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Fig. 20. Colour-coded superimposition of intraoral...

Fig. 20. Colour-coded superimposition of intraoral scans before extraction and after definitive prosthetic restoration Fig. 20. Colour-coded superimposition of intraoral scans before extraction and after definitive prosthetic restoration

Fig. 19. Colour-coded superimposition of intraoral...

Fig. 19. Colour-coded superimposition of intraoral scans before extraction and after definitive prosthetic restoration Fig. 19. Colour-coded superimposition of intraoral scans before extraction and after definitive prosthetic restoration

Fig. 18. Finalized prosthetic restoration after 1Â...

Fig. 18. Finalized prosthetic restoration after 1 year Fig. 18. Finalized prosthetic restoration after 1 year

Fig. 17. Histology of dentin augmentation. aAsteri...

Fig. 17. Histology of dentin augmentation. aactive process in the bone marrow lacunae with osteoblast rimming. No signs of necrosis or infection (H&E stain, Ă—100 magnification). b Larger magnification at Ă—200. c EvG (Elastica van Gieson) stain, Ă—200 Fig. 17. Histology of dentin augmentation. a Asterisk denotes incorporated dentin particle, surrounded by vital woven bone. Triangle shows rea...

Fig. 16. Single tooth X-ray, 1 year post-implanta...

Fig. 16. Single tooth X-ray, 1 year post-implantation, showing the finalized crown Fig. 16. Single tooth X-ray, 1 year post-implantation, showing the finalized crown

Fig. 15. Single tooth X-ray, showing a constant bo...

Fig. 15. Single tooth X-ray, showing a constant bone level 7 months after implant placement Fig. 15. Single tooth X-ray, showing a constant bone level 7 months after implant placement

Fig. 14. Single tooth X-ray immediately after the ...

Fig. 14. Single tooth X-ray immediately after the augmentation using autogenous dentin Fig. 14. Single tooth X-ray immediately after the augmentation using autogenous dentin

Fig. 13. a, b Clinical situation prior to implant ...

Fig. 13. Fig. 13. a, b Clinical situation prior to implant placement

Fig. 12. Axial view : Alveolar ridge preservation ...

Fig. 12. Axial view Fig. 12. Axial view

Fig. 11. Sagittal view : Alveolar ridge preservati...

Fig. 11. Sagittal view Fig. 11. Sagittal view

Fig. 10. Soft tissue graft placed on the recipient...

Fig. 10. Soft tissue graft placed on the recipient site Fig. 10. Soft tissue graft placed on the recipient site

Fig. 9. Soft tissue punch : Alveolar ridge preserv...

Fig. 9. Soft tissue punch Fig. 9. Soft tissue punch

Fig. 8. Autologous, particulated dentin in the alv...

Fig. 8. Autologous, particulated dentin in the alveolar socket Fig. 8. Autologous, particulated dentin in the alveolar socket

Fig. 7. Autologous, particulated dentin mixed with...

Fig. 7. Autologous, particulated dentin mixed with blood from the operating site Fig. 7. Autologous, particulated dentin mixed with blood from the operating site

Fig. 6. Autologous dentin with the desired particl...

Fig. 6. Autologous dentin with the desired particle size Fig. 6. Autologous dentin with the desired particle size

Fig. 5. Autologous dentin in a bone mill : Alveola...

Fig. 5. Autologous dentin in a bone mill Fig. 5. Autologous dentin in a bone mill

Fig. 4. Removal of enamel and the cementum : Alveo...

Fig. 4. Removal of enamel and the cementum Fig. 4. Removal of enamel and the cementum

Fig. 3. Removal of the pulp : Alveolar ridge prese...

Fig. 3. Removal of the pulp Fig. 3. Removal of the pulp

Fig. 2. The remaining root of tooth 11 : Alveolar ...

Fig. 2. The remaining root of tooth 11 Fig. 2. The remaining root of tooth 11

Fig. 1. Extraction with the benex system : Alveola...

Fig. 1. Extraction with the benex system Fig. 1. Extraction with the benex system

About this article : Alveolar ridge preservation w...

