Use of autologous tooth-derived graft material in the post-extraction dental socket. Pilot study

• Published in: Medicina oral, patología oral y cirugía bucal patología oral y cirugía bucal, 2019-01, Vol.24 (1), p.e53-e60
• Main Authors: Del Canto-Díaz, A, de Elío-Oliveros, J, Del Canto-Díaz, M, Alobera-Gracia, M-A, Del Canto-Pingarrón, M, Martínez-González, J-M
• Format: Article
• Language: English
• Subjects: Adult; Autografts; Cone-Beam Computed Tomography; Dentin - transplantation; Female; Humans; Male; Middle Aged; Pilot Projects; Tooth Extraction; Tooth Socket - diagnostic imaging; Tooth Socket - surgery
• ISSN: 1698-6946; 1698-4447; 1698-6946
• DOI: 10.4317/medoral.22536

The objectives of the present pilot study are to compare via CBCT the alveolar contraction suffered both vertically and horizontally between the control group and the group using autologous dental material (ADM), as well as to study the densitometric differences between both post-extraction sockets. A split-mouth study was performed in n = 9 patients who required two extraction of single-rooted teeth deemed suitable for deferred rehabilitation with osseointegrated implants. Two groups were formed - a control group, in which the post-extraction socket was not filled, and an ADM group, in which the alveolar defect was filled with freshly processed autogenous dental material. Both dimensional and densitometric analyses of the alveoli were performed in both groups immediately after surgery (baseline), as well as 8 weeks and 16 weeks later. The mean height of alveolar bone loss was: VL (Control 1.77 mm, loss of 16.87% of initial alveolar height; ADM 0.42 mm, loss of 4.2% of initial alveolar height), HL-BCB (Control 2.22 mm, ADM 0.16 mm, p= 0.067 at 16 weeks). The mean bone loss of the vestibular width (VL-BCB) was much higher in the control group (1.91 mm at 1 mm, 1.3 mm at 3 mm, and 0.89 mm at 5 mm) than in the ADM group (0.46 mm at 1 mm, 0.21 mm at 3 mm, 0.01 at 5 mm, p=0.098 at 16 weeks). At 16 weeks, densitometric analysis of the coronal alveolar area revealed a bone density of 564.35 ± 288.73 HU in the control group and 922.68 ± 250.82 HU in the ADM group (p=0.045 ). In light of these preliminary results, autologous dentine may be considered a promising material for use in socket preservation techniques.