The use of autogenous tooth bone graft is an efficient method of alveolar ridge preservation – meta-analysis and systematic review

BMC Oral Health

卷:23

Research

Szilárd Váncsa¹  Bence Szabo¹  Gabor Varga²  Krisztina Mikulas³  Eszter Szalai⁴  Reka Fazekas⁴  Péter Hegyi⁵  Zsombor Radoczy-Drajko⁶  Márk László Czumbel⁷  Eleonora Solyom⁷  Balint Molnar⁷ 

[1] Centre for Translational Medicine, Semmelweis University, Budapest, Hungary;

[2] Centre for Translational Medicine, Semmelweis University, Budapest, Hungary;Department of Oral Biology, Semmelweis University, Budapest, Hungary;

[3] Centre for Translational Medicine, Semmelweis University, Budapest, Hungary;Department of Prosthodontics, Semmelweis University, Budapest, Hungary;

[4] Centre for Translational Medicine, Semmelweis University, Budapest, Hungary;Department of Restorative Dentistry and Endodontics, Semmelweis University, Szentkirályi Utca 47, 1088, Budapest, Hungary;

[5] Centre for Translational Medicine, Semmelweis University, Budapest, Hungary;Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary;Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary;

[6] Department of Periodontology, Semmelweis University, Budapest, Hungary;

[7] Department of Periodontology, Semmelweis University, Budapest, Hungary;Centre for Translational Medicine, Semmelweis University, Budapest, Hungary;

关键词: Alveolar bone grafting;    Alveolar preservation;    Alveolar bone loss;    Alveolar process;    Tooth socket;    Socket preservation;   

DOI  :  10.1186/s12903-023-02930-2

 received in 2023-01-30, accepted in 2023-04-02,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundRidge resorption following tooth extraction may be reduced by alveolar ridge preservation (ARP). Previous randomized clinical trials and systematic reviews have suggested that autogenous tooth bone graft (ATB) can be an effective alternative material for ARP. However, the results are heterogeneous. Therefore, our research aimed to evaluate the efficacy of ATB in ARP.MethodsA systematic search was conducted in Cochrane Library, Embase, MEDLINE and Scopus for studies published from inception to 31 November 2021. We searched searched for randomized, non-randomized controlled trials and case series reporting on ATB use for ARP. The primary outcome was the ridge width difference pre- and post-surgery, measured in millimetres (mm) measured on CBCT (cone beam computed tomography). The secondary outcomes were the histological results. We followed the PRISMA2020 recommendations for reporting our systematic review and meta-analysis.ResultsThe analysis included eight studies for the primary and six for the secondary outcomes. The meta-analysis revealed a positive ridge preservation effect with a pooled mean difference ridge width change of -0.72 mm. The pooled mean residual graft proportion was 11.61%, and the newly formed bone proportion was 40.23%. The pooled mean of newly formed bone proportion was higher in the group where ATB originated from both the root and crown of the tooth.ConclusionsATB is an effective particulate graft material in ARP. Complete demineralization of the ATB tends to decrease the proportion of newly formed bone. ATB can be an attractive option for ARP.Trial registrationThe study protocol was registered on PROSPERO (CRD42021287890).

【 授权许可】

CC BY   
© The Author(s) 2023

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