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Published in: International Journal of Implant Dentistry 1/2017

Open Access 01-12-2017 | Case Report

Alveolar ridge preservation with autologous particulated dentin—a case series

Authors: Silvio Valdec, Pavla Pasic, Alex Soltermann, Daniel Thoma, Bernd Stadlinger, Martin Rücker

Published in: International Journal of Implant Dentistry | Issue 1/2017

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Abstract

Introduction

Ridge preservation can be performed with autologous bone, alloplastic bone substitute material or a combination of both. Dentin is similar to bone in its chemical composition. In its use as bone substitute material, it undergoes a remodelling process and transforms to bone. The presented case report introduces a technique in which the extraction socket is augmented with autologous, particulated dentin.

Material and methods

The fractured, non-savable mesial incisor of the upper jaw was carefully extracted in axial direction. After the extraction, the tooth was cleared from remaining periodontal tissue. The vital pulp tissue or a root canal filling, enamel and cementum were also removed. Following the particulation of the remaining dentin in a bone mill, the dentin particles were immediately filled orthotope into the alveolar socket. The soft tissue closure was performed with a free gingival graft of the palate.

Results

After an observation period of 4 months, an implant was placed in the augmented area, which osseointegrated successfully and could be restored prosthodontically in the following. The results of this method showed a functional and aesthetic success.

Conclusion

The pre-implantological, autologous ridge preservation with dentin could be performed successfully. For the establishment of dentin as augmentation material for jaw augmentation procedures, a prospective, clinical trial is now necessary.
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Metadata
Title
Alveolar ridge preservation with autologous particulated dentin—a case series
Authors
Silvio Valdec
Pavla Pasic
Alex Soltermann
Daniel Thoma
Bernd Stadlinger
Martin Rücker
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Implant Dentistry / Issue 1/2017
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-017-0071-9

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