Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective Study

<i>Background and objectives:</i> Preservation of alveolar ridge contour following tooth extraction is important to allow for restoration with prosthetics and implants. Socket seal surgery was introduced more than two decades ago for preservation of the form, volume and bone quality of t...

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Main Authors: Cobi Landsberg, Omer Bender, Miron Weinreb, Ronald Wigler, Tali Chackartchi, Shlomo Matalon, Evgeny Weinberg
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/1/324
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author Cobi Landsberg
Omer Bender
Miron Weinreb
Ronald Wigler
Tali Chackartchi
Shlomo Matalon
Evgeny Weinberg
author_facet Cobi Landsberg
Omer Bender
Miron Weinreb
Ronald Wigler
Tali Chackartchi
Shlomo Matalon
Evgeny Weinberg
author_sort Cobi Landsberg
collection DOAJ
description <i>Background and objectives:</i> Preservation of alveolar ridge contour following tooth extraction is important to allow for restoration with prosthetics and implants. Socket seal surgery was introduced more than two decades ago for preservation of the form, volume and bone quality of the postextraction ridge. The aim of this retrospective study was to assess the changes in alveolar ridge contour following socket seal surgery and to evaluate the survival of the soft tissue grafts sealing the extraction site. <i>Materials and Methods:</i> Digital images of the extraction sites treated with the socket seal surgery were obtained immediately after extraction and after a healing time of 6 months to measure the changes in the alveolar width. In addition, the sites were photographed 1 week postsurgery to evaluate the vitality of the soft tissue grafts. <i>Results:</i> The overall mean loss of buccal width following socket seal surgery was 5.3% (SD = 13.4%). The mean change in width at the incisor area (1.5% ± 13.1) was significantly lesser than those in the canine area (−17.0% ± 2.1, <i>p</i> < 0.01) or premolar area (−10.5% ± 11.2, <i>p</i> < 0.01). One-week post-surgery 69% of the grafts were vital, and 31% were partially vital. Complete necrosis of the grafts did not occur. <i>Conclusions:</i> Our results suggest that socket seal surgery has a beneficial effect on alveolar dimensional changes 6 months following tooth extraction and that the teeth that benefit mostly from socket seal surgery are incisors.
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spelling doaj.art-324d95619eec4d5982d70e5fd9d9928e2023-11-21T07:26:12ZengMDPI AGApplied Sciences2076-34172020-12-0111132410.3390/app11010324Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective StudyCobi Landsberg0Omer Bender1Miron Weinreb2Ronald Wigler3Tali Chackartchi4Shlomo Matalon5Evgeny Weinberg6Private Practice, Tel Aviv 6439414, IsraelDepartment of Oral Biology, The Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Oral Biology, The Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Endodontology, The Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Periodontology, Faculty of Dental Medicine, Hebrew University of Jerusalem, Hadassah Medical Center, Jerusalem 90000, IsraelDepartment of Oral Rehabilitation, The Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Oral Biology, The Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel<i>Background and objectives:</i> Preservation of alveolar ridge contour following tooth extraction is important to allow for restoration with prosthetics and implants. Socket seal surgery was introduced more than two decades ago for preservation of the form, volume and bone quality of the postextraction ridge. The aim of this retrospective study was to assess the changes in alveolar ridge contour following socket seal surgery and to evaluate the survival of the soft tissue grafts sealing the extraction site. <i>Materials and Methods:</i> Digital images of the extraction sites treated with the socket seal surgery were obtained immediately after extraction and after a healing time of 6 months to measure the changes in the alveolar width. In addition, the sites were photographed 1 week postsurgery to evaluate the vitality of the soft tissue grafts. <i>Results:</i> The overall mean loss of buccal width following socket seal surgery was 5.3% (SD = 13.4%). The mean change in width at the incisor area (1.5% ± 13.1) was significantly lesser than those in the canine area (−17.0% ± 2.1, <i>p</i> < 0.01) or premolar area (−10.5% ± 11.2, <i>p</i> < 0.01). One-week post-surgery 69% of the grafts were vital, and 31% were partially vital. Complete necrosis of the grafts did not occur. <i>Conclusions:</i> Our results suggest that socket seal surgery has a beneficial effect on alveolar dimensional changes 6 months following tooth extraction and that the teeth that benefit mostly from socket seal surgery are incisors.https://www.mdpi.com/2076-3417/11/1/324socket seal surgerytooth extractionalveolar ridge
spellingShingle Cobi Landsberg
Omer Bender
Miron Weinreb
Ronald Wigler
Tali Chackartchi
Shlomo Matalon
Evgeny Weinberg
Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective Study
Applied Sciences
socket seal surgery
tooth extraction
alveolar ridge
title Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective Study
title_full Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective Study
title_fullStr Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective Study
title_full_unstemmed Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective Study
title_short Postextraction Ridge Width Alterations Following Socket Seal Surgery—A Retrospective Study
title_sort postextraction ridge width alterations following socket seal surgery a retrospective study
topic socket seal surgery
tooth extraction
alveolar ridge
url https://www.mdpi.com/2076-3417/11/1/324
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