Evaluation of alveolar ridge preservation in sockets with buccal dehiscence defects using two types of xenogeneic biomaterials: An in vivo experimental study
Hee-seung Han
Department of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea
Search for more papers by this authorJung-Tae Lee
One-Stop Specialty Center, Seoul National University, Dental Hospital, Seoul, Republic of Korea
Search for more papers by this authorSeunghan Oh
Department of Dental Biomaterials, The Institute of Biomaterial and Implant, School of Dentistry, Wonkwang University, Iksan, Republic of Korea
Search for more papers by this authorYoung-Dan Cho
Department of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea
Search for more papers by this authorCorresponding Author
Sungtae Kim
Department of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea
Correspondence
Sungtae Kim, Department of Periodontology, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
Email: [email protected]
Search for more papers by this authorHee-seung Han
Department of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea
Search for more papers by this authorJung-Tae Lee
One-Stop Specialty Center, Seoul National University, Dental Hospital, Seoul, Republic of Korea
Search for more papers by this authorSeunghan Oh
Department of Dental Biomaterials, The Institute of Biomaterial and Implant, School of Dentistry, Wonkwang University, Iksan, Republic of Korea
Search for more papers by this authorYoung-Dan Cho
Department of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea
Search for more papers by this authorCorresponding Author
Sungtae Kim
Department of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea
Correspondence
Sungtae Kim, Department of Periodontology, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
Email: [email protected]
Search for more papers by this authorYoung-Dan Cho and Sungtae Kim contributed equally to this work.
Abstract
Objectives
Alveolar ridge preservation (ARP) has been extensively investigated in various preclinical and clinical studies, yielding favorable results. We aim to evaluate the effects of ARP using collagenated bovine bone mineral (CBBM) alone or particulated bovine bone mineral with a non-cross-linked collagen membrane (PBBM/NCLM) in tooth extraction sockets with buccal dehiscence in an experimental dog model.
Materials and Methods
The mesial roots of three mandibular premolars (P2, P3, and P4) were extracted from six mongrel dogs 4 weeks after inducing dehiscence defects. ARP was randomly performed using two different protocols: 1) CBBM alone and 2) PBBM/NCLM. Three-dimensional (3D) volumetric, micro-computed tomography, and histological analyses were employed to determine changes over a span of 20 weeks.
Results
In 3D volumetric and radiographic analyses, CBBM alone demonstrated similar effectiveness to PBBM/NCLM in ARP (p > .05). However, in the PBBM/NCLM group (3.05 ± 0.60 mm), the horizontal ridge width was well maintained 3 mm below the alveolar crest compared with the CBBM group (2.11 ± 1.01 mm, p = .002).
Conclusion
Although the radiographic changes in the quality and quantity of bone were not significant between the two groups, the use of PBBM/NCLM resulted in greater horizontal dimensions and more favorable maintenance of the ridge profile.
CONFLICT OF INTEREST STATEMENT
The authors declare there are no potential conflicts of interest regarding authorship and/or publication of this article.
Open Research
DATA AVAILABILITY STATEMENT
All data generated by this study are included in this manuscript.
