Ca/P-hyaluronic acid/gelatin based dental plug를 활용한 치조제 보존술: 1년간의 후향적 연구
Alveolar Ridge Preservation Using Ca/P-hyaluronic acid/gelatin Based Dental Plug: A One-year Retrospective Study
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After tooth extraction, the alveolar bone is naturally absorbed by 30 to 50% within one year on average, reducing its width and height. However, since adequate alveolar bone volume is essential for implant placement in areas where teeth have been lost, procedures such as alveolar ridge preservation (ARP) have been reported to prevent alveolar bone atrophy in the tooth extraction site. The purpose of this retrospective study is to share the clinical results of ARP using the newly developed Ca/P hyaluronic acid/gelatin-based dental plug (Q-bonplug®) on the tooth extracted socket. For a total of 18 patients who underwent ARP at Dong-A University Hospital from August 2021 to July 2022, post-operative clinical evaluation and CBCT analysis were performed on patients 1 year after implant placement. Post-operative complications and changes in alveolar bone width were summarized. As a result, the total number of surgical sites was twenty-six, of which thirteen were maxillary incisors (MxI), five were maxillary premolars (MxP), three were mandibular incisors (MnI), and five were mandibular premolars (MnP). Postoperative infection was observed only in one site, and the 1-year follow-up CBCT analysis showed a success rate of maintaining alveolar bone in 96.2% and an alveolar bone resorption rate of less than 10% in all cases. There was no statistically significant difference in absorption rate for each site. In conclusion, with the limitations of this retrospective study, the use of Ca/P hyaluronic acid/gelatin-based dental plugs for ARP was able to achieve clinically satisfactory results without the use of additional membranes. Due to the cost and simplicity of the procedure, it could be a material that can be easily applied clinically
Abstract
After tooth extraction, the alveolar bone is naturally absorbed by 30 to 50% within one year on average, reducing its width and height. However, since adequate alveolar bone volume is essential for implant placement in areas where teeth have been lost, procedures such as alveolar ridge preservation (ARP) have been reported to prevent alveolar bone atrophy in the tooth extraction site. The purpose of this retrospective study is to share the clinical results of ARP using the newly developed Ca/P hyaluronic acid/gelatin-based dental plug (Q-bonplug®) on the tooth extracted socket. For a total of 18 patients who underwent ARP at Dong-A University Hospital from August 2021 to July 2022, post-operative clinical evaluation and CBCT analysis were performed on patients 1 year after implant placement. Post-operative complications and changes in alveolar bone width were summarized. As a result, the total number of surgical sites was twenty-six, of which thirteen were maxillary incisors (MxI), five were maxillary premolars (MxP), three were mandibular incisors (MnI), and five were mandibular premolars (MnP). Postoperative infection was observed only in one site, and the 1-year follow-up CBCT analysis showed a success rate of maintaining alveolar bone in 96.2% and an alveolar bone resorption rate of less than 10% in all cases. There was no statistically significant difference in absorption rate for each site. In conclusion, with the limitations of this retrospective study, the use of Ca/P hyaluronic acid/gelatin-based dental plugs for ARP was able to achieve clinically satisfactory results without the use of additional membranes. Due to the cost and simplicity of the procedure, it could be a material that can be easily applied clinically
참고문헌 (20)
- Zhao R, "Bone grafts and substitutes in dentistry : a review of current trends and developments", Molecules, 26, pp.3007~ (2021)
- Cardaropoli G, "Dynamics of bone tissue formation in tooth extraction sites : an experimental study in dogs", J Clin Periodontol, 30, pp.809~818 (2003)
- Balli G, "Ridge preservation procedures after tooth extractions : a systematic review", Int J Dent, 2018, pp.8546568~ (2018)
- Van der Weijden F, "Alveolar bone dimensional changes of post-extraction sockets in humans : a systematic review", J Clin Periodontol, 36, pp.1048~1058 (2009)
- Mardas N, "Does ridge preservation following tooth extraction improve implant treatment outcomes : a systematic review : Group 4 : Therapeutic concepts & methods", Clin Oral Implants Res, 26(11 Suppl), pp.180~201 (2015)
- Lin HK, "Prevention of bone resorption by HA", β-TCP+collagen composite after tooth extraction : a case series, 2019, pp.16, 4616~
- Schropp L, "Bone healing following immediate versus delayed placement of titanium implants into extraction sockets : a prospective clinical study", Int J Oral Maxillofac Implants, 18, pp.189~199 (2003)
- Iocca O, "Alveolar ridge preservation after tooth extraction : a Bayesian Network meta-analysis of grafting materials efficacy on prevention of bone height and width reduction", J Clin Periodontol, 44, pp.104~114 (2017)
- Clementini M, "Success rate of dental implants inserted in horizontal and vertical guided bone regenerated areas : a systematic review", Int J Oral Maxillofac Surg, 41, pp.847~852 (2012)
- Di Stefano DA, "A comparison between anorganic bone and collagen-preserving bone xenografts for alveolar ridge preservation : systematic review and future perspectives", Maxillofac Plast Reconstr Surg, 44, pp.24~ (2022)
- Kang HJ, "In vitro and in vivo evaluation of Ca", P-hyaluronic acid, Mater Design, pp.2020, 194[DOI]
- Poulias E, "Ridge preservation comparing socket allograft alone to socket allograft plus facial overlay xenograft : a clinical and histologic study in humans", J Periodontol, 84, pp.1567~1575 (2013)
- Horváth A, "Alveolar ridge preservation. A systematic review", Clin Oral Investig, 17, pp.341~363 (2013)
- Garagiola U, "Osseointegration and guided bone regeneration in ectodermal dysplasia patients", J Craniofac Surg, 18, pp.1296~1304 (2007)
- Kalsi AS, "Alveolar ridge preservation : why, when and how", Br Dent J, 22, pp.264~274 (2019)
- Troiano G, "Combination of bone graft and resorbable membrane for alveolar ridge preservation : a systematic review, meta-analysis, and trial sequential analysis", J Periodontol, 89, pp.46~57 (2018)
- Bassir SH, "Systematic review and meta-analysis of hard tissue outcomes of alveolar ridge preservation", Int J Oral Maxillofac Implants, 33, pp.979~994 (2018)
- Avila-Ortiz G, "Effect of alveolar ridge preservation interventions following tooth extraction : a systematic review and meta-analysis", J Clin Periodontol, 46, pp.195~223 (2020)
- Apostolopoulos P, "Retrospective success and survival rates of dental implants placed after a ridge preservation procedure", Clin Oral Implants Res, 28, pp.461~468 (2017)
- Singh G, "Comparison of bone healing in immediate implant placement versus delayed implant placement", J Pharm Bioallied Sci, 13(Suppl 2), pp.S1309~14 (2021)