Socket Preservation Using Bovine Bone Graft and Pericardium Membrane: A Case Report
Abstract
Background: Tooth extraction is followed by a resorption of the bone in the buccal or facial portion, up to 50% in the first six months after the extraction. Bone loss mainly results from damage to the periodontal bone ligament complex. Socket preservation is a surgical procedure aimed to maintain an alveolar ridge after extraction, eliminating or minimizing the need for future augmentation in implant-prosthetic rehabilitation. Socket preservation techniques use some regenerative material such as bone graft and membrane.
Objective: To discuss socket preservation procedures using bovine bone graft and pericardium membrane.
Method: A 48-year-old woman presented to the Dental and Oral Hospital of Hasanuddin University to have tooth 47, which was mobile and extruded, extracted. Patient had no systemic disease and did not use any drugs. Clinical and radiograph examinations showed bone resorption in the surrounding edentulous area. The patient wanted to wear prosthesis but the bone resorption showed that socket preservation was needed to maintain the alveolar ridge high. The case was diagnosed as chronic periodontitis. Atraumatic extraction was done and bovine bone graft was placed in the socket, followed by the placement of pericardium membrane. Soft tissue healing was clinically evaluated.
Results: Control period after one week showed apparent uneventful clinical healing in the socket. Patient was satisfied with the treatment.
Conclusion: The socket preservation procedure is an effective treatment for maintaining the alveolar ridge high from excessive resorption, especially for prosthesis treatment.
Keywords: alveolar ridge, bone bovine, pericardium membrane, socket preservation
References
[1] Mourya A, Mishra SK, Gaddale RCR. Socket-shield technique for implant placement to stabilize the facial gingival and osseous architecture: A systematic review. Journal of Investigative and Clinical Dentistry. 2019; e12449:1-12.
[2] MacBeth N, Trullenque-Eriksson A, Donos NMN. Hard and soft tissue changes following alveolar ridge preservation: A systematic review. Clinical Oral Implants Research. 2017;28(8):982–1004.
[3] Annunziata M, Guida L, Nastri L, Piccirillo A, Sommese L NC. The role of autologous platelet concentrates in alveolar socket preservation: A systematic review. Transfusion Medicine and Hemotherapy. 2018;45(3):195–203.
[4] Markel MD. Bone grafts and bone substitutes. Equine Fracture Repair. 2nd edition
[5] John AV, Abraham G, Alias A. Two-visit CAD/CAM milled dentures in the rehabilitation of edentulous arches: A case series. The Journal of Indian Prosthodontic Society. 2019;19(1):88–92.
[6] Wang CW, Yu SH, Fretwurst T et al. Maresin 1 promotes wound healing and socket bone regeneration for alveolar ridge preservation. Journal of Dental Research. 2020;99(8):930–7.
[7] Juodzbalys G, Daugela P, Duruel O et al. Summary and consensus statements: Group I - biological aspects of tooth extraction, socket healing and indications for socket preservation. Journal of Oral and Maxillofacial Research. 2019;10(3):e4.
[8] Avila-Ortiz G, Elangovan S, Kramer KWO, Blanchette D, Dawson DV. Effect of alveolar ridge preservation after tooth extraction: A systematic review and meta-analysis. Journal of Dental Research. 2014;93(10):950–8.
[9] Gupta DS, Gupta DR. Guided bone regeneration with pericardium membranes. IOSR Journal of Dental and Medical Sciences. 2014;13(11):61–65.
[10] Cahaya C, Masulili SLC. Perkembangan terkini membran guided tissue regeneration/ guided bone regeneration sebagai terapi regenerasi jaringan periodontal. Majalah Kedokteran Gigi Indonesia. 2015;1(1):1-11.