Resumo
The post-extraction border preservation is a fundamental procedure to the maintenance of alveolar volume prioritizing an aesthetical and functional improvement in the im- plant’s positioning. This thesis’s objective was to evaluate the titanium membrane (Sur- gitime Titânio Seal® – Bionnovation, Brasil) covered post extraction alveolar bone di- mensional alterations, while comparing areas to unitary and multiple exodontias. 20 pre and post-operation tomographical exams were evaluated, from areas where unitary den- tal extractions (G1) and multiple dental extractions (G2) occurred. In every case, using the Titanium Seal post extraction alveolar preservation treatment, with no alveolus fil- ling. Measurements were obtained from the central region of the axial and area sections previous to the proceadure at the most cervical zones of bone peaks, plus two more me- asurements from 2 and 4 mm under the first point. Following, those measurements were transfered from the previously obtained absolute refurbishment length. Measurements were taken from the new total border length – at the central virtually representative re- gion of the extracted dental element. In both groups, differences among baseline and 6 months in height: -0,95mm ±0,89 (G1) and -1,95mm ±1,04 (G2) and 2mm volume: -1,10mm ±0,48 (G1) and -2,48mm ±1,08 (G2) were statistically representative. In any cases, the 4mm volume presented differences. Statistically, the bone loss was higher in Group 2. The present study have shown that the titanium-laminated sheet was effective when it comes to post-extraction alveolar preservation, in both unitary and multiple ex- tractions.
Referências
Al- Hamoudi N, Bissada NF, Al-Askar M, Al- Hezaimi KA. Ridge Preservation Surgery after Single and Multiple Adjacent Tooth Extractions: A Microcomputed Tomography Study in Dogs. The International Journal of Oral & Maxillofacial Implants. 2015;30(2): 315-320.
Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An ex- perimental study in the dog. J Clin Periodontol. 2005 Feb;32(2):212-8.
Araújo MG, Silva CO, Misawa M, Sukekava F. Alveolar socket healing: what can we learn? Periodontol 2000. 2015 Jun;68(1):122-34.
Avila-Ortiz G, Chambrone L, Vignoletti F. Effect of alveolar ridge preservation inter- ventions following tooth extraction: A systematic review and meta-analysis. J Clin Peri- odontol. 2019 Jun; 46 Suppl 21:195-223.
Carbonell JM, Martín IS, Santos A, Pujol A, Sanz-Moliner JD, Nart J. High-density polytetrafluoroethylene membranes in guided bone and tissue regeneration procedures: a literature review. Int J Oral Maxillofac Surg. 2014 Jan;43(1):75-84.
Cardaropoli D, Tamagnone L, Roffredo A, Gaveglio L. Relationship between the buccal bone plate thickness and the healing of postextraction sockets with/without ridge pre- servation. Int J Periodontics Restorative Dent. Mar-Apr 2014;34(2):211-7.
Darby I, Chen S, De Poi R. Ridge preservation: what is it and when should it be consi- dered. Aust Dent J. 2008 Mar;53(1):11-21.
Formiga MC, Dayube URC, Chiappetti CK,Figueiredo DR, Shibli JA. Socket Preserva- tion Using a (Dense) PTFE Barrier with or without Xenograft Material: A Randomized Clinical Trial. Materials 2019 Sep 8;12(18):2902.
Huynh-Ba G, Pjetursson BE, Sanz M, Cecchinato D, Ferrus J, Lindhe J, Lang NP. Analysis of the socket bone wall dimensions in the upper maxilla in relation to immedi- ate implant placement. Clin. Oral Impl. Res. 21, 2010; 37–42.
Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C,Bohra AA, Scheetz JP. Ridge Preservation With Freeze-Dried Bone Allograft and a Collagen Membrane Compared to Extraction Alone for Implant Site Development: A Clinical and Histologic Study in Humans. J Periodontol. 2003 Jul;74(7):990-9.
Imirzalioglu P, Yuzugullu B, Gulsahi A. Correlation Between Residual Ridge Resorpti- on and Radiomorphometric Indices. Gerodontology. 2012 Jun;29(2):e536-42.
Maiorana C, Poli PP, Deflorian M, Testori T, Mandelli F, Nagursky H, Vinci R. Alveolar Socket Preservation With Demineralised Bovine Bone Mineral and a Collagen Matrix. J Periodontal Implant Sci. 2017 Aug;47(4):194-210.
Mizutani FS, Ciotii DL, Reino DM, Faveri M. Abordagem regenerativa do osso alveolar pós extração com o uso da folha laminada de titânio anodizado –Titanium Seal® . Full Dent. Sci. 2018; 10(37):21-34.
Nawwaf AH, Nabil FB,Mansour HAA, Khalid A. AH. Ridge Preservation Surgery after Single and Multiple Adjacent Tooth Extractions: A Microcomputed Tomography Study in Dogs. The International Journal of Oral & Maxillofacial Implants. 2015 Vol 30, (2):315-320.
Resende M, Martinez EF. Topographic characterization and in vitro biofilm adhesion to titanium and polypropylene membranes used for alveolar preservation. J Indian Soc Pe- riodontol 2020;24:316-21.
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 pros- pective study. Int J Periodontics Restorative Dent. 2003 Aug;23(4):313-23.
Van der Weijden F, Dell‘Acqua F, Slot DE. Alveolar bone dimensional changes of post- extraction sockets in humans: a systematic review. J Clin Periodontol 2009;36(12):1048-58.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Cristina Rech Feldmann, Jessica Nespolo Martins, Fabio Shiniti Mizutani, Danilo Lazzari Ciotti, Victoria Alberton, Simone Beatriz Alberton