Demineralized bone matrix in extraction sockets: a clinical and histologic case series.

Abstract:

PURPOSE:To evaluate its efficacy and predictability in immediate extraction sockets, this case series used demineralized bone matrix in a puttylike carrier (DBM putty) with and without mineralized bone chips. Each preparation was made from the long bones of the same tissue donor; the only excipient material was water. MATERIAL AND METHODS:A single failing tooth was atraumatically extracted from each study subject, and the socket was debrided. Intact sockets were grafted with DBM putty (n = 6), and sockets with buccal defects were grafted with DBM putty with bone chips (n = 6). A bovine pericardium membrane was draped over the graft site, and tension-free primary closure was obtained. After 6 months of healing, a trephine biopsy was taken from the center of each graft, and then, a dental implant was placed. Two subjects were withdrawn, and histologic data could not be obtained from 2 other patients. RESULTS:Mean new bone fill was 40.28% for DBM putty (n = 5) and 44.60% for DBM putty with bone chips (n = 4). CONCLUSIONS:Both preparations maintained ridge dimensions and, despite ongoing bone turnover, produced adequate mineralized tissue that enabled implant placement at 6 months. This finding warrants further research.

journal_name

Implant Dent

journal_title

Implant dentistry

authors

El-Chaar ES

doi

10.1097/ID.0b013e3182859869

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

120-6

issue

2

eissn

1056-6163

issn

1538-2982

journal_volume

22

pub_type

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