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Piezosurgical treatment of crestal bone: quantitative comparison of post-extractive socket outcomes with those of traditional treatment

Objective The study aimed to quantitatively compare, for the first time, the clinical outcomes of crestal bone volume resorption in sockets undergoing traditional extraction technique (TET) or piezosurgical extraction technique (PET), also considering the influence of buccal plate thickness. Materia...

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Published in:Clinical oral implants research 2016-03, Vol.27 (3), p.361-366
Main Authors: Spinato, Sergio, Rebaudi, Alberto, Bernardello, Fabio, Bertoldi, Carlo, Zaffe, Davide
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container_title Clinical oral implants research
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creator Spinato, Sergio
Rebaudi, Alberto
Bernardello, Fabio
Bertoldi, Carlo
Zaffe, Davide
description Objective The study aimed to quantitatively compare, for the first time, the clinical outcomes of crestal bone volume resorption in sockets undergoing traditional extraction technique (TET) or piezosurgical extraction technique (PET), also considering the influence of buccal plate thickness. Material and methods In this prospective study, 19 sockets were randomly treated with TET, and 18 sockets were randomly treated with PET. Furthermore, patients were split into subgroup A, with buccal bone plate thickness (BPT) ≤1 mm, and subgroup B, with BPT>1 mm. Buccal (BCH) and palatal (PCH) cortex height, bucco‐palatal ridge (BPR) width were monitored at tooth extraction and after the 4‐month post‐extractive period of natural healing. Results After 4 months, BCH, PCH and BPR width decreased more in the TET than in the PET group, but only the BPR decrease was statistically significant (P = 0.034) after ANOVA test. In both TET and PET groups, all B subgroup patients showed a lower decrease than A subgroup patients for both BCH, PCH and BPR, statistically significant for PCH (P = 0.019) and BPR (P 
doi_str_mv 10.1111/clr.12555
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Material and methods In this prospective study, 19 sockets were randomly treated with TET, and 18 sockets were randomly treated with PET. Furthermore, patients were split into subgroup A, with buccal bone plate thickness (BPT) ≤1 mm, and subgroup B, with BPT&gt;1 mm. Buccal (BCH) and palatal (PCH) cortex height, bucco‐palatal ridge (BPR) width were monitored at tooth extraction and after the 4‐month post‐extractive period of natural healing. Results After 4 months, BCH, PCH and BPR width decreased more in the TET than in the PET group, but only the BPR decrease was statistically significant (P = 0.034) after ANOVA test. In both TET and PET groups, all B subgroup patients showed a lower decrease than A subgroup patients for both BCH, PCH and BPR, statistically significant for PCH (P = 0.019) and BPR (P &lt; 0.001) of TET group, and BPR (P = 0.002) of PET group, after ANOVA. Both A and B subgroups of PET showed a statistically significant lower decrease than the corresponding subgroups of TET, comparing A (P = 0.005) and B (P = 0.037) subgroups for BPR, after ANOVA. Conclusions With both thin and thick buccal plates, the piezosurgical extraction technique of teeth significantly decreases the horizontal resorption of the hard tissue ridge, but not the vertical resorption. Moreover, buccal plate thickness seems to be a key factor in post‐extractive bone resorption: the thinner the buccal plate the greater the horizontal crestal bone loss.