Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Cone-beam computed tomographic evaluation of dimensional hard tissue changes following alveolar ridge preservation techniques of different bone substitutes: a systematic review and meta-analysis

  • Received : 2020.11.07
  • Accepted : 2021.07.04
  • Published : 2022.02.28
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Abstract

Purpose: This study was conducted to evaluate and compare the effects of different graft materials used in alveolar ridge preservation on dimensional hard tissue changes of the alveolar ridge, assessed using cone-beam computed tomography (CBCT) scans. Methods: A systematic electronic search of MEDLINE and the Cochrane Central Register of Controlled Trials and a manual search were conducted from November 2019 until January 2020. Randomized controlled trials were included if they assessed at least 1 variable related to vertical or horizontal hard tissue changes measured using CBCT scans. After a qualitative analysis of the included studies, subgroups were formed according to the graft material used, and a quantitative analysis was performed for 5 outcome variables: changes in vertical alveolar bone height at 2 points (midbuccal and midpalatal/midlingual) and changes in horizontal (buccolingual) alveolar bone width at 3 different levels from the initial crest height (1, 3, and 5 mm). Results: The search resulted in 1,582 studies, and after an independent 3-stage screening, 16 studies were selected for qualitative analysis and 9 for quantitative analysis. The metaanalysis showed a significantly (P<0.05) lower reduction of alveolar ridge dimensions for the xenogenic subgroup than in the allogenic subgroup, both vertically at the midbuccal aspect (weighted mean difference [WMD]=-0.20; standard error [SE]=0.26 vs. WMD=-0.90; SE=0.22) as well as horizontally at 1 mm (WMD=-1.32; SE=0.07 vs. WMD=-2.99; SE=0.96) and 3 mm (WMD=-0.78; SE=0.11 vs. WMD=-1.63; SE=0.40) from the initial crest height. No statistical analysis could be performed for the autogenic subgroup because it was not reported in sufficient numbers. Conclusions: Less vertical and horizontal bone reduction was observed when xenogenic graft materials were used than when allogenic graft materials were used; however, the loss of alveolar ridge dimensions could not be completely prevented by any graft material.

Keywords

Acknowledgement

The authors gratefully acknowledge English language editorial support from Editage (www.editage.com).