Supporting Information
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clr14169-sup-0001-Figures.pptxPowerPoint 2007 presentation , 5.6 MB |
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clr14169-sup-0002-Tables.docxWord 2007 document , 32.4 KB |
Table S1. Table S2. Table S3. Table S4. Table S5. Table S6. |
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References
- Ahn, J. J., & Shin, H. I. (2008). Bone tissue formation in extraction sockets from sites with advanced periodontal disease: A histomorphometric study in humans. The International Journal of Oral & Maxillofacial Implants, 23(6), 1133–1138. https://www.ncbi.nlm.nih.gov/pubmed/19216285
- Alayan, J., Vaquette, C., Farah, C., & Ivanovski, S. (2016). A histomorphometric assessment of collagen-stabilized anorganic bovine bone mineral in maxillary sinus augmentation—a prospective clinical trial. Clinical Oral Implants Research, 27(7), 850–858. https://doi.org/10.1111/clr.12694
- Araujo, M., Linder, E., Wennstrom, J., & Lindhe, J. (2008). The influence of bio-Oss collagen on healing of an extraction socket: An experimental study in the dog. The International Journal of Periodontics & Restorative Dentistry, 28(2), 123–135. https://www.ncbi.nlm.nih.gov/pubmed/18546808
- Araujo, M. G., & Lindhe, J. (2005). Dimensional ridge alterations following tooth extraction. An experimental study in the dog. Journal of Clinical Periodontology, 32(2), 212–218. https://doi.org/10.1111/j.1600-051X.2005.00642.x
- Artzi, Z., Tal, H., & Dayan, D. (2000). Porous bovine bone mineral in healing of human extraction sockets. Part 1: Histomorphometric evaluations at 9 months. Journal of Periodontology, 71(6), 1015–1023. https://doi.org/10.1902/jop.2000.71.6.1015
- Barone, A., Ricci, M., Tonelli, P., Santini, S., & Covani, U. (2013). Tissue changes of extraction sockets in humans: A comparison of spontaneous healing vs. ridge preservation with secondary soft tissue healing. Clinical Oral Implants Research, 24(11), 1231–1237. https://doi.org/10.1111/j.1600-0501.2012.02535.x
- Borges, T., Fernandes, D., Almeida, B., Pereira, M., Martins, D., Azevedo, L., & Marques, T. (2020). Correlation between alveolar bone morphology and volumetric dimensional changes in immediate maxillary implant placement: A 1-year prospective cohort study. Journal of Periodontology, 91(9), 1167–1176. https://doi.org/10.1002/JPER.19-0606
- Carmagnola, D., Berglundh, T., Araujo, M., Albrektsson, T., & Lindhe, J. (2000). Bone healing around implants placed in a jaw defect augmented with bio-Oss. An experimental study in dogs. Journal of Clinical Periodontology, 27(11), 799–805. https://doi.org/10.1034/j.1600-051x.2000.027011799.x
- Dempster, D. W., Compston, J. E., Drezner, M. K., Glorieux, F. H., Kanis, J. A., Malluche, H., Meunier, P. J., Ott, S. M., Recker, R. R., & Parfitt, A. M. (2013). Standardized nomenclature, symbols, and units for bone histomorphometry: A 2012 update of the report of the ASBMR histomorphometry nomenclature committee. Journal of Bone and Mineral Research, 28(1), 2–17. https://doi.org/10.1002/jbmr.1805
- Di Raimondo, R., Sanz-Esporrín, J., Plá, R., Sanz-Martín, I., Luengo, F., Vignoletti, F., Nuñez, J., & Sanz, M. (2020). Alveolar crest contour changes after guided bone regeneration using different biomaterials: An experimental in vivo investigation. Clinical Oral Investigations, 24(7), 2351–2361. https://doi.org/10.1007/s00784-019-03092-8
- Fanuscu, M. I., & Chang, T. L. (2004). Three-dimensional morphometric analysis of human cadaver bone: Microstructural data from maxilla and mandible. Clinical Oral Implants Research, 15(2), 213–218. https://doi.org/10.1111/j.1600-0501.2004.00969.x
- Garcia-Gonzalez, S., Galve-Huertas, A., Aboul-Hosn Centenero, S., Mareque-Bueno, S., Satorres-Nieto, M., & Hernandez-Alfaro, F. (2020). Volumetric changes in alveolar ridge preservation with a compromised buccal wall: A systematic review and meta-analysis. Medicina Oral, Patología Oral y Cirugía Bucal, 25(5), e565–e575. https://doi.org/10.4317/medoral.23451
- Ikawa, T., Akizuki, T., Ono, W., Maruyama, K., Okada, M., Stavropoulos, A., Izumi, Y., & Iwata, T. (2020). Ridge reconstruction in damaged extraction sockets using tunnel β-tricalcium phosphate blocks: A 6-month histological study in beagle dogs. Journal of Periodontal Research, 55(4), 496–502. https://doi.org/10.1111/jre.12735
- Jung, R. E., Philipp, A., Annen, B. M., Signorelli, L., Thoma, D. S., Hämmerle, C. H., Attin, T., & Schmidlin, P. (2013). Radiographic evaluation of different techniques for ridge preservation after tooth extraction: A randomized controlled clinical trial. Journal of Clinical Periodontology, 40(1), 90–98. https://doi.org/10.1111/jcpe.12027
- Kim, J. J., Ben Amara, H., Park, J. C., Kim, S., Kim, T. I., Seol, Y. J., Lee, Y. M., Ku, Y., Rhyu, I. C., & Koo, K. T. (2019). Biomodification of compromised extraction sockets using hyaluronic acid and rhBMP-2: An experimental study in dogs. Journal of Periodontology, 90(4), 416–424. https://doi.org/10.1002/JPER.18-0348
- Kim, J. J., Ben Amara, H., Schwarz, F., Kim, H. Y., Lee, J. W., Wikesjo, U. M. E., & Koo, K. T. (2017). Is ridge preservation/augmentation at periodontally compromised extraction sockets safe? A Retrospective Study. Journal of Clinical Periodontology, 44(10), 1051–1058. https://doi.org/10.1111/jcpe.12764
- Kim, J. J., Schwarz, F., Song, H. Y., Choi, Y., Kang, K. R., & Koo, K. T. (2017). Ridge preservation of extraction sockets with chronic pathology using bio-Oss((R)) collagen with or without collagen membrane: An experimental study in dogs. Clinical Oral Implants Research, 28(6), 727–733. https://doi.org/10.1111/clr.12870
- Lang, N. P., & a. L. J. (2015). Clinical periodontology and implant dentistry ( 6th ed.). John Willey & Sons.
