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Date Published: 15/09/2023
Online Published: 15/09/2023
Abstract Views: 179
Views PDF: 174
DOI: https://doi.org/10.58490/ctump.2023i63.1461
Issue
No. 63 (2023)
Section
Article
How to Cite
Nguyen, V. H., Pham, V. L., Phan, T. P. L., Le, N. L., & Phan, B. L. (2023). EVALUATION OF MANDIBULAR 3RD MOLAR REMOVAL WITH MINERALIZED CANCELLOUS ALLOGRAFT AND RESORBABLE COLLAGEN MEMBRANE. Cantho Journal of Medicine and Pharmacy, 63, 30-36. https://doi.org/10.58490/ctump.2023i63.1461

EVALUATION OF MANDIBULAR 3RD MOLAR REMOVAL WITH MINERALIZED CANCELLOUS ALLOGRAFT AND RESORBABLE COLLAGEN MEMBRANE

Nguyễn Viết Hiếu1,, Phạm Văn Lình1, Phan Thế Phước Long1, Nguyen Lam Le1, Ba Loc Phan1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Bone loss following impacted 3rd molar extractions not only lead to clinical attachment loss, deep periodontal pockets of adjacent molar, but also increases the risk of angle fracture. Guided bone regeneration with the mineralized cancellous allograft material and resorbable collagen membrane demostrates to be able to reduce those unfavorable issues. Objectives: To evaluate the healing of 2nd molar’s periodontal tissue of the adjacent after surgical extraction impacted mandibular 3rd molar followed by Guided bone regeneration with mineralized cancellous allograft and resorbable collagen membrane. Materials and methods: A Cross-sectional study was conducted on 22 patients who had their impacted mandibular 3rd molars removed from 2021 to 2023 at Can Tho University of Medicine and Pharmacy Hospital. Inclusion criterias were: partial erupted lower 3rd molar, distance from Cemento-enamel junction to alveolar bone  crest on the distal aspect of the adjacent 2nd molar ≥ 4mm measured on radiographs. The pocket depth  ≥ 5mm probed on 2 location (distolingual and distobuccal) of lower 2nd molar. Results: The periodontal health of the second molars was found to improve after 3rd molar removal in all clinical parameters. The pocket depth was reduced 2.02±0.69 at 6 month. The plaque index and gingival index coded as 0 (healthy) or 1 (minor problems). The alveolar bone height measured on radiographs was significantly gained 3.73±1.08, the average of bone density in grafted area in 3 months (1323.95±57.40 HU) and 6 months (1370±51.57 HU). Conclusion: Guided bone regeneration treatment using mineralized cancellous allograft and resorbable collagen membrane results in increasing the efficiency of wound healing, pocket depth reduction and bone height gain.

Article Details

Keywords

Guided bone regeneration, mineralized cancellous allograft, resorbable collagen membrane.

References

1. Võ Văn Biết. Nghiên cứu đặc điểm lâm sàng, X-quang răng khôn hàm dưới và đánh giá kết quả điều trị bằng phương pháp phẫu thuật kết hợp màng Fibrin giàu tiểu cầu ở bệnh nhân tại Bệnh viện Đa khoa Cái Nước, Cà Mau. Trường Đại học Y Dược Cần Thơ. 2020. 130.
2. Hà Nhật Phương. Nghiên cứu đặc điểm hình thái, phân loại và đánh giá kết quả điều trị phẫu thuật răng khôn hàm dưới mọc lệch, ngầm dựa vào sự thay đổi mô nha chu răng kế cận tại Bệnh viện Trường Đại học Y Dược Cần Thơ. Trường Đại học Y Dược Cần Thơ. 2019. 142.
3. Ku J.K., Jeong Y.K. Effectiveness of Bone Graft for an Alveolar Defect on Adjacent Second Molar After Impacted Mandibular Third Molar Extraction. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons. 2021. 79(4), 756-762, https://doi.org/10.1016/j.joms.2020.11.030.
4. Majid H., Ramachandra S.S., Kumar S., Wei M., Gundavarapu K.C. Influence of Grafting on Pocket Depth and Dentin Hypersensitivity Around Third Molar Extraction Sites: A Split-Mouth Randomized Controlled Trial. Compendium of continuing education in dentistry. 2022. 43(1), 5-8.
5. Leventis M., Tsetsenekou E., Kalyvas D. Treatment of Osseous Defects after Mandibular Third Molar Removal with a Resorbable Alloplastic Grafting Material: A Case Series with 1- to 2-Year Follow-Up. Materials (Basel, Switzerland). 2020. 13(20), https://doi.org/10.3390/ma13204688.
6. Marques J., Montserrat-Bosch M., Figueiredo R., Vilchez-Perez M. A., Valmaseda-Castellon E., et al. Impacted lower third molars and distal caries in the mandibular second molar. Is prophylactic removal of lower third molars justified?. Journal of clinical and experimental dentistry. 2017. 9(6), 794-798, http://dx.doi.org/10.4317/jced.53919.
7. Barbier L., Ramos E., Mendiola J., Rodriguez O., Santamaria G., et al. Autologous dental pulp mesenchymal stem cells for inferior third molar post-extraction socket healing: A split-mouth randomised clinical trial. Medicina oral, patologia oral y cirugia bucal. 2018. 23(4), 469-477, http://dx.doi.org/doi:10.4317/medoral.22466.
8. Canullo L., Rossi-Fedele G., Camodeca F., Menini M., Pesce P. A Pilot Retrospective Study on the Effect of Bone Grafting after Wisdom Teeth Extraction. Materials. 2021. 14(11), https://doi.org/10.3390/ma14112844.
9. Karapataki S., Hugoson A., Falk H., Kugelberg C.F. Healing following GTR treatment of intrabony defects distal to mandibular 2nd molars using resorbable and non-resorbable barriers. Journal of clinical periodontology. 2000. 27(5), 333-340, https://doi.org/10.1034/j.1600051x.2000.027005333.x.
10. Sánchez-Labrador L., Martín-Ares M., Ortega-Aranegui R., Lopez-Quiles J., Martinez-Gonzalez J.M. Autogenous Dentin Graft in Bone Defects after Lower Third Molar Extraction: A Split-Mouth Clinical Trial . Materials (Basel, Switzerland). 2020. 13(14), https://doi.org/10.3390/ma13143090.
11. Ferreira J. O., Munhoz E. A. Tomographic late evaluation of xenogeneic bone grafts in sockets of impacted third molars. Journal of applied oral science. 2018. 26, https://doi.org/10.1590/16787757-2017-0396.