References

  1. NHS dental statistics for England 2018-19, annual report [PAS] [Internet]. Leeds: NHS Digital; 2019 [cited 2020 Feb 5]. Available from: https://digital.nhs.uk/data-and-information/publications/statistical/nhs-dental-statistics/2018-19-annual-report-pas#summary.
  2. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416. https://doi.org/10.1016/s0300-9785(81)80077-4
  3. Avila G, Galindo-Moreno P, Soehren S, Misch CE, Morelli T, Wang HL. A novel decision-making process for tooth retention or extraction. J Periodontol 2009;80:476-91. https://doi.org/10.1902/jop.2009.080454
  4. De Rouck T, Collys K, Cosyn J. Immediate single-tooth implants in the anterior maxilla: a 1-year case cohort study on hard and soft tissue response. J Clin Periodontol 2008;35:649-57. https://doi.org/10.1111/j.1600-051X.2008.01235.x
  5. Amler MH. The time sequence of tissue regeneration in human extraction wounds. Oral Surg Oral Med Oral Pathol 1969;27:309-18. https://doi.org/10.1016/0030-4220(69)90357-0
  6. Evian CI, Rosenberg ES, Coslet JG, Corn H. The osteogenic activity of bone removed from healing extraction sockets in humans. J Periodontol 1982;53:81-5. https://doi.org/10.1902/jop.1982.53.2.81
  7. Trombelli L, Farina R, Marzola A, Bozzi L, Liljenberg B, Lindhe J. Modeling and remodeling of human extraction sockets. J Clin Periodontol 2008;35:630-9. https://doi.org/10.1111/j.1600-051X.2008.01246.x
  8. Kuboki Y, Hashimoto F, Ishibashi K. Time-dependent changes of collagen crosslinks in the socket after tooth extraction in rabbits. J Dent Res 1988;67:944-8. https://doi.org/10.1177/00220345880670061101
  9. Cardaropoli G, Araujo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol 2003;30:809-18. https://doi.org/10.1034/j.1600-051X.2003.00366.x
  10. Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32:212-8. https://doi.org/10.1111/j.1600-051X.2005.00642.x
  11. Fickl S, Zuhr O, Wachtel H, Stappert CF, Stein JM, Hurzeler MB. Dimensional changes of the alveolar ridge contour after different socket preservation techniques. J Clin Periodontol 2008;35:906-13. https://doi.org/10.1111/j.1600-051X.2008.01305.x
  12. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23:313-23.
  13. Barone A, Aldini NN, Fini M, Giardino R, Calvo Guirado JL, Covani U. Xenograft versus extraction alone for ridge preservation after tooth removal: a clinical and histomorphometric study. J Periodontol 2008;79:1370-7. https://doi.org/10.1902/jop.2008.070628
  14. Pietrokovski J, Massler M. Alveolar ridge resorption following tooth extraction. J Prosthet Dent 1967;17:21-7. https://doi.org/10.1016/0022-3913(67)90046-7
  15. Fiorellini JP, Howell TH, Cochran D, Malmquist J, Lilly LC, Spagnoli D, et al. Randomized study evaluating recombinant human bone morphogenetic protein-2 for extraction socket augmentation. J Periodontol 2005;76:605-13. https://doi.org/10.1902/jop.2005.76.4.605
  16. Araujo M, Linder E, Wennstrom J, Lindhe J. The influence of Bio-Oss Collagen on healing of an extraction socket: an experimental study in the dog. Int J Periodontics Restorative Dent 2008;28:123-35.
  17. Araujo MG, Lindhe J. Ridge preservation with the use of Bio-Oss collagen: A 6-month study in the dog. Clin Oral Implants Res 2009;20:433-40. https://doi.org/10.1111/j.1600-0501.2009.01705.x
  18. Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C, Bohra AA, et al. 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;74:990-9. https://doi.org/10.1902/jop.2003.74.7.990
  19. 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;71:1774-91. https://doi.org/10.1902/jop.2000.71.11.1774
  20. Lekovic V, Camargo PM, Klokkevold PR, Weinlaender M, Kenney EB, Dimitrijevic B, et al. Preservation of alveolar bone in extraction sockets using bioabsorbable membranes. J Periodontol 1998;69:1044-9. https://doi.org/10.1902/jop.1998.69.9.1044
  21. Becker W, Becker BE, Caffesse R. A comparison of demineralized freeze-dried bone and autologous bone to induce bone formation in human extraction sockets. J Periodontol 1994;65:1128-33. https://doi.org/10.1902/jop.1994.65.12.1128
  22. Lindhe J, Lang NP. Clinical periodontology and implant dentistry. 6th ed. Hoboken (NJ):Wiley-Blackwell; 2015.
  23. Iocca O, Farcomeni A, Pardinas Lopez S, Talib HS. Alveolar ridge preservation after tooth extraction: a Bayesian Network meta-analysis of grafting materials efficacy on prevention of bone height and width reduction. J Clin Periodontol 2017;44:104-14. https://doi.org/10.1111/jcpe.12633
