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Socket healing

Shehab Ahmed Hamad, Jandar S Naif, Mahdi A Abdullah
OBJECTIVES: To evaluate the effect of low-level laser therapy on healing of extracted tooth socket of healthy rabbits. DESIGN: The sample of this study was 20 male rabbits of 2-2.5 kg weight with age range of 8-12 months. Right and left lower first premolar teeth were extracted. The extraction sockets of lower right first premolar were irradiated with 0.9 W gallium-aluminum-arsenide (GaAlAs) diode laser for 5 min, immediately after extraction and then every 72 h for the next 12 days...
September 2016: Journal of Maxillofacial and Oral Surgery
O M Gbotolorun, I M Dipo-Fagbemi, A O Olojede, S Ebigwei, J O Adetoye
This double-blind, randomized controlled study was done to assess the necessity of systemic antibiotics in the prevention of wound healing complications after intra-alveolar dental extraction. A consecutive recruitment method was used to allocate participants to two treatment groups. Subjects in group A (antibiotics group, n=75) received amoxicillin and metronidazole for 5 days postoperatively, while those in group B (placebo group, n=75) were given identical-looking placebo drugs in place of the antibiotics...
October 13, 2016: International Journal of Oral and Maxillofacial Surgery
Hee-Yong Yi, Young-Seok Park, Benjamin E Pippenger, Bongho Lee, Richard J Miron, Michel Dard
PURPOSE: The placement of immediate implants has become a routine treatment modality for the replacement of missing teeth. The aim of the present study was to evaluate dimensional changes of hard tissues following tooth extraction, implant bed preparation, and the subsequent integration of titanium implants placed immediately or following an 8-week healing period. MATERIALS AND METHODS: All mandibular premolars were extracted and used as experimental sites in five beagle dogs...
October 14, 2016: International Journal of Oral & Maxillofacial Implants
Alberto Fernandez Ayora, Oscar González-Martín, Eric Rompen, Geoffrey Lecloux, France Lambert
The primary objective of this pilot study was to evaluate a new socket preservation technique involving the intentional expansion of the extraction socket buccal plate using a flapless internal corticotomy and biomaterials. A total of 11 patients requiring tooth extraction were enrolled in this study. The aim of this technique was to maintain or improve the hard and soft tissue contour of the ridge after tooth extraction. All surgical sites healed uneventfully. Significant alveolar bone dimension changes were observed in the coronal region of the ridge (-1...
November 2016: International Journal of Periodontics & Restorative Dentistry
Domenico Laurito, Riccardo Cugnetto, Marco Lollobrigida, Fabrizio Guerra, Annarita Vestri, Francesca Gianno, Sandro Bosco, Luca Lamazza, Alberto De Biase
This study aimed to evaluate the efficacy of an exposed high-density polytetrafluoroethylene (d-PTFE) membrane in preventing epithelial migration in postextraction sockets. For this purpose, a histologic description of the newly formed soft tissue underlying the membrane is presented. The periodontal status of the adjacent teeth was also evaluated to assess the gingival response. Ten premolar extraction sockets were treated. After tooth extraction, the sockets were filled with nanocrystalline hydroxyapatite and covered with d-PTFE membranes...
November 2016: International Journal of Periodontics & Restorative Dentistry
Shin Saeng Lim, Beomseok Lee, In Sook Kim, Soon Jung Hwang
OBJECTIVES: Osteonecrosis of the jaw has been increasing after dentoalveolar surgery in patients treated with an antiresorptive bisphosphonate (BP), especially strong zoledronate (ZA). The pathophysiology underlying why osteonecrosis occurs exclusively in the jaw bone remains unclear. This study investigated skeletal site-specific bone healing during the use of BPs to explore the preferential incidence of osteonecrosis of the jaw bone. STUDY DESIGN: Extraction of mandibular molar and creation of a tibia defect were performed in rats 2 weeks after weekly intravenous injections with the potent ZA and the weaker BP etidronate...
August 18, 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Marco Degidi, Diego Nardi, Gianluca Sighinolfi, Adriano Piattelli
PURPOSE: The use of the conical coupling connection to support definitive restorations was evaluated in cases involving full acrylic resin or hybrid acrylic resin-composite prostheses. The aim of this study was to evaluate the performance of definitive fixed partial prostheses made with lithium disilicate and supported by coupling connection abutments and healed implants. MATERIALS AND METHODS: The prostheses were placed in the posterior regions of partially edentulous patients; 65 patients received fixed lithium disilicate restorations splinted with conical coupling connections to two implants...
