Evaluation of horizontal ridge augmentation using beta tricalcium phosphate and demineralized bone matrix: A comparative study
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Shalash, Mahmoud-A.; Rahman, Hatem-A.; Azim, Amr-A.; Neemat, Amani-H.; Hawary, Hesham-E.; Nasry, Sherine-A.
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Aquest document és un/a article, creat/da en: 2013
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Objectives: To evaluate the effectiveness of beta tricalcium phosphate (Beta-TCP) alone compared to Beta-TCP and Demineralized
Bone Matrix (DBM) in regenerating localized horizontal maxillary alveolar ridge deficiencies prior to
implant placement.
Study Design: The study included 20 patients with horizontal maxillary ridge deficiencies limited to one or more
neighbouring teeth and initial ridge width of . 5mmm. Patients were divided equally into two equal groups. Ridge
augmentation was performed using Guided Bone Regeneration (GBR) principals. In group I GBR was performed
using Beta-TCP only, while in group II both Beta-TCP and DBM were used. Following a 6 months healing period, bone
cores from both groups were retrieved and implants were inserted. Specimens were examined histologically to calculate
percentage of mineralized bone. Apical and crestal changes in ridge dimensions were calculated by digital
subtraction using Cone Beam Computed Tomography (CBCT) immediately after graft placement and six months
later.
Results: There was a statistically significant difference between the mean area percentage of mineralized bone between
both groups where it was 40.1 % (range: 27.76-% 66.29 %) for group I and 68.96 % (range: 60.07 % - 87.33
%) for group II. Radiograpically, the mean ridge width in group I increased crestally to 4.66 mm (range:3.5-5mm)
and apically to 6.12 mm (range: 4.1-6.7 mm). In group II the mean ridge width increased crestally to 5.2 mm (range
4.9-5.4mm) and apically to 6.9 mm (range 6.0-7.8 mm). Group II showed more bone gain with a mean of 1.37 mm
crestally and 2.44 mm apically. This difference however was not statistically significant
Conclusion: Within the limitations of this study the combination of DBM and Beta-TCP can be used effectively in
cases exhibiting minimal alveolar ridge defects.
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