Autogenous particulated dentin for alveolar ridge preservation. A systematic review.

Abstract

PURPOSE:

This review aimed to investigate the clinical outcomes of autogenous particulated dentin (APD) used for alveolar ridge preservation (ARP), evaluating volume gain, histologic/histomorphometric data, and associated complications.

MATERIAL AND METHODS:

The review followed PRISMA guidelines and was registered in the International Prospective Register of Systematic Reviews (PROSPERO). An automated search was made in four databases (Medline/Pubmed, Scopus, Web of Science, and Cochrane Library) supplemented by a manual search for relevant clinical articles published before March 10th, 2022. The review included human studies of at least four patients in which extraction and subsequent ARP were performed in a single surgery. Both comparative studies and studies that assessed ARP with APD exclusively were admitted. The quality of evidence was assessed with the Cochrane bias assessment tool, the Newcastle-Ottawa Quality Assessment Scale, and the Joanna Briggs Institute Critical Appraisal tool.

RESULTS:

Eleven studies fulfilled the inclusion criteria and were included for descriptive analysis, with a total of 215 patients, and 337 alveoli preserved by APD, spontaneous healing (blood clot), or other bone substitutes, obtaining comparatively less vertical and horizontal resorption when APD was used.

CONCLUSIONS:

After dental extraction, autogenous dentin was effective in terms of volume maintenance, showing promising results in histologic/histomorphometric analysis, and a low complication rate. Nevertheless, few comparative studies with comparable parameters have been published and so more research providing long-term data is needed to confirm these findings.

• Authors: Luis Sánchez-Labrador, Santiago Bazal-Bonelli, Fabian Pérez-González, Luis Miguel Sáez-Alcaide, Jorge Cortés-Bretón Brinkmann, José María Martínez-González
• Journal: Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft (Ann Anat) Vol. 246 Pg. 152024 (Feb 2023) ISSN: 1618-0402 [Electronic] Germany
• PMID: 36396018 (Publication Type: Systematic Review, Journal Article)
• Copyright: Copyright © 2022 The Author(s). Published by Elsevier GmbH.. All rights reserved.

Chemical References

• Bone Substitutes
• Minerals

Topics

• Humans
• Alveolar Ridge Augmentation (methods)
• Bone Transplantation (methods)
• Bone Substitutes
• Minerals
• Alveolar Process (surgery)
• Dentin
• Tooth Socket (surgery)
• Tooth Extraction