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Clinical Oral Investigations
Published in: Clinical Oral Investigations 3/2009

01-09-2009 | Original Article

Bone healing after dental extractions in irradiated patients: a pilot study on a novel technique for volume assessment of healing tooth sockets

Authors: Jimoh Olubanwo Agbaje, Reinhilde Jacobs, Katleen Michiels, Mahmoud Abu-Ta’a, Daniel van Steenberghe

Published in: Clinical Oral Investigations | Issue 3/2009

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Abstract

The aim of this study was to evaluate longitudinally the bone-healing process by measuring volumetric changes of the extraction sockets in head and neck cancer patients undergoing radiotherapy after tooth extraction. A total group of 15 patients (nine males, six females) undergoing tooth extraction at the Department of Periodontology (University Hospital KULeuven) were enrolled after giving informed consent. In seven patients, teeth presenting a risk for complications and eventual radionecrosis were extracted prior to the radiotherapeutical procedure. Monitoring of bone healing was performed by evaluating the volumetric changes of the alveoli by cone beam CT scanning (CBCT) at extraction and after 3 and 6 months. In parallel, a similar longitudinal evaluation of extraction sites was done in a control group of eight patients. Within this pilot-study, a total of 15 healing extraction sockets were evaluated and followed up. There was a significant difference in volumetric fill up of extraction sockets in test group vs. control group at three (37.1 ± 7.9%) vs. (54.6 ± 4.0%) and 6 months (47.2 ± 8.8%) vs. (70.0 ± 7.3%), respectively. The present pilot study demonstrated the clinical usefulness of CBCT for evaluation of extraction socket healing. The study objectively demonstrates the delayed bone healing after tooth extraction in irradiated head and neck cancer patients. Considering the limitations of this pilot study, a potential effect of radiotherapy on further jaw bone healing after pre-therapeutic tooth extractions should be further explored.
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Metadata
Title
Bone healing after dental extractions in irradiated patients: a pilot study on a novel technique for volume assessment of healing tooth sockets
Authors
Jimoh Olubanwo Agbaje
Reinhilde Jacobs
Katleen Michiels
Mahmoud Abu-Ta’a
Daniel van Steenberghe
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 3/2009
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-008-0231-7

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