ARP with DBBM helps circumvent additional grafting need during implant placement

A study was conducted to assess the dimensional establishment of a bony envelope after alveolar ridge preservation (ARP) with deproteinized bovine bone mineral (DBBM) in order to estimate the surgical feasibility of standard diameter implant placement without any additional augmentation methods.

Results

• The initial database search identified 2583 studies.

• Finally, nine studies with a total of 177 implants placed after ARP with DBBM and 130 implants after SH were included for the quantitative and qualitative evaluation.

• A mean difference of 1.13 mm in ridge width in favour of ARP with DBBM could be calculated throughout all included studies

• Probabilities for implant placement with 2 mm surrounding bone requiring theoretically no further bone augmentation ranged from 6 to 19% depending on implant diameter.

ARP employing DBBM reduces ridge shrinkage on average by 1.13 mm and improves the possibility to place standard diameter implants with up to 2 mm circumferential bone housing; however, no ARP would have been necessary or additional augmentative bone interventions are still required in 4 out of 5 cases.

Reference:

Keywords:

International Journal of Implant Dentistry, Fischer, K.R., Solderer, A., Arlt, K, Bone envelope, implant, placement, alveolar, ridge, preservation, systematic, review, and meta-analysis.