Alveolar Socket Sealing Using Mucosal Grafts for Alveolar Ridge Preservation

Nurul Ain Binti Mohamed Yusof; Rusmizan bin Yahaya; Yuhaniz bt Ahmad Yaziz

doi:10.24815/cdj.v17i1.43008

Alveolar Socket Sealing Using Mucosal Grafts for Alveolar Ridge Preservation

Nurul Ain Binti Mohamed Yusof, Rusmizan bin Yahaya, Yuhaniz bt Ahmad Yaziz

Abstract

The fresh extraction socket in the alveolar ridge poses a significant challenge in clinical practice, requiring the preservation of both the hard and soft tissue envelope to maintain stable ridge volume. Alveolar Ridge Preservation (ARP) is a surgical procedure aimed at minimizing bone loss following tooth extraction. It helps reduce the need for more complex treatments and optimizes outcomes for future prosthetic replacements of missing teeth. Various ARP techniques have been developed, including Guided Bone Regeneration (GBR), socket fillers, and socket sealing. Alveolar Socket Sealing (ASS) is a procedure that utilizes mucosal grafts or biomaterials to seal the socket, either to complement GBR or function independently to preserve soft tissue and prevent tissue collapse. This report presents two cases using the ASS procedure with mucosal grafts, a free autogenous tissue graft (FGG) and a Platelet-Rich Fibrin (PRF) membrane to seal the alveolar extraction sockets. These techniques were combined with the placement of xenograft bone grafting material. Both clinical approaches successfully limit bone dimensional changes while providing a cost-effective treatment strategy for dental implant placement.

Keywords

Alveolar ridge preservation, Dental implant, Free autogenous graft, Platelet-Rich fibrin, Socket seal

Full Text:

PDF PDF

References

Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol.2005;32(2):212-218. doi:10.1111/j.1600-051X.2005.00642.x

Chappuis V, Bruegger OE, Reyes M, Shahim K, Nolte L-P, Buser D. Ridge alterations post-extraction in the esthetic zone: a 3D analysis with CBCT. J Dent Res. 2013;92((12 Suppl)):195S-201S. doi:https://doi.org/10.1177/0022034513506713

Avila-Ortiz G, Chambrone L, Vignoletti F. Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta-analysis. J Clin Periodontol. 2019;46(Suppl. 21):195-223. doi:10.1111/jcpe.13057

Lopez-Pacheco A, Soto-Penaloza D, Gomez M, Penarrocha-Oltra D, Alarcon MA. Socket seal surgery techniques in the esthetic zone: a systematic review with meta-analysis and trial sequential analysis of randomized clinical trials. Int J Implant Dent.2021;7:13. doi:https://doi.org/10.1186/s40729-021-00294-2

Kim Y-K, Ku J-K. Extraction socket preservation. J Korean Assoc Oral Maxillofac Surg. 2020;46(6):435-439. doi:https://doi.org/10.5125/jkaoms.2020.46.6.435

Kalsi A, Kalsi JS, Bassi S. Alveolar Ridge Preservation: Why. When and How. Br DentJ.2019;227(4):264-274. doi:10.1038/s41415-019-0647-2

Tonetti MS, Jung RE, Avila-Ortiz G, et al. Management of the extraction socket and timing of implant placement: Consensus report and clinical recommendations of group 3 of the XV European Workshop in Periodontology. J Clin Periodontol. 2019;46(Suppl.21):183-194. doi:10.1111/jcpe.13131

MacBeth ND, Donos N, Mardas N. Alveolar ridge preservation with guided bone regeneration or socket seal technique. A randomised, single‐blind controlled clinical trial. Clin Oral Implants Res.2022;33(7):681-699. doi:https://doi.org/10.1111/clr.13933

Karaca C, Er N, Gulsahi A, Koseoglu OT. Alveolar ridge preservation with a free gingival graft in the anterior maxilla: Volumetric evaluation in a randomized clinical trial. Int J Oral Maxillofac Surg. 44(6):774-780. doi:http://dx.doi.org/10.1016/j.ijom.2015.01.015

El-Sioufi I, Oikonomou I, Koletsi D, Bobetsis YA, Madianos PN, Vassilopoulos S. Clinical evaluation of different alveolar ridge preservation techniques after tooth extraction: a randomized clinical trial. Clin Oral Investig.2023;27(8):4471-4480. doi:https://doi.org/10.1007/s00784-023-05068-1

Segnini B, Borges-Filho FF, GNicoli L, et al. Impact of soft tissue graft on the preservation of compromised sockets: A randomized controlled clinical pilot study. Acta Odontol Latinoam. 2021;34(2):119-126.

Pavlovic, V.; Ciric, M.; Jovanovic, V.; Trandafilovic, M.; Stojanovic, P. Platelet-rich fibrin: Basics of biological actions and protocol modifications. Open Med. 2021, 16, 446–454.

Miron RJ, Fujioka-Kobayashi M, Moraschini V, Zhang Y, Gruber R, Wang HL. Efficacy of platelet-rich fibrin on bone formation, part 1: Alveolar ridge preservation. Int J Oral Implantol (Berl). 2021 May 12;14(2):181-194. PMID: 34006080.

Ucer C, Khan RS. Alveolar Ridge Preservation with Autologous Platelet-Rich Fibrin (PRF): Case Reports and the Rationale. Dent J (Basel). 2023 Oct 23;11(10):244. doi: 10.3390/dj11100244. PMID: 37886929; PMCID: PMC10605266.

Ucer C, Khan RS. Extraction Socket Augmentation with Autologous Platelet-Rich Fibrin (PRF): The Rationale for Socket Augmentation. Dent J (Basel). 2023 Aug 14;11(8):196. doi: 10.3390/dj11080196. PMID: 37623292; PMCID: PMC10453157.

Afifi HHA, Nasr SS, Bin Shabaib MS, Alharthi SS, Shoeib M. Socket Preservation Using Platelet-Rich Fibrin and Free Gingival Grafts. Int Dent J. 2024 Jul 9:S0020-6539(24)00157-6. doi: 10.1016/j.identj.2024.06.005. Epub ahead of print. PMID: 38987050.

Meloni SM, Tallarico M, Lolli FM, Deledda A, Pisano M, Jovanovic SA. Postextraction socket preservation using epithelial connective tissue graft vs porcine collagen matrix. 1-year results of a randomised controlled trial. Eur J Oral Implant. 2015;8(1):39-48.

Schneider D, Schmidlin PR, Philipp A, et al. Labial soft tissue volume evaluation of different techniques for ridge preservation after tooth extraction: a randomized controlled clinical trial. J Clin Periodontol. 41(6):612-617. doi:10.1111/jcpe.12246

McGuire MK, Scheyer ET, Lipton DI, Gunsolley JC. Randomized, controlled, clinical trial to evaluate a xenogeneic collagen matrix as an alternative to free gingival grafting for oral soft tissue augmentation: A 6- to 8-year follow-up. J Periodontol. 2020;92(8):1088-1095. doi:https://doi.org/10.1002/JPER.20-0627

DOI: https://doi.org/10.24815/cdj.v17i1.43008