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Volume 37 , Issue 3
May/June 2017
Pages 403–410

Dimensional Evaluation of Different Ridge Preservation Techniques: A Randomized Clinical Study

Stefan Fickl, Priv-Doz Dr Med Dent/Kai Fischer, Dr Med Dent/Nicole Petersen/Arndt Happe, Priv-Doz Dr Med Dent/Markus Schlee, Priv-Doz Dr Med Dent/Ulrich Schlagenhauf, Prof Dr Med Dent/Moritz Kebschull, Priv-Doz Dr Med Dent

PMID: 28402351
DOI: 10.11607/prd.2629

The objective of this study was to quantitatively determine ridge contour changes after different alveolar ridge preservation techniques. An initial total of 40 patients provided a final total of 35 single-gap extraction sites. After tooth removal, the socket was subjected to one of four treatment modalities: placement of a deproteinized bovine bone mineral (DBBM; Endobon) covered with a soft tissue punch from the palate (Tx1); placement of DBBM without soft tissue punch (Tx2); placement of an adsorbable collagen membrane (Osseoguard) covering the DBBM (Tx3); and no additional treatment (control). Silicone impressions were obtained before and 6 months after tooth extraction for quantitative-volumetric evaluation on stone cast models. Bone quality and need for further bone augmentation were also noted. Tx1 and Tx3 resulted in significantly less bucco-oral tissue loss when compared to Tx2 and the control group. Premolar teeth and teeth extracted for traumatic reasons revealed significantly less tissue loss. Using barrier membranes or soft tissue punches in addition to placement of DBBM seems to be advantageous to limit bucco-oral tissue atrophy. The clinical benefit, however, is still questionable.

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