ARP with DBBM helps circumvent additional grafting need during implant placement

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-01-12T20:00:22+05:30 | Updated On 13 Jan 2023 2:43 PM IST

ARP with DBBM helps circumvent additional grafting needed during implant placement suggests a new study published in the International Journal of Implant Dentistry.

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.

PubMed, Embase and CENTRAL databases were searched for suitable titles and abstracts using PICO elements. Inclusion criteria were as follows: randomized controlled trials (RCTs) comprising at least ten systemically healthy patients; test groups comprised placement of (collagenated) DBBM w/o membrane and control groups of no grafting, respectively. Selected abstracts were checked regarding their suitability, followed by full-text screening and subsequent statistical data analysis. Probabilities and number needed to treat (NNT) for implant placement without any further need of bone graft were calculated.

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:

Fischer, K.R., Solderer, A., Arlt, K. et al. Bone envelope for implant placement after alveolar ridge preservation: a systematic review and meta-analysis. Int J Implant Dent 8, 56 (2022). https://doi.org/10.1186/s40729-022-00453-z

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.

International Journal of Implant DentistryAlveolar ridge preservationSocket healingDeproteinized bovine bone mineral (DBBM)Dental implantGuided bone regeneration (GBR)Extraction socket

Source : International Journal of Implant Dentistry

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751