SlideShare une entreprise Scribd logo
1  sur  133
TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS
UCLA SCHOOL OF DENTISTRY
Presents Presents Dr. E. Barrie Kenney Professor & Chairman Section of Periodontics
E. Barrie Kenney B.D.Sc., D.D.S., M.S., F.R.A.C.D.S. Tarrson Family Endowed Chair in Periodontics. Professor and Chairman Division of Associated Clinical Specialties UCLA School of Dentistry Bone Maintenance After Tooth Extractions
 
Dog Socket at 3 month, Normal Healing Closed Flap
[object Object]
 
[object Object],[object Object]
 
 
 
Open socket Technique for Extractions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Closed flap Technique for Extractions
Open socket Technique for Extractions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],WITHOUT FLAP
 
 
 
 
 
 
 
 
Open socket Technique for Extractions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],WITH FLAP
 
 
 
 
 
 
Open Flap Technique -  Biogran plus Capset for sockets  compared to flap alone ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
4.00 6.43 Changes in socket fill -1.00 -0.38 Changes in height -3.40 -3.48 Changes in width Controls Biogran + Capset
Open flap Technique for Extractions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Closed flap Technique for Extractions
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Closed flap Technique for Extractions
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Surgical Technique for Ridge Preservation Sulcular Incision and Vertical Releasing Incision
Titanium Pins as a Reference Point
Flap Mobilization GTAM Membrane in place
Suturing Technique Water-proof Closure
Results of Clinical Trials of Ridge Maintenance Following Tooth Extraction. ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
[object Object]
3 Sites with Exposure of Goretex 4.33 3.66 Changes in socket fill -1.66 -1.00 Changes in height -4.33 -2.00 Changes in width Control Goretex
7 Sites with No Exposure of Goretex 2.92 5.43 Changes in socket fill -1.00 -0.28 Changes in height -4.43 -1.71 Changes in width Control Goretex
3 Sites with Exposure to Goretex ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],7 Pairs of Extractions with no Exposure of Goretex
 
 
 
 
 
 
 
 
 
Closed Flap Technique -  Resolut membrane alone compared  to flaps alone ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
 
3.94 5.81 Changes in socket fill -1.50 -0.38 Changes in height -4.56 -1.31 Changes in width Controls Resolut
RANDOMIZED STUDY EVALUATING RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN 2 FOR EXTRACTION SOCKET AUGMENTATION FIORELLINI,J.T. ET AL J. PERIODONT.2005 76: 605 80 PATIENTS CAT SCANS OF SOCKETS GOT 0.75 OR 1.5 MG/ML BMP OR PLACEBO COLLAGEN SPONGE OR NO TREATMENT EVALUATED AT 4 MONTHS 50% BONE LOSS ON BUCCAL
CHANGES IN HEIGHT (MM ) NONE  -1,7 PLACEBO -1,0 0.75 BMP  -0.62 1.50 BMP -0,02 CHANGES IN WIDTH 75% SOCKET LENGTH NONE 1.65 PLACEBO 1.82 0.75 BMP  2.29 1.75 BMP  2.68 (MM).
 
 
 
 
 
 
 
Randomized Study  Evaluating Human Bone Morphogenetic Protein-2  for Extraction  Socket Augmentation Fiorelli J P et al J Periodont 2005, 76:605 ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bone Density, Biopsies: No significant changes seen, trabecular bone no inflammation Changes at 4 months 2.68mm 2.29mm 1.82mm Changes in width 75% length, i.e., apical end 86% 55% 59% Implant placed with no augmentation 3.27mm 1.76mm 0.82mm Changes in width 25% length, i.e., coronal end -0.02mm -0.62mm -1.00mm Changes in height N=21 N=22 N=17 1.50mg/ml 0.75mg/ml Control
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
[object Object]
 
 
 
 
Closed Flap Techniques –  Goretex alone for sockets  compared to flaps alone ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],10 patients with anterior teeth extractions with flaps, Titanium pins as reference points. Took Impressions of exposed sockets. One socket covered with Goretex (PTFE) membrane, other socket no regenerative procedure. Flaps mobilized and tight closure. Reentry at six months.
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]

Contenu connexe

Tendances

types and classification of dental implants
types and classification of dental implantstypes and classification of dental implants
types and classification of dental implants
Desa Ghanavi
 