Valdec, S., Pasic, P., Soltermann, A. et al. Alveolar ridge preservation with autologous particulated dentin—a case series. Int J Implant Dent 3, 12 (2017). https://doi.org/10.1186/s40729-017-0071-9 Download citation Received: 07 December 2016 Accepted: 15 March 2017 Published: 30 March 2017 DOI: https://doi.org/10.1186/s40729-017-0071-9

Rights and permissions : Alveolar ridge preservati...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Author information : Alveolar ridge preservation w...

Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, University Hospital Zurich, Plattenstrasse 11, 8032, Zürich, Switzerland Silvio Valdec, Pavla Pasic, Bernd Stadlinger & Martin Rücker Institute of Surgical Pathology, University Hospital Zurich, Zurich, Switzerland Alex Soltermann Clinic of Fixed and Removable Prosthodontics and Dental Mater...

Acknowledgements : Alveolar ridge preservation wit...

We would like to express our thanks to Dr. Gabriel Bosch for the superimposition, calculation and illustration of the intraoral scans. SV, BS and MR created the conception and study design. MR performed the surgical and DT the prosthodontic treatment. SV, PP and DT performed the data collection and AS the histological examination. SV, BS and AS analysed and interpreted the data. SV drafted the ma...

References : Alveolar ridge preservation with auto...

Sculean A, Berakdar M, Chiantella GC, Donos N, Arweiler NB, Brecx M. Healing of intrabony defects following treatment with a bovine-derived xenograft and collagen membrane. A controlled clinical study. J Clin Periodontol. 2003;30(1):73–80. Sutton DN, Lewis BR, Patel M, Cawood JI. Changes in facial form relative to progressive atrophy of the edentulous jaws. Int J Oral Maxillofac Surg. 2004;33(7...

References : Alveolar ridge preservation with auto...

Liu X, Li Q, Wang F, Wang Z. Maxillary sinus floor augmentation and dental implant placement using dentin matrix protein-1 gene-modified bone marrow stromal cells mixed with deproteinized boving bone: a comparative study in beagles. Arch Oral Biol. 2016;64:102–8. doi:10.1016/j.archoralbio.2016.01.004. Pang KM, Um IW, Kim YK, Woo JM, Kim SM, Lee JH. Autogenous demineralized dentin matrix from ex...

References : Alveolar ridge preservation with auto...

Furhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005;16(6):639–44. doi:10.1111/j.1600-0501.2005.01193.x. Guirado JL, Troiano M, Lopez-Lopez PJ, Ramirez-Fernandez MP, de Val JE, Marin JM, Gehrke SA. Different configuration of socket shield technique in peri-implant bone...

References : Alveolar ridge preservation with auto...

Al-Asfour A, Andersson L, Kamal M, Joseph B. New bone formation around xenogenic dentin grafts to rabbit tibia marrow. Dent Traumatol. 2013;29(6):455–60. doi:10.1111/edt.12045. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1(1):11–25. Andersson L. Den...

Conclusion : Alveolar ridge preservation with auto...

Within the limits of this case series, it has been shown that particulated dentin of autologous teeth may serve as an alternative to autologous bone for alveolar ridge preservation prior to implant therapy. However, randomized studies on this treatment option are necessary.

Discussion : Alveolar ridge preservation with auto...

In humans, particulated tooth material has been used for sinus augmentation in order to enhance implant therapy. Preliminary results from five patients histologically showed an osteoconductive osteogenesis with partial resorption of tooth components [25]. In the present case series, all patients underwent socket preservation with AutoPD. In all cases, one or two upper frontal central incisors wer...

Discussion : Alveolar ridge preservation with auto...

The aim of this case series is to demonstrate the efficacy and safety of this novel augmentative procedure for ridge preservation prior to implant therapy. This shall serve as a basis for a prospective study. In all four cases, patients showed a stable volume of soft and hard tissues after the augmentation with AutoPD and good osseointegration of titanium implants, having been placed in this augm...

Results : Alveolar ridge preservation with autolog...

Four months post-extraction and augmentation with autologous, particulated dentin, all four patients received an implant placement in the augmented area. In all cases, a CBCT was taken in between the dentin augmentation and the implant placement. During implant placement, a biopsy of the bone from the augmented area was taken for histological examination (Fig. 17). The final prosthetic solution...