  24. 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;113:371-82. https://doi.org/10.1016/j.prosdent.2014.12.009
  25. Morjaria KR, Wilson R, Palmer RM. Bone healing after tooth extraction with or without an intervention: a systematic review of randomized controlled trials. Clin Implant Dent Relat Res 2014;16:1-20. https://doi.org/10.1111/j.1708-8208.2012.00450.x
  26. Willenbacher M, Al-Nawas B, Berres M, Kammerer PW, Schiegnitz E. The effects of alveolar ridge preservation: a meta-analysis. Clin Implant Dent Relat Res 2016;18:1248-68. https://doi.org/10.1111/cid.12364
  27. MacBeth N, Trullenque-Eriksson A, Donos N, Mardas N. Hard and soft tissue changes following alveolar ridge preservation: a systematic review. Clin Oral Implants Res 2017;28:982-1004. https://doi.org/10.1111/clr.12911
  28. Avila-Ortiz G, Elangovan S, Kramer KW, Blanchette D, Dawson DV. Effect of alveolar ridge preservation after tooth extraction: a systematic review and meta-analysis. J Dent Res 2014;93:950-8. https://doi.org/10.1177/0022034514541127
  29. Ten Heggeler JM, Slot DE, Van der Weijden GA. Effect of socket preservation therapies following tooth extraction in non-molar regions in humans: a systematic review. Clin Oral Implants Res 2011;22:779-88. https://doi.org/10.1111/j.1600-0501.2010.02064.x
  30. Vignoletti F, Matesanz P, Rodrigo D, Figuero E, Martin C, Sanz M. Surgical protocols for ridge preservation after tooth extraction. A systematic review. Clin Oral Implants Res 2012;23 Suppl 5:22-38.
  31. De Risi V, Clementini M, Vittorini G, Mannocci A, De Sanctis M. Alveolar ridge preservation techniques: a systematic review and meta-analysis of histological and histomorphometrical data. Clin Oral Implants Res 2015;26:50-68.
  32. 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.
  33. Stumbras A, Kuliesius P, Januzis G, Juodzbalys G. Alveolar ridge preservation after tooth extraction using different bone graft materials and autologous platelet concentrates: a systematic review. J Oral Maxillofac Res 2019;10:e2.
  34. Vittorini Orgeas G, Clementini M, De Risi V, de Sanctis M. Surgical techniques for alveolar socket preservation: a systematic review. Int J Oral Maxillofac Implants 2013;28:1049-61. https://doi.org/10.11607/jomi.2670
  35. Bassir SH, Alhareky M, Wangsrimongkol B, Jia Y, Karimbux N. Systematic review and meta-analysis of hard tissue outcomes of alveolar ridge preservation. Int J Oral Maxillofac Implants 2018;33:979-94. https://doi.org/10.11607/jomi.6399
  36. Horvath A, Mardas N, Mezzomo LA, Needleman IG, Donos N. Alveolar ridge preservation. A systematic review. Clin Oral Investig 2013;17:341-63. https://doi.org/10.1007/s00784-012-0758-5
  37. Moraschini V, Barboza ES. Quality assessment of systematic reviews on alveolar socket preservation. Int J Oral Maxillofac Surg 2016;45:1126-34. https://doi.org/10.1016/j.ijom.2016.03.010
  38. 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;74:965-75. https://doi.org/10.1902/jop.2003.74.7.965
  39. Brownfield LA, Weltman RL. Ridge preservation with or without an osteoinductive allograft: a clinical, radiographic, micro-computed tomography, and histologic study evaluating dimensional changes and new bone formation of the alveolar ridge. J Periodontol 2012;83:581-9. https://doi.org/10.1902/jop.2011.110365
  40. Lambert F, Vincent K, Vanhoutte V, Seidel L, Lecloux G, Rompen E. A methodological approach to assessing alveolar ridge preservation procedures in humans: hard tissue profile. J Clin Periodontol 2012;39:887-94. https://doi.org/10.1111/j.1600-051X.2012.01900.x
  41. Jung RE, Philipp A, Annen BM, Signorelli L, Thoma DS, Hammerle CH, et al. Radiographic evaluation of different techniques for ridge preservation after tooth extraction: a randomized controlled clinical trial. J Clin Periodontol 2013;40:90-8. https://doi.org/10.1111/jcpe.12027
  42. Fokas G, Vaughn VM, Scarfe WC, Bornstein MM. Accuracy of linear measurements on CBCT images related to presurgical implant treatment planning: a systematic review. Clin Oral Implants Res 2018;29 Suppl 16:393-415.
  43. Moher D, Liberati A, Tetzlaff J, Altman DGPRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009;6:e1000097. https://doi.org/10.1371/journal.pmed.1000097
  44. Sterne JA, Savovic J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ 2019;366:l4898.
  45. Temmerman A, Vandessel J, Castro A, Jacobs R, Teughels W, Pinto N, et al. The use of leucocyte and platelet-rich fibrin in socket management and ridge preservation: a split-mouth, randomized, controlled clinical trial. J Clin Periodontol 2016;43:990-9. https://doi.org/10.1111/jcpe.12612