Tendances (20)

Regenerative osseous surgery
Regenerative osseous surgeryRegenerative osseous surgery
Regenerative osseous surgery
 
Socket shield
Socket shieldSocket shield
Socket shield
 
Socket Preservation | Ridge Preservation
Socket Preservation | Ridge PreservationSocket Preservation | Ridge Preservation
Socket Preservation | Ridge Preservation
 
Aap ridge split new orleans
Aap ridge split new orleansAap ridge split new orleans
Aap ridge split new orleans
 
Dr. Sneha Rajguru
Dr. Sneha RajguruDr. Sneha Rajguru
Dr. Sneha Rajguru
 
Vertical ridge augmentation
Vertical ridge augmentationVertical ridge augmentation
Vertical ridge augmentation
 
Onlay bone graft
Onlay bone graftOnlay bone graft
Onlay bone graft
 
Implant
ImplantImplant
Implant
 
Socket shield jc
Socket shield jcSocket shield jc
Socket shield jc
 
Immediate implants
Immediate implants Immediate implants
Immediate implants
 
Dental implants
Dental implants Dental implants
Dental implants
 
types and classification of dental implants
types and classification of dental implantstypes and classification of dental implants
types and classification of dental implants
 
Oral implantology - Basic introduction
Oral implantology - Basic introductionOral implantology - Basic introduction
Oral implantology - Basic introduction
 
immediate vs delayed implant placement in anterior single tooth extraction.
immediate vs delayed implant placement in anterior single tooth extraction.immediate vs delayed implant placement in anterior single tooth extraction.
immediate vs delayed implant placement in anterior single tooth extraction.
 
Soft tissue grafting around implants
Soft tissue grafting around implantsSoft tissue grafting around implants
Soft tissue grafting around implants
 
Minimally Invasive Extraction and Immediate Implant Placement with Single-Sta...
Minimally Invasive Extraction and Immediate Implant Placement with Single-Sta...Minimally Invasive Extraction and Immediate Implant Placement with Single-Sta...
Minimally Invasive Extraction and Immediate Implant Placement with Single-Sta...
 
Implants in maxillofacial prosthesis/endodontic courses
Implants in maxillofacial prosthesis/endodontic coursesImplants in maxillofacial prosthesis/endodontic courses
Implants in maxillofacial prosthesis/endodontic courses
 
applied anatomy for denta Implant
applied anatomy for denta Implantapplied anatomy for denta Implant
applied anatomy for denta Implant
 
Bone augmentation for implants / dental training
Bone augmentation for implants / dental trainingBone augmentation for implants / dental training
Bone augmentation for implants / dental training
 
Osseodensification
Osseodensification Osseodensification
Osseodensification
 

En vedette

Implant Maintenance and Disease Prevention
Implant Maintenance and Disease PreventionImplant Maintenance and Disease Prevention
Implant Maintenance and Disease Prevention
Denise Hewitt
 
Dental Implants Socket Preservation
Dental Implants Socket PreservationDental Implants Socket Preservation
Dental Implants Socket Preservation
Sumeet Bagai DDS
 
Recent advances in atrumatic extraction techniques
Recent advances in atrumatic extraction techniquesRecent advances in atrumatic extraction techniques
Recent advances in atrumatic extraction techniques
Manthru Naik Ramavath
 
Occluion in prosthodontics lec 16 04-'13
Occluion in prosthodontics lec 16 04-'13Occluion in prosthodontics lec 16 04-'13
Occluion in prosthodontics lec 16 04-'13
Riad Mahmud
 
Occluion in prosthodontics
Occluion in prosthodonticsOccluion in prosthodontics
Occluion in prosthodontics
Aeysha Siddika
 

En vedette (20)

Implacare
ImplacareImplacare
Implacare
 
Implant Maintenance and Disease Prevention
Implant Maintenance and Disease PreventionImplant Maintenance and Disease Prevention
Implant Maintenance and Disease Prevention
 
Socket preservation
Socket preservationSocket preservation
Socket preservation
 
Implant loading
Implant loading  Implant loading
Implant loading
 
Occlusion in fixed prosthodontics
Occlusion in fixed prosthodontics Occlusion in fixed prosthodontics
Occlusion in fixed prosthodontics
 