Case presentation : Alveolar ridge preservation wi...

The 1-year follow-up examination of the presented case showed an implant success, according to the appropriate clinical criteria [2] (Figs. 14, 15 and 16). The pink esthetic score (PES) was used for the evaluation of reproducible soft tissue around the final implant crown as a parameter for the aesthetic outcome [12]. Seven variables were evaluated comparing the soft tissue around the implant wi...

Material and methods : Alveolar ridge preservation...

An autologous soft tissue graft was harvested from the patient’s palate using a soft tissue punch (Biopsy Punch, kai Europe GmbH, Solingen, Germany) (Fig. 9). The graft had a comparable dimension as the recipient site. The gingival graft was placed on top of the augmentation material, adapted and carefully sutured to the marginal gingiva after the sulcus epithelium was removed with a rotating d...

Material and methods : Alveolar ridge preservation...

Four patients between 36 and 65 years of age are presented in this case series. There was no financial compensation. All four patients suffered from a trauma, causing damage to one or two teeth of the anterior maxilla. The frontal tooth/teeth has/had to be extracted. The pulp of the extracted teeth of three patients and the root canal filling of one patient had to be removed. All patients were in...

Background : Alveolar ridge preservation with auto...

Subsequent to tooth extraction, a resorption of the host bone as defined by atrophy of the alveolar ridge can be observed. Sutton et al. classified the different degrees of alveolar ridge atrophy [32]. Bone resorption especially occurs in the frontal and premolar area of the jaw in the region of the thin buccal lamella. This may lead to a change in contour [11, 28]. Physiological reason for this a...

Abstract : Alveolar ridge preservation with autolo...

Ridge preservation can be performed with autologous bone, alloplastic bone substitute material or a combination of both. Dentin is similar to bone in its chemical composition. In its use as bone substitute material, it undergoes a remodelling process and transforms to bone. The presented case report introduces a technique in which the extraction socket is augmented with autologous, particulated de...

About this article : Alveolar ridge preservation w...

Valdec, S., Pasic, P., Soltermann, A. et al. Alveolar ridge preservation with autologous particulated dentin—a case series. Int J Implant Dent 3, 12 (2017). https://doi.org/10.1186/s40729-017-0071-9 Download citation Received: 07 December 2016 Accepted: 15 March 2017 Published: 30 March 2017 DOI: https://doi.org/10.1186/s40729-017-0071-9

Rights and permissions : Alveolar ridge preservati...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...

Author information : Alveolar ridge preservation w...

Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, University Hospital Zurich, Plattenstrasse 11, 8032, Zürich, Switzerland Silvio Valdec, Pavla Pasic, Bernd Stadlinger & Martin Rücker Institute of Surgical Pathology, University Hospital Zurich, Zurich, Switzerland Alex Soltermann Clinic of Fixed and Removable Prosthodontics and Dental Mater...

Acknowledgements : Alveolar ridge preservation wit...

We would like to express our thanks to Dr. Gabriel Bosch for the superimposition, calculation and illustration of the intraoral scans. SV, BS and MR created the conception and study design. MR performed the surgical and DT the prosthodontic treatment. SV, PP and DT performed the data collection and AS the histological examination. SV, BS and AS analysed and interpreted the data. SV drafted the ma...

References : Alveolar ridge preservation with auto...

Sculean A, Berakdar M, Chiantella GC, Donos N, Arweiler NB, Brecx M. Healing of intrabony defects following treatment with a bovine-derived xenograft and collagen membrane. A controlled clinical study. J Clin Periodontol. 2003;30(1):73–80. Sutton DN, Lewis BR, Patel M, Cawood JI. Changes in facial form relative to progressive atrophy of the edentulous jaws. Int J Oral Maxillofac Surg. 2004;33(7...

References : Alveolar ridge preservation with auto...

Liu X, Li Q, Wang F, Wang Z. Maxillary sinus floor augmentation and dental implant placement using dentin matrix protein-1 gene-modified bone marrow stromal cells mixed with deproteinized boving bone: a comparative study in beagles. Arch Oral Biol. 2016;64:102–8. doi:10.1016/j.archoralbio.2016.01.004. Pang KM, Um IW, Kim YK, Woo JM, Kim SM, Lee JH. Autogenous demineralized dentin matrix from ex...

