Journal of Periodontal and Implant Science

  • 제46권6호
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  • Pages.415-425
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  • 2016
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  • 2093-2278(pISSN)
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  • 2093-2286(eISSN)
대한치주과학회 (Korean Academy of Periodontology)
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The hidden X suture: a technical note on a novel suture technique for alveolar ridge preservation

  • Park, Jung-Chul (Department of Periodontology, Dankook University College of Dentistry) ;
  • Koo, Ki-Tae (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Lim, Hyun-Chang (Department of Periodontology, Kyung Hee University School of Dentistry)
  • 투고 : 2016.10.07
  • 심사 : 2016.11.25
  • 발행 : 2016.12.31
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초록

Purpose: The present study investigated the impact of 2 different suture techniques, the conventional crossed mattress suture (X suture) and the novel hidden X suture, for alveolar ridge preservation (ARP) with an open healing approach. Methods: This study was a prospective randomized controlled clinical trial. Fourteen patients requiring extraction of the maxillary or mandibular posterior teeth were enrolled and allocated into 2 groups. After extraction, demineralized bovine bone matrix mixed with 10% collagen (DBBM-C) was grafted and the socket was covered by porcine collagen membrane in a double-layer fashion. No attempt to obtain primary closure was made. The hidden X suture and conventional X suture techniques were performed in the test and control groups, respectively. Cone-beam computed tomographic (CBCT) images were taken immediately after the graft procedure and before implant surgery 4 months later. Additionally, the change in the mucogingival junction (MGJ) position was measured and was compared after extraction, after suturing, and 4 months after the operation. Results: All sites healed without any complications. Clinical evaluations showed that the MGJ line shifted to the lingual side immediately after the application of the X suture by $1.56{\pm}0.90mm$ in the control group, while the application of the hidden X suture rather pushed the MGJ line slightly to the buccal side by $0.25{\pm}0.66mm$. It was demonstrated that the amount of keratinized tissue (KT) preserved on the buccal side was significantly greater in the hidden X suture group 4 months after the procedure (P<0.05). Radiographic analysis showed that the hidden X suture had a significant effect in preserving horizontal width and minimizing vertical reduction in comparison to X suture (P<0.05). Conclusions: Our study provided clinical and radiographic verification of the efficacy of the hidden X suture in preserving the width of KT and the dimensions of the alveolar ridge after ARP.

