The Rigid-Shield Technique: A New Contour and Clot Stabilizing Method for Ridge Preservation

Tooth extraction causes vertical and horizontal alveolar bone loss and consequent remodeling. Several methods have been introduced in terms of so-called “ridge preservation” techniques, which mostly resemble guided bone regenerative (GBR) procedures using filler materials and mem...

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Main Authors: Alessandro Mattiola, Dieter Bosshardt, Patrick R. Schmidlin
Format: Article
Language:English
Published: MDPI AG 2018-06-01
Series:Dentistry Journal
Subjects:
Online Access:http://www.mdpi.com/2304-6767/6/2/21
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author Alessandro Mattiola
Dieter Bosshardt
Patrick R. Schmidlin
author_facet Alessandro Mattiola
Dieter Bosshardt
Patrick R. Schmidlin
author_sort Alessandro Mattiola
collection DOAJ
description Tooth extraction causes vertical and horizontal alveolar bone loss and consequent remodeling. Several methods have been introduced in terms of so-called “ridge preservation” techniques, which mostly resemble guided bone regenerative (GBR) procedures using filler materials and membranes in order to stabilize the respective sites. This conceptual case report describes a novel approach using a degradable polylactic acid membrane covered with a collagen matrix, which aims to reshape the resorbed alveolar wall and thereby to stabilize the soft tissues during matrix formation and socket mineralization. Clinical re-entry, radiographic (CBCT) and histologic evaluation proved adequate for osteoneogenesis despite an unfavorable initial situation: An implant could be ideally placed, which was circumferentially covered by bone. This minimally invasive method could offer a new method to approach socket preservation without using filler materials and coverage of the socket entrance. However, more controlled research on this topic is needed.
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spelling doaj.art-13043d07864a419580bdf094b9016f2b2022-12-22T01:56:33ZengMDPI AGDentistry Journal2304-67672018-06-01622110.3390/dj6020021dj6020021The Rigid-Shield Technique: A New Contour and Clot Stabilizing Method for Ridge PreservationAlessandro Mattiola0Dieter Bosshardt1Patrick R. Schmidlin2Private Practice, Bahnhofstrasse 6, 5610 Wohlen, SwitzerlandRobert K. Schenk Laboratory of Oral Histology, School of Dental Medicine, University of Bern, 3012 Bern, SwitzerlandClinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, 8032 Zurich, SwitzerlandTooth extraction causes vertical and horizontal alveolar bone loss and consequent remodeling. Several methods have been introduced in terms of so-called “ridge preservation” techniques, which mostly resemble guided bone regenerative (GBR) procedures using filler materials and membranes in order to stabilize the respective sites. This conceptual case report describes a novel approach using a degradable polylactic acid membrane covered with a collagen matrix, which aims to reshape the resorbed alveolar wall and thereby to stabilize the soft tissues during matrix formation and socket mineralization. Clinical re-entry, radiographic (CBCT) and histologic evaluation proved adequate for osteoneogenesis despite an unfavorable initial situation: An implant could be ideally placed, which was circumferentially covered by bone. This minimally invasive method could offer a new method to approach socket preservation without using filler materials and coverage of the socket entrance. However, more controlled research on this topic is needed.http://www.mdpi.com/2304-6767/6/2/21ridge preservationguided tissue regenerationtooth extractionregenerationbonedental implant
spellingShingle Alessandro Mattiola
Dieter Bosshardt
Patrick R. Schmidlin
The Rigid-Shield Technique: A New Contour and Clot Stabilizing Method for Ridge Preservation
Dentistry Journal
ridge preservation
guided tissue regeneration
tooth extraction
regeneration
bone
dental implant
title The Rigid-Shield Technique: A New Contour and Clot Stabilizing Method for Ridge Preservation
title_full The Rigid-Shield Technique: A New Contour and Clot Stabilizing Method for Ridge Preservation
title_fullStr The Rigid-Shield Technique: A New Contour and Clot Stabilizing Method for Ridge Preservation
title_full_unstemmed The Rigid-Shield Technique: A New Contour and Clot Stabilizing Method for Ridge Preservation
title_short The Rigid-Shield Technique: A New Contour and Clot Stabilizing Method for Ridge Preservation
title_sort rigid shield technique a new contour and clot stabilizing method for ridge preservation
topic ridge preservation
guided tissue regeneration
tooth extraction
regeneration
bone
dental implant
url http://www.mdpi.com/2304-6767/6/2/21
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