Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

The influence of membrane exposure on post-extraction dimensional change following ridge preservation technique

차폐막 노출이 발치 후 치조제 보존술의 결과에 미치는 영향에 관한 임상적 연구

  • Nam, Hyun-Wook (Department of periodontology, School of dentistry, Seoul National University) ;
  • Park, Yoon-Jeong (Department of Head and Neck Reconstruction, School of dentistry, Seoul National University) ;
  • Koo, Ki-Tae (Department of periodontology, School of dentistry, Seoul National University) ;
  • Kim, Tae-Il (Department of periodontology, School of dentistry, Seoul National University) ;
  • Seol, Yang-Jo (Department of periodontology, School of dentistry, Seoul National University) ;
  • Lee, Yong-Moo (Department of periodontology, School of dentistry, Seoul National University) ;
  • Gu, Young (Department of periodontology, School of dentistry, Seoul National University) ;
  • Rhyu, In-Chul (Department of periodontology, School of dentistry, Seoul National University) ;
  • Chung, Chong-Pyoung (Department of periodontology, School of dentistry, Seoul National University)
  • 남현욱 (서울대학교 치의학전문대학원 치주과학교실) ;
  • 박윤정 (서울대학교 치의학전문대학원 두개악안면재건학교실) ;
  • 구기태 (서울대학교 치의학전문대학원 치주과학교실) ;
  • 김태일 (서울대학교 치의학전문대학원 치주과학교실) ;
  • 설양조 (서울대학교 치의학전문대학원 치주과학교실) ;
  • 이용무 (서울대학교 치의학전문대학원 치주과학교실) ;
  • 구영 (서울대학교 치의학전문대학원 치주과학교실) ;
  • 류인철 (서울대학교 치의학전문대학원 치주과학교실) ;
  • 정종평 (서울대학교 치의학전문대학원 치주과학교실)
  • Published : 2009.09.30
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Abstract

Purpose: Following tooth extraction caused by severe periodontitis, alveolar ridge dimension lose their original volume. To reduce the alveolar ridge dimension, the ridge preservation technique has been introduced and tested in many clinical studies with membrane alone or membrane plus graft, achieving reduced ridge loss compared to extraction only. The aim of the present clinical study was to compare the post-extraction dimensional changes in the membrane exposure group to non-exposure group during healing period following ridge preservation technique. Methods: Ridge preservation was performed in 44 extraction sites. After extraction, deproteinized bovine bone mineral coated with synthetic oligopeptide (Ossgen-$X15^{(R)}$) or deproteinized bovine bone mineral (Bio-$Oss^{(R)}$) was implanted into the socket. A collagen membrane (Bio-$Gide^{(R)}$) was trimmed to cover the socket completely and applied to the entrance of the socket. Four clinical parameters were compared between baseline and 6 months. Results: During healing period, membrane exposure was observed at 19 sites. At the re-entry, hard newly formed tissue were observed at the ridge preservation site. The grafted socket sites were well preserved in their volume dimension. In both groups, horizontal ridge width was reduced and vertical height was increased. There were not statistically significant differences in horizontal (-1.32 mm vs -1.00 mm) and vertical ridge change (2.24 mm vs 2.37 mm at buccal crest, 1.36 mm vs. 1.53 mm at lingual crest) between two groups. Conclusions: The ridge preservation approach after tooth extraction effectively prevented resorption of hard tissue ridge in spite of membrane exposure during healing period.

Keywords

References

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