- Lee, D., Lee, Y., Kim, S., Lee, J. T., & Ahn, J. S. (2022). Evaluation of regeneration after the application of 2 types of deproteinized bovine bone mineral to alveolar bone defects in adult dogs. Journal of Periodontal & Implant Science, 52(5), 370–382. https://doi.org/10.5051/jpis.2106080304
- Lee, J., Lee, Y. M., Lim, Y. J., & Kim, B. (2020). Ridge augmentation using beta-tricalcium phosphate and biphasic calcium phosphate sphere with collagen membrane in chronic pathologic extraction sockets with dehiscence defect: A pilot study in beagle dogs. Materials (Basel), 13(6), 1452–1462. https://doi.org/10.3390/ma13061452
- Lee, J. S., Choe, S. H., Cha, J. K., Seo, G. Y., & Kim, C. S. (2018). Radiographic and histologic observations of sequential healing processes following ridge augmentation after tooth extraction in buccal-bone-deficient extraction sockets in beagle dogs. Journal of Clinical Periodontology, 45(11), 1388–1397. https://doi.org/10.1111/jcpe.13014
- Lee, J. S., Jung, J. S., Im, G. I., Kim, B. S., Cho, K. S., & Kim, C. S. (2015). Ridge regeneration of damaged extraction sockets using rhBMP-2: An experimental study in canine. Journal of Clinical Periodontology, 42(7), 678–687. https://doi.org/10.1111/jcpe.12414
- Lim, H. C., Shin, H. S., Cho, I. W., Koo, K. T., & Park, J. C. (2019). Ridge preservation in molar extraction sites with an open-healing approach: A randomized controlled clinical trial. Journal of Clinical Periodontology, 46(11), 1144–1154. https://doi.org/10.1111/jcpe.13184
- Marcaccini, A. M., Novaes, A. B., Jr., Souza, S. L., Taba, M., Jr., & Grisi, M. F. (2003). Immediate placement of implants into periodontally infected sites in dogs. Part 2: A fluorescence microscopy study. The International Journal of Oral & Maxillofacial Implants, 18(6), 812–819. https://www.ncbi.nlm.nih.gov/pubmed/14696656
- Moon, H. S., Won, Y. Y., Kim, K. D., Ruprecht, A., Kim, H. J., Kook, H. K., & Chung, M. K. (2004). The three-dimensional microstructure of the trabecular bone in the mandible. Surgical and Radiologic Anatomy, 26(6), 466–473. https://doi.org/10.1007/s00276-004-0247-x
- Naenni, N., Bienz, S. P., Benic, G. I., Jung, R. E., Hammerle, C. H. F., & Thoma, D. S. (2018). Volumetric and linear changes at dental implants following grafting with volume-stable three-dimensional collagen matrices or autogenous connective tissue grafts: 6-month data. Clinical Oral Investigations, 22(3), 1185–1195. https://doi.org/10.1007/s00784-017-2210-3
- Nyman, S. (1991). Bone regeneration using the principle of guided tissue regeneration. Journal of Clinical Periodontology, 18(6), 494–498. https://doi.org/10.1111/j.1600-051x.1991.tb02322.x
- Owens, K. W., & Yukna, R. A. (2001). Collagen membrane resorption in dogs: A comparative study. Implant Dentistry, 10(1), 49–58. https://doi.org/10.1097/00008505-200101000-00016
- Parfitt, A. M. (1988). Bone histomorphometry: Standardization of nomenclature, symbols and units. Summary of Proposed System. Bone Miner, 4(1), 1–5. https://www.ncbi.nlm.nih.gov/pubmed/3191270
- Ramaglia, L., Saviano, R., Matarese, G., Cassandro, F., Williams, R. C., & Isola, G. (2018). Histologic evaluation of soft and hard tissue healing following alveolar ridge preservation with deproteinized bovine bone mineral covered with Xenogenic collagen matrix. The International Journal of Periodontics & Restorative Dentistry, 38(5), 737–745. https://doi.org/10.11607/prd.3565