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/clr.12555</identifier><identifier>PMID: 25639687</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Alveolar Process - surgery ; bone resorption ; Dentistry ; Female ; Humans ; Male ; Middle Aged ; piezosurgery ; Piezosurgery - methods ; Prospective Studies ; rotary instruments ; socket healing ; tooth extraction ; Tooth Extraction - methods ; Tooth Socket - surgery ; Treatment Outcome ; Wound Healing</subject><ispartof>Clinical oral implants research, 2016-03, Vol.27 (3), p.361-366</ispartof><rights>2015 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2015 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3965-e0ac7eabaa2f69c0044be823fdc36b5330e276b1908c2f60503464a7dbd26b533</citedby><cites>FETCH-LOGICAL-c3965-e0ac7eabaa2f69c0044be823fdc36b5330e276b1908c2f60503464a7dbd26b533</cites><orcidid>0000-0003-1241-385X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25639687$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spinato, Sergio</creatorcontrib><creatorcontrib>Rebaudi, Alberto</creatorcontrib><creatorcontrib>Bernardello, Fabio</creatorcontrib><creatorcontrib>Bertoldi, Carlo</creatorcontrib><creatorcontrib>Zaffe, Davide</creatorcontrib><title>Piezosurgical treatment of crestal bone: quantitative comparison of post-extractive socket outcomes with those of traditional treatment</title><title>Clinical oral implants research</title><addtitle>Clin. Oral Impl. Res</addtitle><description>Objective The study aimed to quantitatively compare, for the first time, the clinical outcomes of crestal bone volume resorption in sockets undergoing traditional extraction technique (TET) or piezosurgical extraction technique (PET), also considering the influence of buccal plate thickness. Material and methods In this prospective study, 19 sockets were randomly treated with TET, and 18 sockets were randomly treated with PET. Furthermore, patients were split into subgroup A, with buccal bone plate thickness (BPT) ≤1 mm, and subgroup B, with BPT&gt;1 mm. Buccal (BCH) and palatal (PCH) cortex height, bucco‐palatal ridge (BPR) width were monitored at tooth extraction and after the 4‐month post‐extractive period of natural healing. Results After 4 months, BCH, PCH and BPR width decreased more in the TET than in the PET group, but only the BPR decrease was statistically significant (P = 0.034) after ANOVA test. In both TET and PET groups, all B subgroup patients showed a lower decrease than A subgroup patients for both BCH, PCH and BPR, statistically significant for PCH (P = 0.019) and BPR (P &lt; 0.001) of TET group, and BPR (P = 0.002) of PET group, after ANOVA. Both A and B subgroups of PET showed a statistically significant lower decrease than the corresponding subgroups of TET, comparing A (P = 0.005) and B (P = 0.037) subgroups for BPR, after ANOVA. Conclusions With both thin and thick buccal plates, the piezosurgical extraction technique of teeth significantly decreases the horizontal resorption of the hard tissue ridge, but not the vertical resorption. Moreover, buccal plate thickness seems to be a key factor in post‐extractive bone resorption: the thinner the buccal plate the greater the horizontal crestal bone loss.</description><subject>Adult</subject><subject>Aged</subject><subject>Alveolar Process - surgery</subject><subject>bone resorption</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>piezosurgery</subject><subject>Piezosurgery - methods</subject><subject>Prospective Studies</subject><subject>rotary instruments</subject><subject>socket healing</subject><subject>tooth extraction</subject><subject>Tooth Extraction - methods</subject><subject>Tooth Socket - surgery</subject><subject>Treatment Outcome</subject><subject>Wound Healing</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqFkc1O3DAUha0KVAbooi9QZUkXATuO7bg7NKID0ggoaoXUjeU4N8UliQfb4e8FeG08M4C6QfXmSr7fOde-B6HPBO-TdA5M5_dJwRj7gCaEY5xjhskGmmCJWS4IJ1toO4S_GGMuK_kRbRWMU8krMUFP5xYeXRj9H2t0l0UPOvYwxMy1mfEQYrqs3QDfsptRD9FGHe0tZMb1C-1tcMMSXLgQc7iPXptVNzhzDclijImDkN3ZeJXFKxdgSSessdG64d95u2iz1V2ATy91B_36fvRzepzPz2Yn08N5btKDWQ5YGwG61rpouTQYl2UNVUHbxlBeM0oxFILXROLKJCLtgZa81KKpm2LV30F7a9-Fdzdj-p_qbTDQdXoANwZFhOC8FCQJ_49yKStChUzo1zVqvAvBQ6sW3vbaPyiC1TIilSJSq4gS--XFdqx7aN7I10wScLAG7mwHD-87qen84tUyXytsiHD_ptD-WnFBBVOXpzPFL4vjOZ39Vj_oM4jUrWQ</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Spinato, Sergio</creator><creator>Rebaudi, Alberto</creator><creator>Bernardello, Fabio</creator><creator>Bertoldi, Carlo</creator><creator>Zaffe, Davide</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><orcidid>https://orcid.org/0000-0003-1241-385X</orcidid></search><sort><creationdate>201603</creationdate><title>Piezosurgical treatment of crestal bone: quantitative comparison of post-extractive socket outcomes with those of traditional