Journal of Indian Society of Periodontology

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 20  |  Issue : 4  |  Page : 429--434

Alveolar ridge preservation using autogenous tooth graft versus beta-tricalcium phosphate alloplast: A randomized, controlled, prospective, clinical pilot study


Chaitanya Pradeep Joshi1, Nitin Hemchandra Dani1, Smita Uday Khedkar2 
1 Department of Periodontics, MGV's KBH Dental College and Hospital, Nashik, Maharashtra, India
2 Department of Microbiology, MGV's KBH Dental College and Hospital, Nashik, Maharashtra, India

Correspondence Address:
Chaitanya Pradeep Joshi
“Chintamani,” Plot No. 8, Venu Nagar, Kamat Wade, Behind I. T. I., Nasik - 422 008, Maharashtra
India

Background: A randomized, prospective clinical, radiographical, and histological study was conducted to evaluate healing after alveolar ridge preservation technique using two different graft materials, namely, a novel autogenous graft material i. e., autogenous tooth graft (ATG) and beta-tricalcium phosphate (β-TCP) alloplast. Materials and Methods: Fifteen patients undergoing extraction of at least three teeth were selected. Atraumatic extractions were performed. Of the three extraction sockets, one was grafted with ATG, other with β-TCP, and the third was left ungrafted. Cone-beam computed tomography scans were taken immediately after grafting and 4 months postoperatively to check the changes in alveolar crest height and width at all the sites. Three patients in whom implant placement was done after complete healing; bone samples were harvested using a 3 mm diameter trephine during osteotomy preparation from both the ridge preserved sites and studied histologically. Results: There was a statistically significant difference when the changes in width and height of alveolar crest were compared within all the three groups (P < 0.05). Among three sites, ATG-grafted sites showed the most superior results with a minimal reduction in alveolar crest height and width. Histological analysis also showed the same trend with more new bone formation at ATG-grafted sites as compared to β-TCP-grafted sites. Conclusion: Postextraction, ridge preservation leads to more predictable maintenance of alveolar ridge height and width. ATG as compared to β-TCP provided superior results. Based on this, we conclude that ATG material can serve as a better alternative to conventional bone graft materials.


How to cite this article:
Joshi CP, Dani NH, Khedkar SU. Alveolar ridge preservation using autogenous tooth graft versus beta-tricalcium phosphate alloplast: A randomized, controlled, prospective, clinical pilot study.J Indian Soc Periodontol 2016;20:429-434


How to cite this URL:
Joshi CP, Dani NH, Khedkar SU. Alveolar ridge preservation using autogenous tooth graft versus beta-tricalcium phosphate alloplast: A randomized, controlled, prospective, clinical pilot study. J Indian Soc Periodontol [serial online] 2016 [cited 2020 Apr 5 ];20:429-434
Available from: http://www.jisponline.com/article.asp?issn=0972-124X;year=2016;volume=20;issue=4;spage=429;epage=434;aulast=Joshi;type=0