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

Document Type : Original Article

Authors

1 Oral and Maxillofacial Surgery Department at Faculty of Dentistry, Alexandria University, Alexandria, Egypt

2 Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt

3 Assistant professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University

4 Lecturer of Oral Biolog, Department of Oral Biolog, Faculty of Dentistry, Alexandria University

Abstract

Background: 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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Alexandria Dental Journal
Volume 48, Issue 3
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
December 2023
Pages 1-7

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