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참고문헌

  1. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23:313-23.
  2. Wang RE, Lang NP. Ridge preservation after tooth extraction. Clin Oral Implants Res 2012;23 Suppl 6:147-56. https://doi.org/10.1111/j.1600-0501.2012.02560.x
  3. Araujo MG, Liljenberg B, Lindhe J. Dynamics of Bio-Oss Collagen incorporation in fresh extraction wounds: an experimental study in the dog. Clin Oral Implants Res 2010;21:55-64. https://doi.org/10.1111/j.1600-0501.2009.01854.x
  4. Araujo MG, Lindhe J. Ridge preservation with the use of Bio-Oss collagen: a 6-month study in the dog. Clin Oral Implants Res 2009;20:433-40. https://doi.org/10.1111/j.1600-0501.2009.01705.x
  5. Fickl S, Zuhr O, Wachtel H, Bolz W, Huerzeler MB. Hard tissue alterations after socket preservation: an experimental study in the beagle dog. Clin Oral Implants Res 2008;19:1111-8. https://doi.org/10.1111/j.1600-0501.2008.01575.x
  6. Jung RE, Philipp A, Annen BM, Signorelli L, Thoma DS, Hammerle CH, et al. Radiographic evaluation of different techniques for ridge preservation after tooth extraction: a randomized controlled clinical trial. J Clin Periodontol 2013;40:90-8. https://doi.org/10.1111/jcpe.12027
  7. Araujo MG, Lindhe J. Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog. Clin Oral Implants Res 2009;20:545-9.
  8. Rothamel D, Schwarz F, Herten M, Chiriac G, Pakravan N, Sager M, et al. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. Mund Kiefer Gesichtschir 2007;11:89-97. https://doi.org/10.1007/s10006-007-0050-z
  9. Barone A, Ricci M, Tonelli P, Santini S, Covani U. Tissue changes of extraction sockets in humans: a comparison of spontaneous healing vs. ridge preservation with secondary soft tissue healing. Clin Oral Implants Res 2013;24:1231-7.
  10. Engler-Hamm D, Cheung WS, Yen A, Stark PC, Griffin T. Ridge preservation using a composite bone graft and a bioabsorbable membrane with and without primary wound closure: a comparative clinical trial. J Periodontol 2011;82:377-87. https://doi.org/10.1902/jop.2010.090342
  11. Horvath A, Mardas N, Mezzomo LA, Needleman IG, Donos N. Alveolar ridge preservation. A systematic review. Clin Oral Investig 2013;17:341-63. https://doi.org/10.1007/s00784-012-0758-5
  12. Cardaropoli D, Tamagnone L, Roffredo A, Gaveglio L, Cardaropoli G. Socket preservation using bovine bone mineral and collagen membrane: a randomized controlled clinical trial with histologic analysis. Int J Periodontics Restorative Dent 2012;32:421-30.
  13. Glocker M, Attin T, Schmidlin PR. Ridge preservation with modified "socket-shield" technique: a methodological case series. Dent J 2014;2:11-21. https://doi.org/10.3390/dj2010011
  14. Gomes OM, Amaral AS, Goncalves AJ, Brito AS, Monteiro EL. New suture techniques for best esthetic skin healing. Acta Cir Bras 2012;27:505-8. https://doi.org/10.1590/S0102-86502012000700013
  15. Kim SH, Kim DY, Kim KH, Ku Y, Rhyu IC, Lee YM. The efficacy of a double-layer collagen membrane technique for overlaying block grafts in a rabbit calvarium model. Clin Oral Implants Res 2009;20:1124-32. https://doi.org/10.1111/j.1600-0501.2009.01744.x
  16. Kozlovsky A, Aboodi G, Moses O, Tal H, Artzi Z, Weinreb M, et al. Bio-degradation of a resorbable collagen membrane (Bio-Gide) applied in a double-layer technique in rats. Clin Oral Implants Res 2009;20:1116-23. https://doi.org/10.1111/j.1600-0501.2009.01740.x
  17. Darby I, Chen ST, Buser D. Ridge preservation techniques for implant therapy. Int J Oral Maxillofac Implants 2009;24 Suppl:260-71.
  18. Ten Heggeler JM, Slot DE, Van der Weijden GA. Effect of socket preservation therapies following tooth extraction in non-molar regions in humans: a systematic review. Clin Oral Implants Res 2011;22:779-88. https://doi.org/10.1111/j.1600-0501.2010.02064.x
  19. Brito C, Tenenbaum HC, Wong BK, Schmitt C, Nogueira-Filho G. Is keratinized mucosa indispensable to maintain peri-implant health? A systematic review of the literature. J Biomed Mater Res B Appl Biomater 2014;102:643-50. https://doi.org/10.1002/jbm.b.33042
  20. Gobbato L, Avila-Ortiz G, Sohrabi K, Wang CW, Karimbux N. The effect of keratinized mucosa width on peri-implant health: a systematic review. Int J Oral Maxillofac Implants 2013;28:1536-45. https://doi.org/10.11607/jomi.3244
  21. Lin GH, Chan HL, Wang HL. The significance of keratinized mucosa on implant health: a systematic review. J Periodontol 2013;84:1755-67. https://doi.org/10.1902/jop.2013.120688
  22. Souza AB, Tormena M, Matarazzo F, Araujo MG. The influence of peri-implant keratinized mucosa on brushing discomfort and peri-implant tissue health. Clin Oral Implants Res 2016;27:650-5. https://doi.org/10.1111/clr.12703
  23. Park JC, Yang KB, Choi Y, Kim YT, Jung UW, Kim CS, et al. A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implant-retained stent: a report of two cases. J Periodontal Implant Sci 2010;40:194-200. https://doi.org/10.5051/jpis.2010.40.4.194

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