treatment</title><author>Spinato, Sergio ; Rebaudi, Alberto ; Bernardello, Fabio ; Bertoldi, Carlo ; Zaffe, Davide</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3965-e0ac7eabaa2f69c0044be823fdc36b5330e276b1908c2f60503464a7dbd26b533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alveolar Process - surgery</topic><topic>bone resorption</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>piezosurgery</topic><topic>Piezosurgery - methods</topic><topic>Prospective Studies</topic><topic>rotary instruments</topic><topic>socket healing</topic><topic>tooth extraction</topic><topic>Tooth Extraction - methods</topic><topic>Tooth Socket - surgery</topic><topic>Treatment Outcome</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spinato, Sergio</creatorcontrib><creatorcontrib>Rebaudi, Alberto</creatorcontrib><creatorcontrib>Bernardello, Fabio</creatorcontrib><creatorcontrib>Bertoldi, Carlo</creatorcontrib><creatorcontrib>Zaffe, Davide</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spinato, Sergio</au><au>Rebaudi, Alberto</au><au>Bernardello, Fabio</au><au>Bertoldi, Carlo</au><au>Zaffe, Davide</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Piezosurgical treatment of crestal bone: quantitative comparison of post-extractive socket outcomes with those of traditional treatment</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin. Oral Impl. Res</addtitle><date>2016-03</date><risdate>2016</risdate><volume>27</volume><issue>3</issue><spage>361</spage><epage>366</epage><pages>361-366</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objective The study aimed to quantitatively compare, for the first time, the clinical outcomes of crestal bone volume resorption in sockets undergoing traditional extraction technique (TET) or piezosurgical extraction technique (PET), also considering the influence of buccal plate thickness. Material and methods In this prospective study, 19 sockets were randomly treated with TET, and 18 sockets were randomly treated with PET. Furthermore, patients were split into subgroup A, with buccal bone plate thickness (BPT) ≤1 mm, and subgroup B, with BPT&gt;1 mm. Buccal (BCH) and palatal (PCH) cortex height, bucco‐palatal ridge (BPR) width were monitored at tooth extraction and after the 4‐month post‐extractive period of natural healing. Results After 4 months, BCH, PCH and BPR width decreased more in the TET than in the PET group, but only the BPR decrease was statistically significant (P = 0.034) after ANOVA test. In both TET and PET groups, all B subgroup patients showed a lower decrease than A subgroup patients for both BCH, PCH and BPR, statistically significant for PCH (P = 0.019) and BPR (P &lt; 0.001) of TET group, and BPR (P = 0.002) of PET group, after ANOVA. Both A and B subgroups of PET showed a statistically significant lower decrease than the corresponding subgroups of TET, comparing A (P = 0.005) and B (P = 0.037) subgroups for BPR, after ANOVA. Conclusions With both thin and thick buccal plates, the piezosurgical extraction technique of teeth significantly decreases the horizontal resorption of the hard tissue ridge, but not the vertical resorption. Moreover, buccal plate thickness seems to be a key factor in post‐extractive bone resorption: the thinner the buccal plate the greater the horizontal crestal bone loss.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>25639687</pmid><doi>10.1111/clr.12555</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1241-385X</orcidid></addata></record>
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ispartof Clinical oral implants research, 2016-03, Vol.27 (3), p.361-366
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source Wiley-Blackwell Read & Publish Collection
subjects Adult
Aged
Alveolar Process - surgery
bone resorption
Dentistry
Female
Humans
Male
Middle Aged
piezosurgery
Piezosurgery - methods
Prospective Studies
rotary instruments
socket healing
tooth extraction
Tooth Extraction - methods
Tooth Socket - surgery
Treatment Outcome
Wound Healing
title Piezosurgical treatment of crestal bone: quantitative comparison of post-extractive socket outcomes with those of traditional treatment
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