The literature identified variations in socket seal surgery, each with limitations. This case series aimed to observe the outcome of using autologous dental root (ADR) for socket sealing on socket preservation (SP). A total of 9 patients with 15 extraction sockets were documented. After flapless extraction, the xenograft or alloplastic grafts were placed in the sockets. Autologous dental roots were prepared extraorally and applied to seal the socket entrance. All SP sites healed uneventfully. Cone-beam computed tomography (CBCT) scan was performed after 4–6 months of healing to evaluate ridge dimensions. The preserved alveolar ridge profiles were verified on CBCT scans and during implant surgery. Implants were placed successfully with a reduced need for guided bone regeneration. Histological biopsy specimens were examined in 3 cases. The histological examination demonstrated vital bone formation and osseointegration of graft particles. All patients completed the final restorations and were monitored for 15.56 ± 9.08 months after functional loading. The favorable clinical outcomes support the use of ADR for SP procedures. It was not only accepted to patients but also easy to perform with low complication rates. The ADR technique is thus a feasible method for socket seal surgery.
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October 2023
CLINICAL CASE REPORT|
February 13 2024
A Socket Seal Technique With the Use of Autologous Dental Roots for Socket Seal: A Case Series
Chung-Chieh Chang, DDS, MS;
Chung-Chieh Chang, DDS, MS
1Division of Periodontology, Department of Dentistry, Chang Gung Memorial Hospital Linkou Main Branch and Chang Gung University, Taoyuan City, Taiwan.
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I-Ping Lin, DDS, MSD, PhD;
I-Ping Lin, DDS, MSD, PhD
2Graduate Institute of Clinical Dentistry, School of Dentistry, College of Medicine, National Taiwan University, Taipei City, Taiwan.
3Division of Periodontology, Department of Dentistry, National Taiwan University Hsin-Chu Branch, Hsinchu, Taiwan.
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Chih-Chun Mei, DDS, MS;
Chih-Chun Mei, DDS, MS
4Department of Periodontics, New Taipei City Municipal Tucheng Hospital and Chang Gung University, New Taipei City and Taoyuan City, Taiwan.
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Pei-Zhen Tang, DDS;
Pei-Zhen Tang, DDS
5Department of Dentistry, Lotung Poh-Ai Hospital, Yilan County, Taiwan.
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Hsiang-Hsi Hong, DDS, DMD, DSc
Hsiang-Hsi Hong, DDS, DMD, DSc
*
6Division of Periodontology, Department of Dentistry, Chang Gung Memorial Hospital Linkou Main Branch and Chang Gung University, Taoyuan City, Taiwan.
*Corresponding author, e-mail: [email protected]
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J Oral Implantol (2023) 49 (5): 473–484.
Citation
Chung-Chieh Chang, I-Ping Lin, Chih-Chun Mei, Pei-Zhen Tang, Hsiang-Hsi Hong; A Socket Seal Technique With the Use of Autologous Dental Roots for Socket Seal: A Case Series. J Oral Implantol 1 October 2023; 49 (5): 473–484. doi: https://doi.org/10.1563/aaid-joi-D-21-00279
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