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Cone-beam computed tomographic evaluation of dimensional hard tissue changes following alveolar ridge preservation techniques of different bone substitutes: a systematic review and meta-analysis

Finn Niclas Pickert|Simon Spalthof|Nils-Claudius Gellrich|Juan Antonio Blaya Tárraga
대한치주과학회 (The Korean Academy Of Periodontology)|2022.02|Journal of Periodontal & Implant Science|제52권 제1호|pp. 3-27|DOI 10.5051/jpis.2007100355

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키워드

Alveolar bone lossCone-beam computed tomographyDental implantsBone substitutesTooth socketGuided tissue regeneration
주제분류치의학

초록

Purpose: This study was conducted to evaluate and compare the effects of different graft materials used in alveolar ridge preservation on dimensional hard tissue changes of the alveolar ridge, assessed using cone-beam computed tomography (CBCT) scans. Methods: A systematic electronic search of MEDLINE and the Cochrane Central Register of Controlled Trials and a manual search were conducted from November 2019 until January 2020. Randomized controlled trials were included if they assessed at least 1 variable related to vertical or horizontal hard tissue changes measured using CBCT scans. After a qualitative analysis of the included studies, subgroups were formed according to the graft material used, and a quantitative analysis was performed for 5 outcome variables: changes in vertical alveolar bone height at 2 points (midbuccal and midpalatal/midlingual) and changes in horizontal (buccolingual) alveolar bone width at 3 different levels from the initial crest height (1, 3, and 5 mm). Results: The search resulted in 1,582 studies, and after an independent 3-stage screening, 16 studies were selected for qualitative analysis and 9 for quantitative analysis. The metaanalysis showed a significantly (P<0.05) lower reduction of alveolar ridge dimensions for the xenogenic subgroup than in the allogenic subgroup, both vertically at the midbuccal aspect (weighted mean difference [WMD]=−0.20; standard error [SE]=0.26 vs. WMD=−0.90; SE=0.22) as well as horizontally at 1 mm (WMD=−1.32; SE=0.07 vs. WMD=−2.99; SE=0.96) and 3 mm (WMD=−0.78; SE=0.11 vs. WMD=−1.63; SE=0.40) from the initial crest height. No statistical analysis could be performed for the autogenic subgroup because it was not reported in sufficient numbers. Conclusions: Less vertical and horizontal bone reduction was observed when xenogenic graft materials were used than when allogenic graft materials were used; however, the loss of alveolar ridge dimensions could not be completely prevented by any graft material.

Abstract

Purpose: This study was conducted to evaluate and compare the effects of different graft materials used in alveolar ridge preservation on dimensional hard tissue changes of the alveolar ridge, assessed using cone-beam computed tomography (CBCT) scans. Methods: A systematic electronic search of MEDLINE and the Cochrane Central Register of Controlled Trials and a manual search were conducted from November 2019 until January 2020. Randomized controlled trials were included if they assessed at least 1 variable related to vertical or horizontal hard tissue changes measured using CBCT scans. After a qualitative analysis of the included studies, subgroups were formed according to the graft material used, and a quantitative analysis was performed for 5 outcome variables: changes in vertical alveolar bone height at 2 points (midbuccal and midpalatal/midlingual) and changes in horizontal (buccolingual) alveolar bone width at 3 different levels from the initial crest height (1, 3, and 5 mm). Results: The search resulted in 1,582 studies, and after an independent 3-stage screening, 16 studies were selected for qualitative analysis and 9 for quantitative analysis. The metaanalysis showed a significantly (P<0.05) lower reduction of alveolar ridge dimensions for the xenogenic subgroup than in the allogenic subgroup, both vertically at the midbuccal aspect (weighted mean difference [WMD]=−0.20; standard error [SE]=0.26 vs. WMD=−0.90; SE=0.22) as well as horizontally at 1 mm (WMD=−1.32; SE=0.07 vs. WMD=−2.99; SE=0.96) and 3 mm (WMD=−0.78; SE=0.11 vs. WMD=−1.63; SE=0.40) from the initial crest height. No statistical analysis could be performed for the autogenic subgroup because it was not reported in sufficient numbers. Conclusions: Less vertical and horizontal bone reduction was observed when xenogenic graft materials were used than when allogenic graft materials were used; however, the loss of alveolar ridge dimensions could not be completely prevented by any graft material.

참고문헌 (61)

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A comparison of different compressive forces on graft materials during alveolar ridge preservation박정철, 조인우, Hyun-Seung Shin대한치주과학회 · Journal of Periodontal & Implant Science2017 · 제47권 제1호Comparative, randomized, double-blind clinical study of alveolar ridge preservation using an extracellular matrix-based dental resorbable membrane in the extraction socket구영, 구기태, 김설희, 김성태, 김태일, 류인철, 설양조, 이용무, 이종호, 장혜윤, 황진욱대한치주과학회 · Journal of Periodontal & Implant Science2017 · 제47권 제3호Alveolar ridge preservation with an open-healing approach using single-layer or double-layer coverage with collagen membranes구기태, 박정철, 신현승, 이성조, 임현창, 조인우, 조한연, 최호근대한치주과학회 · Journal of Periodontal & Implant Science2017 · 제47권 제6호Alveolar ridge preservation with a collagen material: a randomized controlled trialHeike Rudolph, Isabel Doering, Jens Dreyhaupt, Ralph G. Luthardt, Sigmar Schnutenhaus대한치주과학회 · Journal of Periodontal & Implant Science2018 · 제48권 제4호Alveolar socket preservation with demineralised bovine bone mineral and a collagen matrixCarlo Maiorana, Federico Mandelli, Heiner Nagursky, Matteo Deflorian, Pier Paolo Poli, Raffaele Vinci, Tiziano Testori대한치주과학회 · Journal of Periodontal & Implant Science2017 · 제47권 제4호Does defect configuration affect the outcomes of alveolar ridge preservation? An experimental in vivo study고영창, 구기태, 설양조, 이동섭, 이용무, 이정원, 최진욱대한치주과학회 · Journal of Periodontal & Implant Science2025 · 제55권 제1호

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