from the grafted sites underwent histological evaluation. METHODS: This study enrolled 10 generally healthy patients, who were divided into two equal groups. Patients in the first group were treated with an allogeneic material (BIOBank, Biobank, Paris, France), while patients in the second group were treated with an xenogeneic material (Geistlich Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland). Tooth extraction was performed, following which the appropriate material was placed into the debrided socket. The material was secured with a collagen membrane (Geistlich Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) and sutures, which were removed 7 to 10 days after the procedure. Micro-CBCT examinations were performed, for the evaluation of alveolar ridge dimensions and bone optical density, at 7-10 days and six months after the procedure. Bone trepanbiopsy was performed simultaneously to the implant placement, six months after socket preservation. The retrieved biopsy was subjected to histological examination via hematoxylin and eosin (H&E) staining and Masson's trichrome staining. RESULTS: The results showed that the allogeneic material was more effective in preserving alveolar buccal height and was probably more rapidly transformed into the patient's own bone. Sockets grafted with the xenogeneic material presented higher optical bone density after six months. Both materials presented similar effectiveness in alveolar width preservation. CONCLUSIONS: Based on the outcomes of this study, it can be concluded that both materials are suitable for the socket preservation technique. However, the dimensional changes in the alveolar ridge and the quality of the newly formed bone may vary depending on the type of biomaterial used.
背景:牙槽窝保存技术是指用骨替代材料填充拔牙后形成的骨缺损。这有助于减少拔牙后牙槽嵴的骨吸收。各种类型的骨替代生物材料被用作增量材料,包括自体材料、同种异体材料和异种材料。本研究的目的是评估用两种不同生物材料移植的牙槽窝中牙槽嵴尺寸的变化和光学骨密度的改变。此外,对取自移植部位的骨活检组织进行了组织学评估。 方法:本研究纳入了10名一般健康的患者,将他们平均分为两组。第一组患者用同种异体材料(法国巴黎生物银行的BIOBank)治疗,而第二组患者用异种材料(瑞士沃胡森盖氏制药公司的Geistlich Bio-Oss)治疗。进行拔牙,然后将适当的材料放入清创后的牙槽窝。用胶原膜(瑞士沃胡森盖氏制药公司的Geistlich Bio-Gide)和缝线固定材料,术后7至10天拆除缝线。在术后7 - 10天和6个月时进行微型锥形束CT检查,以评估牙槽嵴尺寸和骨光学密度。在牙槽窝保存6个月后,与种植体植入同时进行骨环钻活检。取出的活检组织通过苏木精和伊红(H&E)染色及马松三色染色进行组织学检查。 结果:结果表明,同种异体材料在保留牙槽颊侧高度方面更有效,并且可能更快地转化为患者自身的骨。用异种材料移植的牙槽窝在6个月后呈现出更高的光学骨密度。两种材料在保留牙槽宽度方面表现出相似的有效性。 结论:基于本研究的结果,可以得出结论,两种材料都适用于牙槽窝保存技术。然而,牙槽嵴的尺寸变化和新形成骨的质量可能因所用生物材料的类型而异。
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