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Radiographic changes after alveolar ridge preservation using autogenous raw tooth particles versus xenograft: A prospective controlled clinical trial
Clinical Oral Implants Research ( IF 4.8 ) Pub Date : 2024-08-12 , DOI: 10.1111/clr.14348
Basel Mahardawi 1, 2 , Napat Damrongsirirat 1, 2 , Kanit Dhanesuan 1, 2 , Keskanya Subbalekha 1, 2 , Nikos Mattheos 1, 2, 3 , Atiphan Pimkhaokham 1, 2
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ObjectiveThe use of extracted teeth has been introduced as an option for bone grafting. However, the current method requires special machines and solutions, posing significant time and cost. The aim of this study was to evaluate the clinical performance of autogenous raw tooth particles (RTP), a grafting material made from a ground tooth using basic equipment, for alveolar ridge preservation.Materials and MethodsTwenty‐three patients (12 study/11 control), having 14 and 13 sites were included for the study and control groups (commercially available xenograft), respectively. Radiographic measurements were taken at the baseline and the 4‐month follow‐up appointment. Furthermore, a questionnaire survey concerning the general preference of the type of graft to receive (if needed), before and after knowing the price, was distributed at the completion of the procedure for patients to answer.ResultsAlveolar ridge width change was −1.03 ± 0.64 and −0.84 ± 0.35 for the study and the control groups, respectively. Regarding the height, the study group showed a buccal and lingual change of −0.66 ± 0.48 and −0.78 ± 0.81, respectively, while this was −0.78 ± 0.56 and −0.9 ± 0.41 for the xenograft group. There was no statistically significant difference between the groups. Patients preferred the raw tooth particles over other grafting materials (p = .01).ConclusionNo core biopsies were taken to evaluate bone formation, which should be done in future studies. Within its limitations, the current study demonstrated that RTP graft could be an alternative graft for bone augmentation, offering a new cost‐effective option for clinicians when available.

中文翻译:


使用自体原始牙齿颗粒与异种移植物保存牙槽嵴后的放射线变化:一项前瞻性对照临床试验



目的已引入使用拔牙作为骨移植的一种选择。然而,当前的方法需要特殊的机器和解决方案,需要大量的时间和成本。本研究的目的是评估自体生牙颗粒 (RTP) 的临床性能,RTP 是一种使用基本设备从磨碎的牙齿制成的移植材料,用于保存牙槽嵴。 材料和方法 23 名患者(12 项研究/11 项对照) ,分别有 14 个和 13 个位点被纳入研究组和对照组(市售异种移植物)。在基线和 4 个月的随访预约时进行放射线测量。此外,在手术完成后,还向患者分发了一份关于在了解价格之前和之后对移植物类型(如果需要)的一般偏好的问卷调查,供患者回答。结果牙槽嵴宽度变化为-1.03 ± 0.64研究组和对照组分别为-0.84 ± 0.35。关于身高,研究组的颊侧和舌侧变化分别为-0.66±0.48和-0.78±0.81,而异种移植组的变化为-0.78±0.56和-0.9±0.41。各组之间没有统计学上的显着差异。与其他移植材料相比,患者更喜欢原始牙颗粒( p = .01)。结论没有进行核心活检来评估骨形成,这应该在未来的研究中进行。目前的研究表明,在其局限性范围内,RTP 移植物可以作为骨增量的替代移植物,为临床医生提供一种新的具有成本效益的选择。
更新日期:2024-08-12
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