COMPARISON OF SOCKET PRESERVATION USING SOCKET SHIELD TECHNIQUE WITH AUTOGENOUS DENTIN GRAFT VERSUS ALLOPLAST GRAFT MATERIAL (CLINICAL STUDY)

Mohamed Abo-El-Saad, S. Ayad, Lydia F. Melek, Hagar Abdel Fattah
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Abstract

INTRODUCTION :"After extracting teeth, both remarkable resorption in the alveolar bone and an obvious reduction have occurred in the labial bone plate as a consequence of the blood supply deficiency that happens especially when the periodontal ligaments are lost. Therefore, to keep the periodontal ligaments preserved, a socket shield technique with autogenous dentine was introduced. AIM OF THIS STUDY: Radiographic evaluation of a combined technique using autogenous dentin graft with socket shield for pre-implant socket preservation Patient and method: Eight patients received socket preservation using alloplast with socket shield on one side and received socket preservation using Autogenous dentin graft with socket shield on the contralateral side (split-mouth Design). CBCT was done before surgery and after 3 months to evaluate bone density and bone height . RESULT: The density of the recently formed teeth bone was significantly greater in the study group participants (P=0.011) than in the control one. However, when comparing its height among the 2 groups, there was no significant difference that could be considered. CONCLUSION: Autogenous Dentin proved to be a promising graft together with using the socket shield protection approach that helped in preserving the socket, especially in the esthetic zone. Therefore, further clinical studies could be performed to compare autogenous dentin and other bone substitutes.
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使用自体牙本质移植材料和异体牙本质移植材料的牙槽护罩技术进行牙槽窝保存的比较(临床研究)
引言:“拔牙后,由于血液供应不足,特别是牙周韧带缺失,牙槽骨吸收显著,唇骨板明显减少。因此,为了保护牙周韧带,我们提出了一种自体牙本质牙窝保护技术。本研究的目的:采用自体牙本质移植物和窝窝屏蔽体联合技术进行种植前窝窝保存的影像学评价。患者和方法:8例患者使用同种异体在一侧使用窝窝屏蔽体进行窝窝保存,在对侧使用自体牙本质移植物和窝窝屏蔽体进行窝窝保存(裂口设计)。术前和术后3个月行CBCT评估骨密度和骨高。结果:研究组新生牙骨密度显著高于对照组(P=0.011)。但在两组间比较其高度时,没有可考虑的显著差异。结论:自体牙本质是一种很有前途的植牙体,与牙窝屏蔽保护相结合,有助于保存牙窝,特别是在美观区。因此,可以进行进一步的临床研究来比较自体牙本质和其他骨替代物。
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