TY - JOUR
T1 - Consensus Report by the Italian Academy of Osseointegration on the Use of Graft Materials in Postextraction Sites
AU - Consensus Meeting Group
AU - Caiazzo, Alfonso
AU - Canullo, Luigi
AU - Pesce, Paolo
AU - Ameri, Stefano
AU - Antonelli, Marco
AU - Bassetti, Achille
AU - Batal, Hussam
AU - Billi, Mauro
AU - Borgia, Valentina
AU - Borgonovo, Andrea Enrico
AU - Bressan, Eriberto
AU - Briguglio, Francesco
AU - Brugnami, Federico
AU - Camurati, Andrea
AU - Camusso, Massimiliano
AU - Capelli, Matteo
AU - Caso, Guerino
AU - Cipressa, Antonio
AU - D’amato, Salvatore
AU - Di Marco, Alessandro
AU - Di Stefano, Danilo Alessio
AU - Doto, Matteo
AU - Leone Farina, Vittorio Siro
AU - Farronato, Davide
AU - Fontana, Filippo
AU - Frosecchi, Massimo
AU - Galletti, Francesco
AU - Galletti, Guido
AU - Galli, Fabio
AU - Ghedini, Tommaso
AU - Giordano, Francesco
AU - Gisotti, Mario
AU - Giuzio, Francesco
AU - Grampone, Donato
AU - Roberto Grassi, Felice
AU - Guazzo, Riccardo
AU - Guida, Antonio
AU - Iorio, Marco
AU - Kaitsas, Roberto
AU - La Scala, Vincenzo
AU - Laino, Luigi
AU - Lazza, Andrea
AU - Lops, Diego
AU - Luongo, Roberto
AU - Magrin, Stefano
AU - Mangano, Carlo
AU - Marano, Giuseppe
AU - Marra, Roberto
AU - Martiniello, Aniello
AU - Schoenbaum, Todd
N1 - Publisher Copyright:
© 2022 by Quintessence Publishing Co Inc
PY - 2022
Y1 - 2022
N2 - Purpose: After tooth extraction, a modeling and remodeling phase of bone and soft tissues occurs. It has been fully demonstrated that bone resorption as high as 50% can take place regarding ridge width and a variable amount concerning ridge height, making it difficult to perform implant surgery. Materials and Methods: Active members of the Italian Academy of Osseointegration (IAO) participated in this Consensus Conference, and three systematic reviews were conducted before the meeting to provide guidelines on alveolar ridge preservation procedures. The systematic reviews covered the following topics: (1) What material best preserves the dimensions of the ridge horizontally and vertically?; (2) what material favors the formation of the highest quantity of new bone?; (3) which technique would best seal the socket?; and (4) what effect does alveolar ridge preservation have on soft tissues? Results: The main conclusions reached by the assembly were that alveolar ridge preservation is advisable after dental extraction, particularly in esthetic areas, in proximity of anatomical structures (ie, maxillary sinus, inferior alveolar nerve, and mental foramen), whenever the treatment plan requires delayed placement, and whenever patients ask to postpone implant insertion for various reasons. Socket debridement is advised before the use of a “regenerative material,” and xenograft is considered the gold standard material to maintain ridge dimensions. Another indication is antibiotic therapy, which is recommended in the case of alveolar ridge preservation (amoxicillin 2 g 1 hour before the intervention and 1 g every 12 hours for 6 days). A membrane or autologous soft tissue should be used to seal the socket and protect the regenerative material, and the indicated reentry time (implant insertion) is 4 to 6 months. Conclusion: This Consensus Conference agreed that the adoption of alveolar ridge preservation can effectively prevent physiologic bone loss, especially in esthetic areas.
AB - Purpose: After tooth extraction, a modeling and remodeling phase of bone and soft tissues occurs. It has been fully demonstrated that bone resorption as high as 50% can take place regarding ridge width and a variable amount concerning ridge height, making it difficult to perform implant surgery. Materials and Methods: Active members of the Italian Academy of Osseointegration (IAO) participated in this Consensus Conference, and three systematic reviews were conducted before the meeting to provide guidelines on alveolar ridge preservation procedures. The systematic reviews covered the following topics: (1) What material best preserves the dimensions of the ridge horizontally and vertically?; (2) what material favors the formation of the highest quantity of new bone?; (3) which technique would best seal the socket?; and (4) what effect does alveolar ridge preservation have on soft tissues? Results: The main conclusions reached by the assembly were that alveolar ridge preservation is advisable after dental extraction, particularly in esthetic areas, in proximity of anatomical structures (ie, maxillary sinus, inferior alveolar nerve, and mental foramen), whenever the treatment plan requires delayed placement, and whenever patients ask to postpone implant insertion for various reasons. Socket debridement is advised before the use of a “regenerative material,” and xenograft is considered the gold standard material to maintain ridge dimensions. Another indication is antibiotic therapy, which is recommended in the case of alveolar ridge preservation (amoxicillin 2 g 1 hour before the intervention and 1 g every 12 hours for 6 days). A membrane or autologous soft tissue should be used to seal the socket and protect the regenerative material, and the indicated reentry time (implant insertion) is 4 to 6 months. Conclusion: This Consensus Conference agreed that the adoption of alveolar ridge preservation can effectively prevent physiologic bone loss, especially in esthetic areas.
KW - Antibiotics
KW - Bone regeneration
KW - Dental implants
KW - Postextraction site
KW - Surgery
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U2 - 10.11607/jomi.9290
DO - 10.11607/jomi.9290
M3 - Article
C2 - 35235626
AN - SCOPUS:85125610661
SN - 0882-2786
VL - 37
SP - 98
EP - 102
JO - International Journal of Oral and Maxillofacial Implants
JF - International Journal of Oral and Maxillofacial Implants
IS - 1
ER -