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Lateral Alveolar Ridge Augmentation with Autologous Dentin of Periodontally Compromised Teeth: A Retrospective Study

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  • Michael Korsch

    (Dental Academy for Continuing Professional Development, Lorenzstrasse 7, 76135 Karlsruhe, Germany
    Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital, Saarland University, Building 73, 66421 Homburg, Germany
    Private Practice, Center for Implantology and Oral Surgery, Berliner Str. 41, 69120 Heidelberg, Germany)

  • Marco Peichl

    (Dental Academy for Continuing Professional Development, Lorenzstrasse 7, 76135 Karlsruhe, Germany)

  • Andreas Bartols

    (Dental Academy for Continuing Professional Development, Lorenzstrasse 7, 76135 Karlsruhe, Germany
    School for Dental Medicine, Christian-Albrechts-University Kiel, Clinic for Conservative Dentistry and Periodontology, 24105 Kiel, Germany)

Abstract

Tooth shell technique (TST) using autologous dentine is possible with lateral ridge augmentation while avoiding a donor region. This study aimed to clarify whether the use of periodontally compromised teeth (PCT) leads to similar results compared to non-periodontally compromised teeth (NPCT). In this retrospective study, the dentin matrix of 41 patients (PCT: n = 19 with 29 implants; NPCT: n = 22, with 29 implants) was used for TST. All cases were re-examined. Outcome parameters were biological complications, horizontal hard tissue loss, osseointegration, and the integrity of the buccal lamella. Only in one case in the PCT group, a graft was lost. In three cases, minor complications were identified, including two cases of wound dehiscence and one case of inflammation with suppuration (PCT: n = 1, NPCT: n = 3). All implants, except the one with the severe complication, were osseointegrated and the integrity of the buccal bone lamella was preserved. Mean difference of the resorption of the crestal width and the buccal lamella did not differ statistically between the two groups. TST using PCT showed results comparable to those of NPCT in terms of complications and graft resorption. Processed dentin matrix from PCT can be used and applied with predictable results for bone grafting, utilizing TST.

Suggested Citation

  • Michael Korsch & Marco Peichl & Andreas Bartols, 2022. "Lateral Alveolar Ridge Augmentation with Autologous Dentin of Periodontally Compromised Teeth: A Retrospective Study," IJERPH, MDPI, vol. 19(8), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4560-:d:790689
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    References listed on IDEAS

    as
    1. Michael Korsch & Marco Peichl, 2021. "Retrospective Study: Lateral Ridge Augmentation Using Autogenous Dentin: Tooth-Shell Technique vs. Bone-Shell Technique," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    2. Pier Carmine Passarelli & Stefano Pagnoni & Giovan Battista Piccirillo & Viviana Desantis & Michele Benegiamo & Antonio Liguori & Raffaele Papa & Piero Papi & Giorgio Pompa & Antonio D’Addona, 2020. "Reasons for Tooth Extractions and Related Risk Factors in Adult Patients: A Cohort Study," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
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