Dental Implants Socket Preservation
Dental Implants Socket PreservationDental Implants Socket Preservation
Dental Implants Socket Preservation
 
immediate implant
immediate implantimmediate implant
immediate implant
 
Recent advances in atrumatic extraction techniques
Recent advances in atrumatic extraction techniquesRecent advances in atrumatic extraction techniques
Recent advances in atrumatic extraction techniques
 
Maintenance of dental implants
Maintenance of dental implantsMaintenance of dental implants
Maintenance of dental implants
 
Occluion in prosthodontics lec 16 04-'13
Occluion in prosthodontics lec 16 04-'13Occluion in prosthodontics lec 16 04-'13
Occluion in prosthodontics lec 16 04-'13
 
Full mouth dawson
Full mouth  dawsonFull mouth  dawson
Full mouth dawson
 
FULL MOUTH REHABILITATION
FULL MOUTH REHABILITATIONFULL MOUTH REHABILITATION
FULL MOUTH REHABILITATION
 
Immediate loading
Immediate loadingImmediate loading
Immediate loading
 
Immediate implant lecture
Immediate implant lectureImmediate implant lecture
Immediate implant lecture
 
Maintenance of dental implants
Maintenance of dental implantsMaintenance of dental implants
Maintenance of dental implants
 
Implant Prosthetics Complications - Avoiding Failures
Implant Prosthetics Complications - Avoiding FailuresImplant Prosthetics Complications - Avoiding Failures
Implant Prosthetics Complications - Avoiding Failures
 
Socket Preservation _NIDM January 2011
Socket Preservation _NIDM January 2011Socket Preservation _NIDM January 2011
Socket Preservation _NIDM January 2011
 
Periimplantitis
PeriimplantitisPeriimplantitis
Periimplantitis
 
Occluion in prosthodontics
Occluion in prosthodonticsOccluion in prosthodontics
Occluion in prosthodontics
 
Localized bone augmentation and implant site development
Localized bone augmentation and implant site developmentLocalized bone augmentation and implant site development
Localized bone augmentation and implant site development
 

Similaire à Extractions Sockets

full mouth rehabilitation of partially and fully edentulous patient with crow...
full mouth rehabilitation of partially and fully edentulous patient with crow...full mouth rehabilitation of partially and fully edentulous patient with crow...
full mouth rehabilitation of partially and fully edentulous patient with crow...
Merenguita
 
2003 biologic width
2003 biologic width2003 biologic width
2003 biologic width
Yinpin Wang
 
Implants And Prosthetics
Implants And ProstheticsImplants And Prosthetics
Implants And Prosthetics
shabeel pn
 
Contemporary Crown-lengthening Therapy
Contemporary Crown-lengthening TherapyContemporary Crown-lengthening Therapy
Contemporary Crown-lengthening Therapy
Wendy Jeng
 
DME deep margin elevation brief ppt.pptx
DME deep margin elevation brief ppt.pptxDME deep margin elevation brief ppt.pptx
DME deep margin elevation brief ppt.pptx
mcrdalialsayed
 
Stman et-al-2012-clinical_implant_dentistry_and_related_research
 Stman et-al-2012-clinical_implant_dentistry_and_related_research Stman et-al-2012-clinical_implant_dentistry_and_related_research
Stman et-al-2012-clinical_implant_dentistry_and_related_research
Gantumur DDS, PhD
 

Similaire à Extractions Sockets (20)

8.implant in irradiated patients
8.implant in irradiated patients8.implant in irradiated patients
8.implant in irradiated patients
 
3RD PUBLICATION - JCDR - Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIE...
3RD  PUBLICATION - JCDR - Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIE...3RD  PUBLICATION - JCDR - Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIE...
3RD PUBLICATION - JCDR - Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIE...
 
3rd publication JCDR-8th name.pdf
3rd publication JCDR-8th name.pdf3rd publication JCDR-8th name.pdf
3rd publication JCDR-8th name.pdf
 
Flapless implant surgery
Flapless implant surgeryFlapless implant surgery
Flapless implant surgery
 
full mouth rehabilitation of partially and fully edentulous patient with crow...
full mouth rehabilitation of partially and fully edentulous patient with crow...full mouth rehabilitation of partially and fully edentulous patient with crow...
full mouth rehabilitation of partially and fully edentulous patient with crow...
 
