Tooth loss causes alveolar bone resorption, which may hinder the ability of implant placement. Socket preservation with immediate implant placement is one of the methods used to reduce bone resorption. In this retrospective study, we evaluated the influence of the use of dense polytetrafluoroethylene (d-PTFE) membranes on alveolar preservation after tooth extraction and with the installation of immediate dental implants. In this retrospective study, one hundred and four patients were divided into two groups: immediate implant and gap filling with heterogenous bone graft (control group, 52 patients) or immediate implant, gap filling with heterogenous bone graft, and covering with a d-PTFE membrane with dimensions of 12 × 24 mm, which was intentionally left exposed to the oral cavity (test group, 52 patients). Tomographic data were obtained before and 12 months after the surgical procedures. The membranes exposed in the oral cavity showed no infection. Volumetric analyses revealed a statistically significant difference in alveolar ridge resorption for the control and d-PTFE groups, 16.75% and 4.55%, respectively. Intentionally exposed d-PTFE membranes showed minimal complications. Based on the volumetric results, alveolar ridge preservation with d-PTFE membranes was superior to the bone graft alone in immediate implant placement.
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http://dx.doi.org/10.3390/dj13020058 | DOI Listing |
J Funct Biomater
January 2025
Department of Anatomy, Faculty of Medicine, University of Rijeka, Braće Branchetta 20/1, 51000 Rijeka, Croatia.
Background: Understanding microbial colonization on different membranes is critical for guided bone regeneration procedures such as socket preservation, as biofilm formation may affect healing and clinical outcomes. This randomized controlled clinical trial (RCT) investigates, for the first time, the microbiome of two different high-density polytetrafluoroethylene (d-PTFE) membranes that are used in socket preservation on a highly molecular level and in vivo.
Methods: This RCT enrolled 39 participants, with a total of 48 extraction sites, requiring subsequent implant placement.
Dent J (Basel)
January 2025
Department of Periodontology, Dental Research Division, Guarulhos University, Guarulhos 07023-070, Brazil.
Tooth loss causes alveolar bone resorption, which may hinder the ability of implant placement. Socket preservation with immediate implant placement is one of the methods used to reduce bone resorption. In this retrospective study, we evaluated the influence of the use of dense polytetrafluoroethylene (d-PTFE) membranes on alveolar preservation after tooth extraction and with the installation of immediate dental implants.
View Article and Find Full Text PDFInt J Periodontics Restorative Dent
February 2025
Background: Oral implants require adequate bone support, which is often facilitated by bone augmentation when bone volume is insufficient. Autogenous bone (AB) has been considered the 'gold standard' for such procedures due to its osteogenic properties, but it necessitates a second surgical site, which increases patient morbidity. Trial Design and Methods: This study was a randomized, double-blind, split-mouth clinical trial comparing L PRF (leukocyte-platelet rich fibrin) bone-block grafts against a composite graft mixture of 50% AB with 50% deproteinized bovine bone mineral (DBBM) for vertical guided bone regeneration (GBR).
View Article and Find Full Text PDFClin Oral Investig
December 2024
School of Dental Medicine, Lake Erie College of Osteopathic Medicine, 4800 Lakewood Ranch Blvd, Bradenton, FL, 34211, USA.
Objective: This letter addresses the recent study by Braz et al. published in Clinical Oral Investigations in 2024 ( https://doi.org/10.
View Article and Find Full Text PDFCureus
October 2024
Department of Oral Surgery, Medical University of Varna, Varna, BGR.
Socket preservation (SP) is a method aimed at reducing the post-extraction resorption of the alveolar crest and promoting bone deposition in the socket. It involves procedures such as atraumatic tooth extraction, guided regeneration with barrier membranes and bone substitutes, socket sealing, and immediate implant placement. This research aims to evaluate the influence of the combination of dense polytetrafluoroethylene (d-PTFE) membranes and platelet-rich plasma (PRP) on the vertical post-extraction resorption at the premolar and molar sites.
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