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Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation

BACKGROUND: The aim of this study was to evaluate the stability of immediate implant placement for alveolar bone augmentation and preservation with bovine bone graft following atraumatic tooth extraction. MATERIALS AND METHODS: This was a prospective interventional study with convenient sampling (n...

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Autores principales: Al Qabbani, Ali, Al Kawas, Sausan, Enezei, Hamid, Razak, Noor Hayati A., Al Bayatti, Saad Wahby, Samsudin, A. Rani, Hamid, Suzina A. B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243806/
https://www.ncbi.nlm.nih.gov/pubmed/30534170
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author Al Qabbani, Ali
Al Kawas, Sausan
Enezei, Hamid
Razak, Noor Hayati A.
Al Bayatti, Saad Wahby
Samsudin, A. Rani
Hamid, Suzina A. B.
author_facet Al Qabbani, Ali
Al Kawas, Sausan
Enezei, Hamid
Razak, Noor Hayati A.
Al Bayatti, Saad Wahby
Samsudin, A. Rani
Hamid, Suzina A. B.
author_sort Al Qabbani, Ali
collection PubMed
description BACKGROUND: The aim of this study was to evaluate the stability of immediate implant placement for alveolar bone augmentation and preservation with bovine bone graft following atraumatic tooth extraction. MATERIALS AND METHODS: This was a prospective interventional study with convenient sampling (n = 10). Thirty patients aged between 18 and 40 years, who needed noncomplicated tooth extraction of mandibular premolar tooth, were sequentially divided equally into three groups. In Group I, simple extraction was done and the empty extraction socket left to heal conventionally. In Group II, extraction sockets were filled with lyophilized bovine granules only. In Group III, immediate implants were placed into extraction sockets, and the buccal gap was also filled with bovine granules. All groups were subjected to cone beam computed tomography scan for radiological evaluation. Assessment of biomechanical stability (radiofrequency analysis [RFA] was performed at 9 months postoperative for Group III to assess the degree of secondary stability of the implants using Osstell. Repeated measure analysis of variance (ANOVA) test was applied when comparing within each group at three different time intervals, whereas one-way ANOVA was applied followed by post hoc-tukey test when comparing between groups. P < 0.05 was considered statistically significant. RESULTS: Radiological assessment reveals a significant difference of bone resorption in alveolar dimension within Group I; 1.49 mm (P = 0.002), and 0.82 mm (P = 0.005), respectively, between day 0 and 3 months. Comparison between Group I and III showed a highly significant difference of bone resorption in ridge width at 3 months 2.56 mm (P = 0.001) and at 9 months interval 3.2 mm (P < 0.001). High RFA values demonstrating an excellent biomechanical stability were observed in Group III at 9 months postoperatively. CONCLUSION: The insertion of immediate implants in extraction sockets with bovine bone augmentation of the buccal gap was able to preserve a greater amount of alveolar ridge volume.
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spelling pubmed-62438062018-12-10 Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation Al Qabbani, Ali Al Kawas, Sausan Enezei, Hamid Razak, Noor Hayati A. Al Bayatti, Saad Wahby Samsudin, A. Rani Hamid, Suzina A. B. Dent Res J (Isfahan) Original Article BACKGROUND: The aim of this study was to evaluate the stability of immediate implant placement for alveolar bone augmentation and preservation with bovine bone graft following atraumatic tooth extraction. MATERIALS AND METHODS: This was a prospective interventional study with convenient sampling (n = 10). Thirty patients aged between 18 and 40 years, who needed noncomplicated tooth extraction of mandibular premolar tooth, were sequentially divided equally into three groups. In Group I, simple extraction was done and the empty extraction socket left to heal conventionally. In Group II, extraction sockets were filled with lyophilized bovine granules only. In Group III, immediate implants were placed into extraction sockets, and the buccal gap was also filled with bovine granules. All groups were subjected to cone beam computed tomography scan for radiological evaluation. Assessment of biomechanical stability (radiofrequency analysis [RFA] was performed at 9 months postoperative for Group III to assess the degree of secondary stability of the implants using Osstell. Repeated measure analysis of variance (ANOVA) test was applied when comparing within each group at three different time intervals, whereas one-way ANOVA was applied followed by post hoc-tukey test when comparing between groups. P < 0.05 was considered statistically significant. RESULTS: Radiological assessment reveals a significant difference of bone resorption in alveolar dimension within Group I; 1.49 mm (P = 0.002), and 0.82 mm (P = 0.005), respectively, between day 0 and 3 months. Comparison between Group I and III showed a highly significant difference of bone resorption in ridge width at 3 months 2.56 mm (P = 0.001) and at 9 months interval 3.2 mm (P < 0.001). High RFA values demonstrating an excellent biomechanical stability were observed in Group III at 9 months postoperatively. CONCLUSION: The insertion of immediate implants in extraction sockets with bovine bone augmentation of the buccal gap was able to preserve a greater amount of alveolar ridge volume. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6243806/ /pubmed/30534170 Text en Copyright: © 2018 Dental Research Journal http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Al Qabbani, Ali
Al Kawas, Sausan
Enezei, Hamid
Razak, Noor Hayati A.
Al Bayatti, Saad Wahby
Samsudin, A. Rani
Hamid, Suzina A. B.
Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation
title Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation
title_full Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation
title_fullStr Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation
title_full_unstemmed Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation
title_short Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation
title_sort biomechanical and radiological assessment of immediate implants for alveolar ridge preservation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243806/
https://www.ncbi.nlm.nih.gov/pubmed/30534170
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