ALVEOLAR BONE DIMENSIONAL CHANGES FOLLOWING TOOTH EXTRACTION IN SITES TREATED WITH OR WITHOUT PTFE MEMBRANES: A HISTOLOGICAL STUDY

IN DOGS
I.
1 Chesnoiu-Matei ,

H.S.

1 Texeira ,

N.

1 Tovar ,

C.

2 Marin ,

I.F.

3 Dragan ,

P.G.

1 Coelho

Introduction
The alveolar ridge experiences signicant dimensional changes following tooth extraction due to normal bone healing pattern. Both vertical and horizontal directions undergo important modications, in particular the bucco-oral dimension of the remaining alveolar crest. The resorbtion of the buccal plate poses several concerns, especially when implant restoration is planned in the esthetic area. Various techniques and materials have been developed and utilized in order to help maintain the buccal plate and bone volume. Maintaining the space and protecting the blood clot, thus allowing osseous proliferation and maturation, are the principal objectives for the bone augmentation procedures. The aim of this study was to evaluate the changes in alveolar bone morphology that occur after extraction at the buccal bone level following socket preservation procedures with membrane. Also, the effect of a ap or apless procedure was taken into account.

Results
Ridge Mainte nance
The histologic data showed that flap/membrane sites exhibited buccal bone gain when compared to the flap/no membrane and no flap/no membrane groups.

Methods

The flap/no membrane sites exhibited the most buccal bone loss, with partial resorption of the buccal plate and less bone filling the sockets. Raising a full-thickness flap resulted in higher degrees of buccal bone loss when compared to sites that had no flap.

Bilateral extractions of rst mandibular molars were performed for eight beagle dogs included Sites with no flap/no membrane in this study. On the right side, extractions were performed without elevating a ap and no and flap/no membrane experienced membrane was used to cover the sockets (Figure 1). On the contra-lateral side, a full-thickness invagination of soft tissue in the ap was elevated prior to extraction. The resulting sockets were split into two groups: one corono-apical direction. Bone Growth socket was covered with a non-resorbable PTFE membrane while the other group was left to heal uncovered. Primary closure was not intended in the sites covered with the PTFE Full flap with membrane for 14 days Full flap after 8 weeks healing membrane. The membrane was removed two weeks after placement (Figure 1). The sockets No flap after 8 weeks healing after 8 weeks healing were left to heal for a total of eight weeks. Nondecalcied, histologic slides of ~30m were Figure 2 : Histological data of Extraction sties treated with or without a PTFE membrane. Buccal (B), Lingual (L) stained with toluidine blue and referred for optical microscopy. Histologic qualitative analysis was performed.

Conclusions

Figure 1: Surgical protocol: A) Membrane in place B) Membrane removal

Full-thickness flap negatively influenced buccal plate resorbtion, however this phenomenon can be avoided by protecting the extraction site with a membrane. The data from the current study demonstrates that a nonresorbable PTFE membrane can not only prevent horizontal ridge modifications following extraction, but enhance the buccal bone quantity at that site possibly by maintaining the space. York University College of Dentistry, NY, NY, USA 2Universidade Federal de Santa Catarina, Santa Catarina, Brazil 3Tufts University School of Dental Medicine, Boston, MA, USA
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