October 10, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Marco Tallarico, Erta Xhanari, Milena Pisano, Giacomo De Riu, Antonio Tullio, Silvio Mario Meloni
PURPOSE: To test the hypothesis that there is no difference in clinical, radiographic and aesthetic outcomes positioning single post-extractive ultra-wide 7 mm-diameter implants or waiting 4 months to place implant, after molar extraction and the socket preservation procedure. MATERIAL AND METHODS: Patients requiring one implant-supported single restoration to replace a failed tooth in the molar region of both maxilla and mandible were selected. Patients were randomised according to a parallel group design into two arms: implant installation in fresh extraction sockets augmented with corticocancellous heterologous bone and porcine derma (group A) or delayed implant installation 4 months after tooth extraction and socket preservation using the same materials (group B)...
2016: European Journal of Oral Implantology
Pietro Felice, Giovanni Zucchelli, Gioacchino Cannizzaro, Carlo Barausse, Michele Diazzi, Anna Trullenque-Eriksson, Marco Esposito
PURPOSE: To compare the clinical outcome of single implants placed immediately after tooth extraction with implants placed 6 weeks after tooth extraction (immediate-delayed placement), and with implants placed after 4 months of extraction and socket healing (delayed placement). MATERIALS AND METHODS: Two hundred and ten patients requiring a single implant-supported crown to replace a tooth to be extracted were randomised to receive immediate post-extractive implants (70 patients), immediate-delayed implants at 6 weeks (70 patients), and delayed implants after 4 months of healing (70 patients), according to a parallel group design...
2016: European Journal of Oral Implantology
Oreste Iocca, Alessio Farcomeni, Simon Pardiñas-Lopez, Huzefa S Talib
AIMS: To conduct a traditional meta-analysis and a Bayesian Network meta-analysis to synthesize the information coming from Randomized Controlled Trials on different socket grafting materials and combine the resulting indirect evidence in order to make inferences on treatments that have not been compared directly. MATERIALS AND METHODS: RCTs were identified for inclusion in the systematic review and subsequent statistical analysis. Bone height and width remodeling were selected as the chosen summary measures for comparison...
October 6, 2016: Journal of Clinical Periodontology
Eric Todd Scheyer, Rick Heard, Jim Janakievski, George Mandelaris, Marc L Nevins, Stephen R Pickering, Christopher R Richardson, Bryan Pope, Gregory Toback, Diego Velásquez, Heiner Nagursky
AIM: To compare the effectiveness of two-ridge preservation treatments. MATERIALS AND METHODS: Forty subjects with extraction sockets exhibiting substantial buccal dehiscences were enrolled and randomized across 10 standardized centres. Treatments were demineralized allograft plus reconstituted and cross-linked collagen membrane (DFDBA + RECXC) or deproteinized bovine bone mineral with collagen plus native, bilayer collagen membrane (DBBMC + NBCM). Socket dimensions were recorded at baseline and 6 months...
September 12, 2016: Journal of Clinical Periodontology
Zeeshan Sheikh, Javairia Qureshi, Abdullah M Alshahrani, Heba Nassar, Yuichi Ikeda, Michael Glogauer, Bernhard Ganss
Certain cell populations within periodontal tissues possess the ability to induce regeneration, provided they have the opportunity to populate the wound or defect. Guided regeneration techniques have been investigated for regenerating periodontal tissues and such therapies usually utilize barrier membranes. Various natural and synthetic barrier membranes have been fabricated and tested to prevent epithelial and connective tissue cells from invading while allowing periodontal cells to selectively migrate into the defect...
September 9, 2016: Odontology
Edgar El Chaar, Sarah Oshman, Pooria Fallah Abed
Clinicians have many treatment techniques from which to choose when extracting a failing tooth and replacing it with an implant-supported restoration and when successful management of an extraction socket during the course of tooth replacement is necessary to achieve predictable and esthetic outcomes. This article presents a straightforward, yet thorough, classification for extraction sockets of single-rooted teeth and provides guidance to clinicians in the selection of appropriate and predictable treatment...
