Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-Up

This case report highlights the use of a novel in situ hardening synthetic (alloplastic), resorbable, bone grafting material composed of beta tricalcium phosphate and calcium sulfate, for alveolar ridge preservation. A 35-year-old female patient was referred by her general dentist for extraction of...

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Main Authors: Peter Fairbairn, Minas Leventis, Chas Mangham, Robert Horowitz
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2018/6412806
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spelling doaj-176dc0a63a8c4a7e8df546ca5a6aa4872021-07-02T08:47:22ZengHindawi LimitedCase Reports in Dentistry2090-64472090-64552018-01-01201810.1155/2018/64128066412806Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-UpPeter Fairbairn0Minas Leventis1Chas Mangham2Robert Horowitz3Department of Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, 2700 Martin Luther King Jr. Boulevard, Detroit, MI 48208, USADepartment of Oral and Maxillofacial Surgery, Dental School, National and Kapodistrian University of Athens, 2 Thivon Street, Goudi, Athens 115 27, GreeceManchester Molecular Pathology Innovation Centre, The University of Manchester, Nelson Street, Manchester M13 9NQ, UKDepartments of Periodontics, Implant Dentistry, and Oral Surgery, New York University College of Dentistry, 345 E. 24th Street, New York, NY 10010, USAThis case report highlights the use of a novel in situ hardening synthetic (alloplastic), resorbable, bone grafting material composed of beta tricalcium phosphate and calcium sulfate, for alveolar ridge preservation. A 35-year-old female patient was referred by her general dentist for extraction of the mandibular right first molar and rehabilitation of the site with a dental implant. The nonrestorable tooth was “atraumatically” extracted without raising a flap, and the socket was immediately grafted with the synthetic biomaterial and covered with a hemostatic fleece. No membrane was used, and the site was left uncovered without obtaining primary closure, in order to heal by secondary intention. After 12 weeks, the architecture of the ridge was preserved, and clinical observation revealed excellent soft tissue healing without loss of attached gingiva. At reentry for placement of the implant, a bone core biopsy was obtained, and primary implant stability was measured by final seating torque and resonance frequency analysis. Histological analysis revealed pronounced bone regeneration while high levels of primary implant stability were recorded. The implant was successfully loaded 12 weeks after placement. Clinical and radiological follow-up examination at two years revealed stable and successful results regarding biological, functional, and esthetic parameters.http://dx.doi.org/10.1155/2018/6412806
collection DOAJ
language English
format Article
sources DOAJ
author Peter Fairbairn
Minas Leventis
Chas Mangham
Robert Horowitz
spellingShingle Peter Fairbairn
Minas Leventis
Chas Mangham
Robert Horowitz
Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-Up
Case Reports in Dentistry
author_facet Peter Fairbairn
Minas Leventis
Chas Mangham
Robert Horowitz
author_sort Peter Fairbairn
title Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-Up
title_short Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-Up
title_full Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-Up
title_fullStr Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-Up
title_full_unstemmed Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-Up
title_sort alveolar ridge preservation using a novel synthetic grafting material: a case with two-year follow-up
publisher Hindawi Limited
series Case Reports in Dentistry
issn 2090-6447
2090-6455
publishDate 2018-01-01
description This case report highlights the use of a novel in situ hardening synthetic (alloplastic), resorbable, bone grafting material composed of beta tricalcium phosphate and calcium sulfate, for alveolar ridge preservation. A 35-year-old female patient was referred by her general dentist for extraction of the mandibular right first molar and rehabilitation of the site with a dental implant. The nonrestorable tooth was “atraumatically” extracted without raising a flap, and the socket was immediately grafted with the synthetic biomaterial and covered with a hemostatic fleece. No membrane was used, and the site was left uncovered without obtaining primary closure, in order to heal by secondary intention. After 12 weeks, the architecture of the ridge was preserved, and clinical observation revealed excellent soft tissue healing without loss of attached gingiva. At reentry for placement of the implant, a bone core biopsy was obtained, and primary implant stability was measured by final seating torque and resonance frequency analysis. Histological analysis revealed pronounced bone regeneration while high levels of primary implant stability were recorded. The implant was successfully loaded 12 weeks after placement. Clinical and radiological follow-up examination at two years revealed stable and successful results regarding biological, functional, and esthetic parameters.
url http://dx.doi.org/10.1155/2018/6412806
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