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J. appl. oral sci ; 26: e20170396, 2018. tab, graf
Artigo em Inglês | LILACS, BBO | ID: biblio-954525

RESUMO

Abstract It is necessary to preserve height and thickness of the alveolar bone to facilitate rehabilitation with osteointegratable implants or simply to maintain bone integrity after extraction. Biomaterials associated with resorbable or non-resorbable membranes, when placed in the region of the socket, may contribute to avoid this unwanted reabsorption. Objective The objective of this study was to evaluate the distance of the crest of alveolar ridge to the cementoenamel junction (CEJ) of the lower second molars and the bone density of the third molar socket filled with Gen-Tech®, 5 years after an exodontia using cone beam computed tomography (CBCT) to visualize the central region of the sockets, without overlapping of the buccal and lingual cortical bones. Material and Methods A total of 12 individuals from an initial group of 39 patients submitted to extraction of the unruptured lower third molars and grafting of an association of inorganic bovine bone matrix, organic bovine bone matrix, collagen and bone morphogenetic proteins (BMP) (Gen-Tech®) on one side and the contralateral sockets filled only by clot, returned to control after 5 years, and were submitted to CBCT. The distance from the crest of alveolar bone to the CEJ and the bone density (BD) were measured using the i-CAT Vision Software. Results The results showed that the distance from the crest of alveolar bone to the CEJ in the control group was similar to that observed before the exodontia; in the experimental group, this distance was smaller. Considering the BD measurement, a significantly higher density was observed in the experimental group (p<0.05). Conclusion Part of the biomaterial was not absorbed and allowed the stability of the evaluated parameters after 5 years, being able to be used as a bone substitute in the socket.


Assuntos
Humanos , Animais , Masculino , Feminino , Adolescente , Adulto , Bovinos , Adulto Jovem , Dente Impactado/diagnóstico por imagem , Transplante Ósseo/métodos , Substitutos Ósseos , Colo do Dente/diagnóstico por imagem , Alvéolo Dental/diagnóstico por imagem , Xenoenxertos/diagnóstico por imagem , Dente Serotino/diagnóstico por imagem , Fatores de Tempo , Extração Dentária/métodos , Dente Impactado/cirurgia , Teste de Materiais , Densidade Óssea , Reprodutibilidade dos Testes , Resultado do Tratamento , Proteínas Morfogenéticas Ósseas/uso terapêutico , Alvéolo Dental/transplante , Tomografia Computadorizada de Feixe Cônico , Dente Serotino/cirurgia
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