The influence of different grafting materials on alveolar ridge preservation: a systematic review

Jad Majzoub, Andrea Ravida, Thomas Starch-Jensen, Mustafa Tattan, Fernando Suárez-López Del Amo

Research output: Contribution to journalReview articlepeer-review

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Abstract

Objectives: The purpose of the present review was to evaluate the effect of different bone substitutes used for alveolar ridge preservation on the post extraction dimensional changes.

Material and Methods: An electronic literature search in MEDLINE (PubMed), EMBASE (OVID) and Cochrane (CENTRAL) were performed, in addition to a manual search through all periodontics and implantology-related journals, up to December 2018. Inverse variance weighted means were calculated for all the treatment arms of the included trials for the quantitative analysis.

Results: Forty randomized controlled trials were included in the quantitative analysis. Dimensional changes were obtained from clinical measurements and three-dimensional imaging. The average amount of horizontal ridge resorption was 1.52 (SD 1.29) mm (allograft), 1.47 (SD 0.92) mm (xenograft), 2.31 (SD 1.19) mm (alloplast) and 3.1 (SD 1.07) mm for unassisted healing. Similarly, for all the evaluated parameters, the spontaneous healing of the socket led to higher bone loss rate than the use of a bone grafting material.

Conclusions: The utilization of a bone grafting material for alveolar ridge preservation reduces the resorption process occurring after tooth extraction. However, minimal differences in resorption rate were observed between allogeneic, xenogeneic and alloplastic grafting materials.

Original languageEnglish
Article numbere6
JournaleJournal of Oral And Maxillofacial Research
Volume10
Issue number3
Number of pages13
ISSN2029-283X
DOIs
Publication statusPublished - Oct 2019

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