Socket Preservation After Tooth Extraction Using Autogenous Dentin Compared With Collagen Sponge and Tricalcium Phosphate Techniques

What this Trial Is About

Researchers are studying how to best preserve the bone in the jaw after tooth extraction, a process that typically causes significant bone loss over time. This randomized clinical study compares four common methods of alveolar ridge preservation to see which maintains bone volume most effectively for future dental prosthetics or implants. The study involves adult patients who need tooth extractions (excluding wisdom teeth) and measures bone changes using calibrated CBCT imaging before extraction and six months afterward. The study compares four treatment approaches following minimally traumatic tooth extraction: 1) natural healing with stitches only (control group), 2) filling the wound with a collagen sponge secured by stitches, 3) filling the wound with a tricalcium phosphate xenograft covered by a collagen sponge and stitched, and 4) filling the wound with grounded autogenous dentin covered with a collagen sponge and stitched. Each patient's alveolar ridge dimensions will be assessed before extraction and half a year later to evaluate changes in bone width and height at specific depths. Participants will undergo tooth extraction and receive one of the four treatments randomly assigned. Their bone dimensions will be measured using CBCT scans before extraction and six months post-extraction. Additional patient factors like periodontal type and soft tissue characteristics will be recorded for subgroup analysis. The primary outcome is the change in alveolar bone width at six months, helping researchers understand which method best preserves bone after tooth removal.

Socket Preservation Using Autogenous Dentin