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RESUMEN: Actualmente existen varias alternativas para prevenir, disminuir y corregir deformidades en el reborde alveolar, originadas por la reabsorción ósea al momento de la extracción de uno o varios dientes. La preservación alveolar es cualquier procedimiento que se realiza al momento de una extracción y permite conservar las dimensiones y el contorno del alveolo. Hay diversas técnicas para preservación las cuales están diseñadas para prevenir tanto como sea posible los cambios ocurridos al retirar un órgano dentario. El tratamiento de elección para reemplazar la funcionalidad, estabilidad biológica y estética de un diente, es a través de la colocación de implantes dentales, cuya colocación posterior a la preservación alveolar reduce los cambios dimensionales del reborde alveolar. La recientemente propuesta técnica de preservación alveolar BARP, "Biologically-oriented Alveolar Ridge Preservation" por sus siglas en Inglés, logró preservar las dimensiones de la cresta alveolar, al tiempo que restringe cualquier interferencia sobre el biomaterial.
ABSTRACT: Nowadays there are several choices, to prevent, reduce and correct alveolar ridge deformities caused by resorption at the time of extracting one or several teeth. Alveolar ridge preservation is defined as any procedure performed, following any dental extraction that allows the dimensions of the alveolus to be preserved. Those techniques of alveolar ridge preservation are designed to prevent as many reabsorption changes that occur after dental extraction. The best choice to replace the functionality, biological stability, and esthetic, of natural teeth is to place a dental implant. The placement of the alveolar ridge preservation treatment reduces the dimensional changes over the alveolar ridge. The recently proposed technique to alveolar ridge preservation called BARP or "Biologically-oriented Alveolar Ridge Preservation" managed to preserve the alveolar ridge dimensions while restricting any interference with the biomaterial at the same time.
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Background: Dental extraction is the removal of a tooth from the oral cavity and is the most common procedure performed in oral surgery. Conventional exodontia tends to cause unnecessary trauma leading to postoperative pain, loss of tissue and stress for the patient. ‘Atraumatic’ dental extraction techniques have nowadays gained popularity and in such case, physics forceps can be helpful in achieving such results. The aim of the study was to evaluate and compare efficacy of physics forceps versus conventional forceps in therapeutic extraction of premolars.Methods: A total of 35 patients requiring extraction of premolars in maxillary or mandibular arch or both arches for orthodontic treatment purpose were included and divided into groups A and B wherein right sided extractions performed with physics forceps were compared with left sided extractions carried out using conventional forceps in terms of time taken for extraction, bone and soft tissue injury, success score and pain assessment.Results: The present study suggested statistically significant difference between both the groups. Time taken for extraction, trauma to gingival tissue, bone loss, and visual analogue scale (VAS) score was significantly lesser with physics forceps group, when compared to conventional forceps group. Moreover no significant difference in success score was noted between both the groups.Conclusions: Physics forceps are comparatively superior to conventional extraction forceps in terms of lesser time taken for the procedure, lesser tendency to induce trauma to both hard and soft tissue and have been found to induce comparatively lesser pain post extraction.
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Successful placement of dental implant into fresh extraction socket in single rooted tooth region has been reported. In cases of immediate implant placement in the single rooted tooth, initial primary stability is important to achieve predictable outcome. It is also suggested that the implant should be placed into minimum of 3 mm of solid bone apical to extraction site. The single stage approach preserves site morphology by protecting and supporting existing hard and soft tissues. Clinical success appears to be attributed to several important features of the technique which will be discussed in this case report. In the case presented, clinical and radiographic findings after implant placement confirmed a satisfactory treatment result.