References : Alveolar ridge preservation with auto...

Furhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005;16(6):639–44. doi:10.1111/j.1600-0501.2005.01193.x. Guirado JL, Troiano M, Lopez-Lopez PJ, Ramirez-Fernandez MP, de Val JE, Marin JM, Gehrke SA. Different configuration of socket shield technique in peri-implant bone...

References : Alveolar ridge preservation with auto...

Al-Asfour A, Andersson L, Kamal M, Joseph B. New bone formation around xenogenic dentin grafts to rabbit tibia marrow. Dent Traumatol. 2013;29(6):455–60. doi:10.1111/edt.12045. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1(1):11–25. Andersson L. Den...

Conclusion : Alveolar ridge preservation with auto...

Within the limits of this case series, it has been shown that particulated dentin of autologous teeth may serve as an alternative to autologous bone for alveolar ridge preservation prior to implant therapy. However, randomized studies on this treatment option are necessary.

Discussion : Alveolar ridge preservation with auto...

In humans, particulated tooth material has been used for sinus augmentation in order to enhance implant therapy. Preliminary results from five patients histologically showed an osteoconductive osteogenesis with partial resorption of tooth components [25]. In the present case series, all patients underwent socket preservation with AutoPD. In all cases, one or two upper frontal central incisors wer...

Discussion : Alveolar ridge preservation with auto...

The aim of this case series is to demonstrate the efficacy and safety of this novel augmentative procedure for ridge preservation prior to implant therapy. This shall serve as a basis for a prospective study. In all four cases, patients showed a stable volume of soft and hard tissues after the augmentation with AutoPD and good osseointegration of titanium implants, having been placed in this augm...

Results : Alveolar ridge preservation with autolog...

Four months post-extraction and augmentation with autologous, particulated dentin, all four patients received an implant placement in the augmented area. In all cases, a CBCT was taken in between the dentin augmentation and the implant placement. During implant placement, a biopsy of the bone from the augmented area was taken for histological examination (Fig. 17). The final prosthetic solution...

Case presentation : Alveolar ridge preservation wi...

The 1-year follow-up examination of the presented case showed an implant success, according to the appropriate clinical criteria [2] (Figs. 14, 15 and 16). The pink esthetic score (PES) was used for the evaluation of reproducible soft tissue around the final implant crown as a parameter for the aesthetic outcome [12]. Seven variables were evaluated comparing the soft tissue around the implant wi...

Material and methods : Alveolar ridge preservation...

An autologous soft tissue graft was harvested from the patient’s palate using a soft tissue punch (Biopsy Punch, kai Europe GmbH, Solingen, Germany) (Fig. 9). The graft had a comparable dimension as the recipient site. The gingival graft was placed on top of the augmentation material, adapted and carefully sutured to the marginal gingiva after the sulcus epithelium was removed with a rotating d...

Material and methods : Alveolar ridge preservation...

Four patients between 36 and 65 years of age are presented in this case series. There was no financial compensation. All four patients suffered from a trauma, causing damage to one or two teeth of the anterior maxilla. The frontal tooth/teeth has/had to be extracted. The pulp of the extracted teeth of three patients and the root canal filling of one patient had to be removed. All patients were in...

Background : Alveolar ridge preservation with auto...

Subsequent to tooth extraction, a resorption of the host bone as defined by atrophy of the alveolar ridge can be observed. Sutton et al. classified the different degrees of alveolar ridge atrophy [32]. Bone resorption especially occurs in the frontal and premolar area of the jaw in the region of the thin buccal lamella. This may lead to a change in contour [11, 28]. Physiological reason for this a...

Abstract : Alveolar ridge preservation with autolo...

Ridge preservation can be performed with autologous bone, alloplastic bone substitute material or a combination of both. Dentin is similar to bone in its chemical composition. In its use as bone substitute material, it undergoes a remodelling process and transforms to bone. The presented case report introduces a technique in which the extraction socket is augmented with autologous, particulated de...