September 2016: Compendium of Continuing Education in Dentistry
Farah Masood, Jason Nicholson, Joy Beckerley, Hui Liang, Lida Radfar
OBJECTIVES: To study the radiographic mean grey values after bone grafting and to clinically evaluate the intraoral alveolar ridge dimensional stability with anorganic bovine bone mineral (ABBM) particulate and a patented self-expanding composite graft (SECG) after 6 months of healing. METHODS: A total of 20 single-rooted tooth-extraction sites grafted with either ABBM or SECG were evaluated radiographically and clinically after 6 months of healing, prior to dental implant placement...
September 2016: Compendium of Continuing Education in Dentistry
Hani Arakji, Mohamed Shokry, Nayer Aboelsaad
The purpose of this study was to test the effect of the surgical removal of impacted mandibular third molars using piezosurgery versus the conventional surgical technique on postoperative sequelae and bone healing. Material and Methods. This study was carried out as a randomized controlled clinical trial: split mouth design. Twenty patients with bilateral mandibular third molar mesioangular impaction class II position B indicated for surgical extraction were treated randomly using either the piezosurgery or the conventional bur technique on each site...
2016: International Journal of Dentistry
Eylem Ayhan Alkan, Gülay Tüter, Ateş Parlar, Ayşegül Yücel, Bülent Kurtiş
OBJECTIVES: This study compares peri-implant crevicular fluid (PICF) prostaglandin E2 (PGE2) levels, clinical parameters and implant stability quotient (ISQ) values around implants placed in augmented extraction sockets. MATERIALS AND METHODS: The sockets (24 in total) were randomly augmented using either EMD or Bio-Oss Collagen. Implant placements were performed after three months of healing. ISQ readings were evaluated at three points: at the time of surgery, at the first month and at the third month...
October 2016: Acta Odontologica Scandinavica
Xi Jiang, Yu Zhang, Bo Chen, Ye Lin
BACKGROUND: Extraction socket remodeling and ridge preservation strategies have been extensively explored. PURPOSE: To evaluate the efficacy of applying a micro-titanium stent as a pressure bearing device on extraction socket remodeling of maxillary anterior tooth. MATERIALS AND METHODS: Twenty-four patients with a extraction socket of maxillary incisor were treated with spontaneous healing (control group) or by applying a micro-titanium stent as a facial pressure bearing device over the facial bone wall (test group)...
August 18, 2016: Clinical Implant Dentistry and related Research
Shariq Najeeb, Zohaib Khurshid, Sana Zohaib, Muhammad Sohail Zafar
Melatonin (N-acetyl-5-methoxy tryptamine) is a substance secreted by multiple organs in vertebrates. In addition to playing a part in the circadian cycle of the body, melatonin is known to have antioxidant, antiinflammatory, and antioncotic effects on human tissues. Oral cavity is affected by a number of conditions such as periodontitis, mucositis, cancers, and cytotoxicity from various drugs or biomaterials. Research has suggested that melatonin is effective in treating the aforementioned pathologies. Furthermore, melatonin has been observed to enhance osseointegration and bone regeneration...
August 2016: Kaohsiung Journal of Medical Sciences
Andy Temmerman, Jeroen Vandessel, Ana Castro, Reinhilde Jacobs, Wim Teughels, Nelson Pinto, Marc Quirynen
AIM: To investigate the influence of the use L-PRF as a socket filling material and its ridge preservation properties. MATERIALS AND METHODS: Twenty-two patients in need of single bilateral and closely symmetrical tooth extractions in the maxilla or mandible were included in a split-mouth RCT. Treatments were randomly assigned (L-PRF socket filling versus natural healing). CBCT scans were obtained after tooth extraction and three months. Scans were evaluated by superimposition using the original DICOM data...
November 2016: Journal of Clinical Periodontology
Charudutt Kalamkar, Nishant Radke, Amrita Mukherjee
Orbital myiasis is a potentially destructive infestation of the orbital tissues. It is uncommon in clinical practice and is seen in patients with poor hygiene with debilitated or immunocompromised state. We report a case of orbital myiasis in an empty socket of an immunocompetent individual. A 65-year-old immunocompetent patient was found to have orbital myiasis in an empty socket status postevisceration, for which he underwent treatment by manual removal of the larvae after application of a suffocating agent, turpentine oil...
2016: BMJ Case Reports
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