Is alveolar ridge preservation an overtreatment?

IF 17.5 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Periodontology 2000 Pub Date : 2023-10-01 Epub Date: 2023-08-25 DOI:10.1111/prd.12508
Nikos Mardas, Neil Macbeth, Nikolaos Donos, Ronald Ernst Jung, Anina Nives Zuercher
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Abstract

The morphology and dimensions of the postextraction alveolar ridge are important for the surgical and restorative phases of implant treatment. Adequate new bone formation and preservation of alveolar ridge dimensions following extraction will facilitate installation of the implant in a restorative position, while preservation of soft tissue contour and volume is essential for an aesthetic and implant-supported restoration with healthy peri-implant tissues. Alveolar ridge preservation (ARP) refers to any procedure that aims to: (i) limit dimensional changes in the alveolar ridge after extraction facilitating implant placement without additional extensive bone and soft tissue augmentation procedures (ii) promote new bone formation in the healing alveolus, and (iii) promote soft tissue healing at the entrance of the alveolus and preserve the alveolar ridge contour. Although ARP is a clinically validated and safe approach, in certain clinical scenarios, the additional clinical benefit of ARP over unassisted socket healing has been debated and it appears that for some clinicians may represent an overtreatment. The aim of this critical review was to discuss the evidence pertaining to the four key objectives of ARP and to determine where ARP can lead to favorable outcomes when compared to unassisted socket healing.

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牙槽嵴保留是过度治疗吗?
拔牙后牙槽嵴的形态和尺寸对于种植治疗的手术和修复阶段非常重要。拔牙后充分的新骨形成和牙槽嵴尺寸的保留有利于将种植体安装到修复位置,而软组织轮廓和体积的保留对于美观和种植体支持修复以及健康的种植体周围组织至关重要。牙槽嵴保存术(ARP)是指任何旨在实现以下目的的手术:(i) 限制拔牙后牙槽嵴的尺寸变化,以利于种植体的植入,而无需进行额外的大范围骨和软组织增量手术;(ii) 促进愈合牙槽骨中新骨的形成;(iii) 促进牙槽骨入口处软组织的愈合并保存牙槽嵴轮廓。尽管ARP是一种经过临床验证的安全方法,但在某些临床情况下,ARP比无辅助的牙槽愈合所带来的额外临床益处一直存在争议,而且对于一些临床医生来说,ARP似乎可能代表了一种过度治疗。本评论旨在讨论与 ARP 的四个关键目标相关的证据,并确定与无辅助的牙槽窝愈合相比,ARP 可在哪些方面带来有利的结果。
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来源期刊
Periodontology 2000
Periodontology 2000 医学-牙科与口腔外科
CiteScore
34.10
自引率
2.20%
发文量
62
审稿时长
>12 weeks
期刊介绍: Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.
期刊最新文献
Methods for 3D evaluation and quantification of gingival recessions and gingival margin changes: Advancements from conventional techniques. Periodontal and orthodontic management of impacted canines. Periodontal diseases in Africa. Autogenous platelet concentrates for treatment of intrabony defects—A systematic review with meta‐analysis Orthodontic management of uneven gingival margins in patients with healthy or reduced periodontium to improve smile aesthetics.
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