Tooth-Derived Granules in Combination with Platelet-Rich Fibrin (“Sticky Tooth”) in Socket Preservation: A Histological Evaluation

Background: The maintenance of ridge volume following tooth extraction has gained more importance in the last few years. This clinical study aimed to assess the impact of autologous dentin particles mixed with injectable platelet-rich fibrin (i-PRF) on a sticky tooth mixture for socket preservation...

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Main Authors: Andreas van Orten, Werner Goetz, Hakan Bilhan
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/10/2/29
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author Andreas van Orten
Werner Goetz
Hakan Bilhan
author_facet Andreas van Orten
Werner Goetz
Hakan Bilhan
author_sort Andreas van Orten
collection DOAJ
description Background: The maintenance of ridge volume following tooth extraction has gained more importance in the last few years. This clinical study aimed to assess the impact of autologous dentin particles mixed with injectable platelet-rich fibrin (i-PRF) on a sticky tooth mixture for socket preservation in terms of consecutive need for horizontal guided bone regeneration and histological findings. Methods: Eight extraction sockets in seven patients were included in this study. Autologous dentin particles were mixed with PRF, filled in the sockets, and covered with a cross-linked collagen membrane exposed to the oral cavity and fixated by crisscross sutures. An orthopantomogram was taken before the first surgical procedure and a CBCT prior to static computer-aided implant surgery. At the time of implant placement, cores were harvested with the aid of a trephine for histological examinations for every preserved socket. Results: No further horizontal GBR intervention was required in any cases, and the histological findings were unremarkable. The new bone was mostly cancellous and in direct contact with the remaining dentin granules. Conclusions: Within the limits of this clinical study, it may be concluded that this method is valuable for socket preservation and obtaining vital and good quality bone structure. The sticky tooth technique seems to be very efficient despite the more complex equipment.
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spelling doaj.art-683b938d8d7d43fcb448ec18ea5e287d2023-11-23T19:28:07ZengMDPI AGDentistry Journal2304-67672022-02-011022910.3390/dj10020029Tooth-Derived Granules in Combination with Platelet-Rich Fibrin (“Sticky Tooth”) in Socket Preservation: A Histological EvaluationAndreas van Orten0Werner Goetz1Hakan Bilhan2Private Dental Practice Do24, Dortmunderstr. 24–28, 45731 Waltrop, GermanyPoliclinic of Orthodontics, Centre for Dental Care, Basic Science Research in Oral Biology, Friedrich-Wilhelms University, Welschnonnenstr. 17, 53111 Bonn, GermanyDepartment of Periodontology, School for Health Sciences, Witten/Herdecke UniversityAlfred-Herrhausen-Str. 45, 58448 Witten, GermanyBackground: The maintenance of ridge volume following tooth extraction has gained more importance in the last few years. This clinical study aimed to assess the impact of autologous dentin particles mixed with injectable platelet-rich fibrin (i-PRF) on a sticky tooth mixture for socket preservation in terms of consecutive need for horizontal guided bone regeneration and histological findings. Methods: Eight extraction sockets in seven patients were included in this study. Autologous dentin particles were mixed with PRF, filled in the sockets, and covered with a cross-linked collagen membrane exposed to the oral cavity and fixated by crisscross sutures. An orthopantomogram was taken before the first surgical procedure and a CBCT prior to static computer-aided implant surgery. At the time of implant placement, cores were harvested with the aid of a trephine for histological examinations for every preserved socket. Results: No further horizontal GBR intervention was required in any cases, and the histological findings were unremarkable. The new bone was mostly cancellous and in direct contact with the remaining dentin granules. Conclusions: Within the limits of this clinical study, it may be concluded that this method is valuable for socket preservation and obtaining vital and good quality bone structure. The sticky tooth technique seems to be very efficient despite the more complex equipment.https://www.mdpi.com/2304-6767/10/2/29dentin graftautologousPRFsocket preservationsticky toothalveolar ridge preservation
spellingShingle Andreas van Orten
Werner Goetz
Hakan Bilhan
Tooth-Derived Granules in Combination with Platelet-Rich Fibrin (“Sticky Tooth”) in Socket Preservation: A Histological Evaluation
Dentistry Journal
dentin graft
autologous
PRF
socket preservation
sticky tooth
alveolar ridge preservation
title Tooth-Derived Granules in Combination with Platelet-Rich Fibrin (“Sticky Tooth”) in Socket Preservation: A Histological Evaluation
title_full Tooth-Derived Granules in Combination with Platelet-Rich Fibrin (“Sticky Tooth”) in Socket Preservation: A Histological Evaluation
title_fullStr Tooth-Derived Granules in Combination with Platelet-Rich Fibrin (“Sticky Tooth”) in Socket Preservation: A Histological Evaluation
title_full_unstemmed Tooth-Derived Granules in Combination with Platelet-Rich Fibrin (“Sticky Tooth”) in Socket Preservation: A Histological Evaluation
title_short Tooth-Derived Granules in Combination with Platelet-Rich Fibrin (“Sticky Tooth”) in Socket Preservation: A Histological Evaluation
title_sort tooth derived granules in combination with platelet rich fibrin sticky tooth in socket preservation a histological evaluation
topic dentin graft
autologous
PRF
socket preservation
sticky tooth
alveolar ridge preservation
url https://www.mdpi.com/2304-6767/10/2/29
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AT wernergoetz toothderivedgranulesincombinationwithplateletrichfibrinstickytoothinsocketpreservationahistologicalevaluation
AT hakanbilhan toothderivedgranulesincombinationwithplateletrichfibrinstickytoothinsocketpreservationahistologicalevaluation