  46. Araujo MG, da Silva JC, de Mendonca AF, Lindhe J. Ridge alterations following grafting of fresh extraction sockets in man. A randomized clinical trial. Clin Oral Implants Res 2015;26:407-12.
  47. Parashis AO, Hawley CE, Stark PC, Ganguly R, Hanley JB, Steffensen B. Prospective clinical and radiographic study of alveolar ridge preservation combining freeze-dried bone allograft with two xenogeneic collagen matrices. J Periodontol 2016;87:416-25. https://doi.org/10.1902/jop.2016.150500
  48. Al Qabbani A, Al Kawas S, A Razak NH, Al Bayatti SW, Enezei HH, Samsudin AR, et al. Threedimensional radiological assessment of alveolar bone Volume preservation using bovine bone xenograft. J Craniofac Surg 2018;29:e203-9. https://doi.org/10.1097/SCS.0000000000004263
  49. Hassan M, Prakasam S, Bain C, Ghoneima A, Liu SS. A randomized split-mouth clinical trial on effectiveness of amnion-chorion membranes in alveolar ridge preservation: a clinical, radiologic, and morphometric study. Int J Oral Maxillofac Implants 2017;32:1389-98. https://doi.org/10.11607/jomi.5875
  50. Jung RE, Sapata VM, Hammerle CH, Wu H, Hu XL, Lin Y. Combined use of xenogeneic bone substitute material covered with a native bilayer collagen membrane for alveolar ridge preservation: a randomized controlled clinical trial. Clin Oral Implants Res 2018;29:522-9. https://doi.org/10.1111/clr.13149
  51. Das S, Jhingran R, Bains VK, Madan R, Srivastava R, Rizvi I. Socket preservation by beta-tri-calcium phosphate with collagen compared to platelet-rich fibrin: a clinico-radiographic study. Eur J Dent 2016;10:264-76. https://doi.org/10.4103/1305-7456.178298
  52. Walker CJ, Prihoda TJ, Mealey BL, Lasho DJ, Noujeim M, Huynh-Ba G. Evaluation of healing at molar extraction sites with and without ridge preservation: a randomized controlled clinical trial. J Periodontol 2017;88:241-9. https://doi.org/10.1902/jop.2016.160445
  53. Nart J, Barallat L, Jimenez D, Mestres J, Gomez A, Carrasco MA, et al. Radiographic and histological evaluation of deproteinized bovine bone mineral vs. deproteinized bovine bone mineral with 10% collagen in ridge preservation. A randomized controlled clinical trial. Clin Oral Implants Res 2017;28:840-8. https://doi.org/10.1111/clr.12889
  54. Natto ZS, Parashis A, Steffensen B, Ganguly R, Finkelman MD, Jeong YN. Efficacy of collagen matrix seal and collagen sponge on ridge preservation in combination with bone allograft: a randomized controlled clinical trial. J Clin Periodontol 2017;44:649-59. https://doi.org/10.1111/jcpe.12722
  55. Lim HC, Jung UW, You H, Lee JS. Randomized clinical trial of ridge preservation using porcine bone/cross-linked collagen vs. bovine bone/non-cross-linked collagen: cone beam computed tomographic analysis. Clin Oral Implants Res 2017;28:1492-500. https://doi.org/10.1111/clr.13017
  56. Cha JK, Song YW, Park SH, Jung RE, Jung UW, Thoma DS. Alveolar ridge preservation in the posterior maxilla reduces vertical dimensional change: a randomized controlled clinical trial. Clin Oral Implants Res 2019;30:515-23. https://doi.org/10.1111/clr.470_13509
  57. Kim YJ, Lee JY, Kim JE, Park JC, Shin SW, Cho KS. Ridge preservation using demineralized bone matrix gel with recombinant human bone morphogenetic protein-2 after tooth extraction: a randomized controlled clinical trial. J Oral Maxillofac Surg 2014;72:1281-90. https://doi.org/10.1016/j.joms.2014.01.022
  58. Karaca C, Er N, Gulsahi A, Koseoglu OT. Alveolar ridge preservation with a free gingival graft in the anterior maxilla: volumetric evaluation in a randomized clinical trial. Int J Oral Maxillofac Surg 2015;44:774-80. https://doi.org/10.1016/j.ijom.2015.01.015
  59. Hammerle CH, Araujo MG, Simion MOsteology Consensus Group 2011. Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Implants Res 2012;23 Suppl 5:80-2. https://doi.org/10.1111/j.1600-0501.2011.02370.x
  60. Couso-Queiruga E, Stuhr S, Tattan M, Chambrone L, Avila-Ortiz G. Post-extraction dimensional changes: a systematic review and meta-analysis. J Clin Periodontol 2021;48:126-44. https://doi.org/10.1111/jcpe.13390
  61. Grimard BA, Hoidal MJ, Mills MP, Mellonig JT, Nummikoski PV, Mealey BL. Comparison of clinical, periapical radiograph, and cone-beam volume tomography measurement techniques for assessing bone level changes following regenerative periodontal therapy. J Periodontol 2009;80:48-55. https://doi.org/10.1902/jop.2009.080289