DOI QR코드

DOI QR Code

Socket sealing using pedicle subepithelial connective tissue graft with tunneling in maxillary esthetic zone: Case reports

  • Bae, Ju-Eun (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Kim, Yong-Gun (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Park, Jin-Woo (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Lee, Jae-Mok (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Suh, Jo-Young (Department of Periodontology, School of Dentistry, Kyungpook National University)
  • Received : 2018.09.13
  • Accepted : 2018.11.21
  • Published : 2018.12.31

Abstract

Reports have it that horizontal and vertical loss of the ridge happens during 6 months after tooth extraction. So valuable ridge preservation techniques are often necessary in the maxillary anterior areas. Maintaining and/or increasing blood supply and stability is essential to graft survival. The objective of this study was to determine the effect on extraction socket seal of pedicle subepithelial connective tissue graft with tunneling on maxillary esthetic zone through healing state for 8 weeks.

Keywords

References

  1. Pietrokovski J, Massler M. Alveolar ridge resorption following tooth extraction. J Prosthet Dent 1967;17:21-27. doi: 10.1016/0022-3913(67)90046-7.
  2. Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1year. Clin Oral Implants Res 2012;23 Suppl 5:39-66. doi: 10.1111/j.1600-0501.2011.02372.x.
  3. Tan WL, Wong TL, Wong MC, Lang NP. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res 2012;23 Suppl 5:1-21. doi: 10.1111/j.1600-0501.2011.02375.x.
  4. Wang HL, Tsao YP. Mineralized bone allograft-plug socket augmentation: rationale and technique. Implant Dent 2007;16:33-41. doi: 10.1097/ID.0b013e318031ece6.
  5. Lekovic V, Kenney EB, Weinlaender M, Han T, Klokkevold P, Nedic M, Orsini M. A bone regenerative approach to alveolar ridge maintenance following tooth extraction. Report of 10 cases. J Periodontol 1997;68:563-570. doi: 10.1902/jop.1997.68.6.563.
  6. Lekovic V, Camargo PM, Klokkevold PR, Weinlaender M, Kenney EB, Dimitrijevic B, Nedic M. Preservation of alveolar bone in extraction sockets using bioabsorbable membranes. J Periodontol 1998;69:1044-1049. doi: 10.1902/jop.1998.69.9.1044.
  7. Jung RE, Philipp A, Annen BM, Signorelli L, Thoma DS, Hammerle CH, Attin T, Schmidlin P. Radiographic evaluation of different techniques for ridge preservation after tooth extraction: a randomized controlled clinical trial. J Clin Periodontol 2013;40:90-98. doi: 10.1111/jcpe.12027.
  8. Oghli AA, Steveling H. Ridge preservation following tooth extraction: a comparison between atraumatic extraction and socket seal surgery. Quintessence Int 2010;41:605-609.
  9. Koh RU, Oh TJ, Rudek I, Neiva GF, Misch CE, Rothman ED, Wang HL. Hard and soft tissue changes after crestal and subcrestal immediate implant placement. J Periodontol 2011;82:1112-1120. doi: 10.1902/jop.2011.100541.
  10. Nemcovsky CE, Artzi Z, Moses O. Rotated palatal flap in immediate implant procedures. Clinical evaluation of 26 consecutive cases. Clin Oral Implants Res 2000;11:83-90. doi: 10.1034/j.1600-0501.2000.011001083.x.
  11. Goldstein M, Boyan BD, Schwartz Z. The palatal advanced flap: a pedicle flap for primary coverage of immediately placed implants. Clin Oral Implants Res 2002;13:644-650. doi: 10.1034/j.1600-0501.2002.130611.x.
  12. Khoury F, Happe A. The palatal subepithelial connective tissue flap method for soft tissue management to cover maxillary defects: a clinical report. Int J Oral Maxillofac Implants 2000;15:415-418.
  13. Matthews DP. The pediculated connective tissue graft: a novel approach for the "blown-out'' site in the esthetic zone. Compend Contin Educ Dent 2008;29:350-352, 354, 356-357.
  14. Tal H. Autogenous masticatory mucosal grafts in extraction socket seal procedures: a comparison between sockets grafted with demineralized freeze-dried bone and deproteinized bovine bone mineral. Clin Oral Implants Res 1999;10:289-296. doi: 10.1034/j.1600-0501.1999.100405.x.
  15. Romanos AH, Geurs NC, Abou-Arraj RV. Pedicle connective tissue graft with novel palatal tunneling. Clin Adv Periodontic 2013;3:191-198. doi: 10.1902/cap.2013.120125.
  16. Elian N, Cho SC, Froum S, Smith RB, Tarnow DP. A simplified socket classification and repair technique. Pract Proced Aesthet Dent 2007;19:99-104.
  17. Claffey N, Shanley D. Relationship of gingival thickness and bleeding to loss of probing attachment in shallow sites following nonsurgical periodontal therapy. J Clin Periodontol 1986;13:654-657. doi: 10.1111/j.1600-051X.1986.tb00861.x.
  18. Liu CL, Weisgold AS. Connective tissue graft: a classification for incision design from the palatal site and clinical case reports. Int J Periodontics Restorative Dent 2002;22:373-379. doi: 10.11607/prd.00.0475.
  19. Aimetti M, Romano F, Griga FB, Godio L. Clinical and histologic healing of human extraction sockets filled with calcium sulfate. Int J Oral Maxillofac Implants 2009;24:902-909.
  20. Mittal P, Chan OY, Kanneppady SK, Verma RK, Hasan SS. Association between beliefs about medicines and selfmedication with analgesics among patients with dental pain. PLoS One 2018;13:e0201776. doi: 10.1371/journal.pone.0201776.
  21. Vance GS, Greenwell H, Miller RL, Hill M, Johnston H, Scheetz JP. Comparison of an allograft in an experimental putty carrier and a bovine-derived xenograft used in ridge preservation: a clinical and histologic study in humans. Int J Oral Maxillofac Implants 2004;19:491-497.
  22. Hammerle CH, Araujo MG, Simion M; Osteology Consensus Group 2011. Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Implants Res 2012;23 Suppl 5:80-82. doi: 10.1111/j.1600-0501.2011.02370.x.
  23. Zubillaga G, Von Hagen S, Simon BI, Deasy MJ. Changes in alveolar bone height and width following post-extraction ridge augmentation using a fixed bioabsorbable membrane and demineralized freeze-dried bone osteoinductive graft. J Periodontol 2003;74:965-975. doi: 10.1902/jop.2003.74.7.965.
  24. Simon BI, Von Hagen S, Deasy MJ, Faldu M, Resnansky D. Changes in alveolar bone height and width following ridge augmentation using bone graft and membranes. J Periodontol 2000;71:1774-1791. doi: 10.1902/jop.2000.71.11.1774.
  25. Jambhekar S, Kernen F, Bidra AS. Clinical and histologic outcomes of socket grafting after flapless tooth extraction: a systematic review of randomized controlled clinical trials. J Prosthet Dent 2015;113:371-382. doi: 10.1016/j.prosdent.2014.12.009.
  26. Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C, Bohra AA, Scheetz JP. Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol 2003;74:990-999. doi: 10.1902/jop.2003.74.7.990.
  27. Bouchard P, Malet J, Borghetti A. Decision-making in aesthetics: root coverage revisited. Periodontol 2000 2001;27:97-120. doi: 10.1034/j.1600-0757.2001.027001097.x.