- Roman, A., Cioban, C., Stratul, S. I., Schwarz, F., Muste, A., Petrutiu, S. A., Zaganescu, R., & Mihatovic, I. (2015). Ridge preservation using a new 3D collagen matrix: A preclinical study. Clinical Oral Investigations, 19(6), 1527–1536. https://doi.org/10.1007/s00784-014-1368-1
- Rosen, V. B., Hobbs, L. W., & Spector, M. (2002). The ultrastructure of anorganic bovine bone and selected synthetic hyroxyapatites used as bone graft substitute materials. Biomaterials, 23(3), 921–928. https://doi.org/10.1016/s0142-9612(01)00204-6
- Rothamel, D., Schwarz, F., Sager, M., Herten, M., Sculean, A., & Becker, J. (2005). Biodegradation of differently cross-linked collagen membranes: An experimental study in the rat. Clinical Oral Implants Research, 16(3), 369–378. https://doi.org/10.1111/j.1600-0501.2005.01108.x
- Sapata, V. M., Llanos, A. H., Cesar Neto, J. B., Jung, R. E., Thoma, D. S., Hämmerle, C. H. F., Pannuti, C. M., & Romito, G. A. (2020). Deproteinized bovine bone mineral is non-inferior to deproteinized bovine bone mineral with 10% collagen in maintaining the soft tissue contour post-extraction: A randomized trial. Clinical Oral Implants Research, 31(3), 294–301. https://doi.org/10.1111/clr.13570
- Schropp, L., Wenzel, A., Kostopoulos, L., & Karring, T. (2003). Bone healing and soft tissue contour changes following single-tooth extraction: A clinical and radiographic 12-month prospective study. The International Journal of Periodontics & Restorative Dentistry, 23(4), 313–323. https://www.ncbi.nlm.nih.gov/pubmed/12956475
- Tan, W. L., Wong, T. L., Wong, M. C., & Lang, N. P. (2012). A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clinical Oral Implants Research, 23(Suppl 5), 1–21. https://doi.org/10.1111/j.1600-0501.2011.02375.x
- Tien, H. K., Lee, W. H., Kim, C. S., Choi, S. H., Gruber, R., & Lee, J. S. (2021). Alveolar ridge regeneration in two-wall-damaged extraction sockets of an in vivo experimental model. Clinical Oral Implants Research, 32(8), 971–979. https://doi.org/10.1111/clr.13791
- Tonetti, M. S., Jung, R. E., Avila-Ortiz, G., Blanco, J., Cosyn, J., Fickl, S., Figuero, E., Goldstein, M., Graziani, F., Madianos, P., Molina, A., Nart, J., Salvi, G. E., Sanz-Martin, I., Thoma, D., Van Assche, N., & Vignoletti, F. (2019). Management of the extraction socket and timing of implant placement: Consensus report and clinical recommendations of group 3 of the XV European workshop in periodontology. Journal of Clinical Periodontology, 46(Suppl 21), 183–194. https://doi.org/10.1111/jcpe.13131
- Troiano, G., Zhurakivska, K., Lo Muzio, L., Laino, L., Cicciu, M., & Lo Russo, L. (2018). Combination of bone graft and resorbable membrane for alveolar ridge preservation: A systematic review, meta-analysis, and trial sequential analysis. Journal of Periodontology, 89(1), 46–57. https://doi.org/10.1902/jop.2017.170241
- Wong, R. W., & Rabie, A. B. (2010). Effect of bio-Oss collagen and collagen matrix on bone formation. Open Biomedical Engineering Journal, 4, 71–76. https://doi.org/10.2174/1874120701004010071