JOURNAL CLUB ON THE OUTCOME OF ORAL IMPLANTS PLACED IN BONE WITH LIMITED BU...
JOURNAL CLUB ON THE OUTCOME OF ORAL IMPLANTS PLACED IN BONE WITH LIMITED BU...JOURNAL CLUB ON THE OUTCOME OF ORAL IMPLANTS PLACED IN BONE WITH LIMITED BU...
JOURNAL CLUB ON THE OUTCOME OF ORAL IMPLANTS PLACED IN BONE WITH LIMITED BU...
 
simplified drilling technique does not decrease dental implant osseointegration
simplified drilling technique does not decrease dental implant osseointegrationsimplified drilling technique does not decrease dental implant osseointegration
simplified drilling technique does not decrease dental implant osseointegration
 
Gingival recession
Gingival recessionGingival recession
Gingival recession
 
SECONDARY PREPROSTHETIC SURGE.pptx
SECONDARY PREPROSTHETIC SURGE.pptxSECONDARY PREPROSTHETIC SURGE.pptx
SECONDARY PREPROSTHETIC SURGE.pptx
 
omfs journal club ppt on bone ridge augmentation
omfs journal club ppt on bone ridge augmentationomfs journal club ppt on bone ridge augmentation
omfs journal club ppt on bone ridge augmentation
 
Reconstructive periodontal therapy
Reconstructive periodontal therapyReconstructive periodontal therapy
Reconstructive periodontal therapy
 
Non bonegraft associated regeneration. Dr. kinjal ghelani
Non bonegraft associated regeneration.   Dr. kinjal ghelaniNon bonegraft associated regeneration.   Dr. kinjal ghelani
Non bonegraft associated regeneration. Dr. kinjal ghelani
 
2003 biologic width
2003 biologic width2003 biologic width
2003 biologic width
 
Implants And Prosthetics
Implants And ProstheticsImplants And Prosthetics
Implants And Prosthetics
 
Contemporary Crown-lengthening Therapy
Contemporary Crown-lengthening TherapyContemporary Crown-lengthening Therapy
Contemporary Crown-lengthening Therapy
 
The lost buccal plate
The lost buccal plateThe lost buccal plate
The lost buccal plate
 
DME deep margin elevation brief ppt.pptx
DME deep margin elevation brief ppt.pptxDME deep margin elevation brief ppt.pptx
DME deep margin elevation brief ppt.pptx
 
Stman et-al-2012-clinical_implant_dentistry_and_related_research
 Stman et-al-2012-clinical_implant_dentistry_and_related_research Stman et-al-2012-clinical_implant_dentistry_and_related_research
Stman et-al-2012-clinical_implant_dentistry_and_related_research
 
Technique for Placement of Oxidized Titanium Implants by Oded Bahat
Technique for Placement of Oxidized Titanium Implants by Oded BahatTechnique for Placement of Oxidized Titanium Implants by Oded Bahat
Technique for Placement of Oxidized Titanium Implants by Oded Bahat
 
Entire papilla preservation technique
Entire papilla preservation techniqueEntire papilla preservation technique
Entire papilla preservation technique
 

Dernier

Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
PECB
 
Making and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdfMaking and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdf
Chris Hunter
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
ciinovamais
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
kauryashika82
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
QucHHunhnh
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
heathfieldcps1
 

Dernier (20)

Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
 
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptxBasic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
 
This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.
 
Making and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdfMaking and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdf
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17
 
APM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAPM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across Sectors
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and Mode
 
Web & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfWeb & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdf
 
fourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writingfourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writing
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdf
 
Ecological Succession. ( ECOSYSTEM, B. Pharmacy, 1st Year, Sem-II, Environmen...
Ecological Succession. ( ECOSYSTEM, B. Pharmacy, 1st Year, Sem-II, Environmen...Ecological Succession. ( ECOSYSTEM, B. Pharmacy, 1st Year, Sem-II, Environmen...
Ecological Succession. ( ECOSYSTEM, B. Pharmacy, 1st Year, Sem-II, Environmen...
 
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptx
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
 
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
 
Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024
 

Extractions Sockets