Is ridge preservation/augmentation at periodontally compromised extraction sockets safe? A retrospective study

Jung Ju Kim, Heithem Ben Amara, Frank Schwarz, Hae Young Kim, Jung Won Lee, Ulf M.E. Wikesjö, Ki Tae Koo

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Objectives: This study aimed to evaluate the safety of ridge preservation/augmentation procedures when performed at compromised extraction sockets. Methods: Patients subject to ridge preservation/augmentation at periodontally compromised sockets at Seoul National University Dental Hospital (SNUDH) were evaluated in a chart review. Tooth extractions due to acute infection were not included in our study as chronically formed lesions are the only lesions that can be detected from radiographic images. If inflammatory symptoms persisted following ridge preservation/augmentation and antimicrobial and anti-inflammatory therapy, the patient was categorized as a re-infection case and implanted biomaterial removed. Results: Of 10,060 patients subject to tooth extractions at SNUDH, 2011 through 2015, 297 cases meeting inclusion criteria were reviewed. The severity and type of lesions were not specific because extracting data was only done by radiographic images and chart records. The review identified eight patients exhibiting inflammatory symptoms that required additional antimicrobial and anti-inflammatory therapy. Within this group, re-infection occurred in two patients requiring biomaterials removal. The final safety rate for the ridge preservation/augmentation was 99.3%. None of the demographic factors, systemic conditions or choice of biomaterial affected the safety of ridge preservation/augmentation. Conclusion: Alveolar ridge preservation/augmentation at periodontally compromised sockets appears safe following thorough removal of infectious source.

Original languageEnglish (US)
Pages (from-to)1051-1058
Number of pages8
JournalJournal of Clinical Periodontology
Volume44
Issue number10
DOIs
StatePublished - Oct 2017

Keywords

  • alveolar bone grafting
  • infection
  • retrospective studies
  • tooth extraction
  • tooth socket

ASJC Scopus subject areas

  • Periodontics

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    Kim, J. J., Ben Amara, H., Schwarz, F., Kim, H. Y., Lee, J. W., Wikesjö, U. M. E., & Koo, K. T. (2017). Is ridge preservation/augmentation at periodontally compromised extraction sockets safe? A retrospective study. Journal of Clinical Periodontology, 44(10), 1051-1058. https://doi.org/10.1111/jcpe.12764