Aesthetic and patient preference using a bone substitute to preserve extraction sockets under pontics. A cross-sectional survey. | |
MedLine Citation:
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PMID: 20467631 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate aesthetic and patient satisfaction after tooth extraction using a bone substitute (and soft tissue grafting when tissue thickness was lacking) under a pontic to preserve the alveolar ridge for aesthetic purposes. The contralateral natural tooth acted as internal control. MATERIALS AND METHODS: All patients with at least one site under a pontic augmented with Bio-Oss(R) or Bio-Oss(R) Collagen with or without a concomitant connective tissue graft with at least a follow-up of 6 months after the ridge preservation procedure were eligible for the present retrospective study. Sites with a damaged buccal wall were excluded. Outcome measures were: aesthetics (pink esthetic score, PES) evaluated by an independent and blinded dental hygienist on the basis of clinical pictures, patient satisfaction, patient preference and complications. RESULTS: Twenty-six patients were consecutively treated, and 23 patients attended the evaluation visit. In seven patients, soft tissue grafts were performed in conjunction with Bio-Oss placement. Eight to 86 months after the ridge augmentation procedure (mean 38 months), there were no statistically significant differences observed in PES between preserved sites and control teeth. Patient satisfaction did not show any statistically significant difference between the two groups either. All patients declared they would undergo the same procedure again. CONCLUSIONS: Bio-Oss placement in post-extractive sites with a remaining buccal bone plate lead to a good aesthetic result. Randomised clinical trials with suitable control groups are needed to identify the most effective techniques and/or materials to preserve ridges under pontics. |
Authors:
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Markus Schlee; Marco Esposito |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of oral implantology Volume: 2 ISSN: 1756-2406 ISO Abbreviation: Eur J Oral Implantol Publication Date: 2009 |
Date Detail:
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Created Date: 2010-05-14 Completed Date: 2010-06-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101473719 Medline TA: Eur J Oral Implantol Country: England |
Other Details:
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Languages: eng Pagination: 209-17 Citation Subset: D; IM |
Affiliation:
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Forchheim, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Alveolar Bone Loss / etiology, prevention & control* Alveolar Ridge Augmentation / methods* Bone Substitutes* Connective Tissue / transplantation Cross-Sectional Studies Denture, Partial, Fixed Esthetics, Dental* Female Follow-Up Studies Humans Male Middle Aged Minerals Odds Ratio Patient Satisfaction Statistics, Nonparametric Tooth Extraction* / adverse effects Tooth Socket / surgery* |
Chemical | |
Reg. No./Substance:
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0/Bio-Oss; 0/Bone Substitutes; 0/Minerals |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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