PMID- 12816301
OWN - NLM
STAT- MEDLINE
DCOM- 20030905
LR  - 20131121
IS  - 0022-3492 (Print)
IS  - 0022-3492 (Linking)
VI  - 74
IP  - 5
DP  - 2003 May
TI  - Evaluation of hard tissue replacement composite graft material as a ridge 
      preservation/augmentation material in conjunction with immediate 
      hydroxyapatite-coated dental implants.
PG  - 679-86
AB  - BACKGROUND: Immediate placement of dental implants (DI) in fresh extraction 
      sockets is associated with remaining voids around the DI and often a partial 
      dehiscence or thin facial alveolar plate. Bone replacement grafts are often used 
      to correct these problems. This study evaluated the use of a layered composite of 
      PMMA (poly-methyl-methacrylate), PHEMA (poly-hydroxyl-ethyl-methacrylate), and 
      calcium hydroxide grafts (HTR) as a ridge preservation/ augmentation material 
      used in conjunction with an immediate DI placement technique. METHODS: 
      Twenty-three patients requiring 1 or 2 extractions that were treatment planned 
      for immediate DI placement received 4.0 or 3.25 mm diameter hydroxyapatite-coated 
      cylindrical implants in the extraction sockets. HTR was used to fill the 
      remaining socket void and enhance the facial ridge width. A collagen hemostatic 
      was placed to cover the DI sites, flaps released, and primary closure attempted 
      with sutures. DI uncovering was performed at about 6 months. Measurements were 
      taken to the nearest 0.5 mm of the internal socket width and total ridge width at 
      DI placement and uncovering. RESULTS: Thirty DIs were placed in the 23 patients. 
      Mean initial internal socket width was 6.9 mm. The total ridge width showed a 
      mean change from 9.1 mm to 8.4 mm; 60% of the areas showed a net increase or no 
      change, while 40% showed a decrease in overall ridge width. DI success rate was 
      97% out to 6 months of loading. CONCLUSION: The results of this study suggest 
      that HTR is a useful adjunct in the placement of immediate DIs for filling of 
      socket voids and preservation of ridge width.
FAU - Yukna, Raymond A
AU  - Yukna RA
AD  - Department of Periodontics, Louisiana State University, School of Dentistry, New 
      Orleans, LA 70119, USA. ryukna@lsuhsc.edu
FAU - Castellon, Paulino
AU  - Castellon P
FAU - Saenz-Nasr, Ana M
AU  - Saenz-Nasr AM
FAU - Owens, Kris
AU  - Owens K
FAU - Simmons, Jason
AU  - Simmons J
FAU - Thunthy, Kavas H
AU  - Thunthy KH
FAU - Mayer, Elizabeth T
AU  - Mayer ET
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Periodontol
JT  - Journal of periodontology
JID - 8000345
RN  - 0 (Biocompatible Materials)
RN  - 0 (Bone Substitutes)
RN  - 0 (Coated Materials, Biocompatible)
RN  - 0 (Composite Resins)
RN  - 0 (Dental Implants)
RN  - 0 (Methylmethacrylates)
RN  - 25249-16-5 (Polyhydroxyethyl Methacrylate)
RN  - 26355-01-1 (HTR composite)
RN  - 91D9GV0Z28 (Durapatite)
RN  - PF5DZW74VN (Calcium Hydroxide)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Alveolar Ridge Augmentation
MH  - *Biocompatible Materials/chemistry
MH  - Bone Substitutes/*therapeutic use
MH  - Calcium Hydroxide/therapeutic use
MH  - *Coated Materials, Biocompatible/chemistry
MH  - Composite Resins/*therapeutic use
MH  - Dental Abutments
MH  - Dental Implantation, Endosseous
MH  - *Dental Implants
MH  - *Durapatite/chemistry
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Matched-Pair Analysis
MH  - Methylmethacrylates/*therapeutic use
MH  - Middle Aged
MH  - Polyhydroxyethyl Methacrylate/*therapeutic use
MH  - Statistics, Nonparametric
MH  - Tooth Socket/surgery
MH  - Treatment Outcome
EDAT- 2003/06/21 05:00
MHDA- 2003/09/06 05:00
CRDT- 2003/06/21 05:00
PHST- 2003/06/21 05:00 [pubmed]
PHST- 2003/09/06 05:00 [medline]
PHST- 2003/06/21 05:00 [entrez]
AID - 10.1902/jop.2003.74.5.679 [doi]
PST - ppublish
SO  - J Periodontol. 2003 May;74(5):679-86. doi: 10.1902/jop.2003.74.5.679.