Extraction Socket Seal Technique for Socket Preservation after Tooth Extraction: An Innovative Approach.

Authors

  • Abduljaleel Azad Samad Department of Oral and Maxillofacial Surgery, College of Dentistry, Hawler Medical University, Erbil, Iraq https://orcid.org/0000-0003-1981-287X
  • Jodal M Ahmed Department of Oral and Maxillofacial Surgery, College of Dentistry, Hawler Medical University, Erbil, Iraq.
  • Hundren M Ali Department of Oral and Maxillofacial Surgery, College of Dentistry, Hawler Medical University, Erbil, Iraq.
  • Omed Shihab Department of Oral and Maxillofacial Surgery, College of Dentistry, Hawler Medical University, Erbil, Iraq.
  • Ahmed Haider Department of Oral and Maxillofacial Surgery, College of Dentistry, Hawler Medical University, Erbil, Iraq.
  • Dainius Karpavicius Department of Prosthetic Treatment and Implantology of Maxillofacial Clinic, Lithuanian University of Health Sciences, Kaunas, Lithuania.

DOI:

https://doi.org/10.15218/edj.2024.12

Keywords:

Alveolar ridge preservation, Extraction Socket Seal ESS, Delayed implant placement, Socket preservation, Tooth extraction

Abstract

Background and objectives: Tooth extraction triggers the loss of surrounding alveolar soft tissue and bone. Numerous socket preservation techniques have been used by clinical surgeons; the issue with all existing techniques is the loss of soft tissue anatomy, resulting in a flat soft tissue architecture. Our study introduces an innovative ridge preservation technique that addresses this problem; it involved using an anatomically shaped composite resin lid that acts as a graft sealant and an approach for maintaining the soft tissue cervical profile.

Material and Methods: The Extraction Socket Seal (ESS) technique was applied for 23 patients for socket preservation; atraumatic extraction of hopeless tooth was performed. The extraction socket was filled up with bone grafting material. After that, the composite resin lid, which was fabricated by the Cervico system was placed into the extraction socket. Finally, the lid was connected to the adjacent teeth with an adhesive system and composite resin material. The patients were evaluated for a three-month interval for any complications and success of Extraction Socket Seal (ESS) technique. The data were tested by descriptive data analysis using the Statistical Package for Social Sciences (SPSS, version 29).

Results: The proposed technique has been successfully performed in twenty-three cases; 13 cases were male and 10 cases were female; and the mean age of all cases was 32 years. Extraction Socket Seal (ESS) technique utilizing a composite resin lid fabricated from the Cervico system was used as socket sealant placed directly to cover the bone graft, and we found that it provided an excellent “barrier” for the graft without any unwanted complications. After three months, radiographs showed good bone healing, and the mean socket soft tissue healing score was 4 (Very good wound healing), and most importantly the soft tissue architecture and shape were well preserved.

Conclusions: We concluded that the Extraction Socket Seal (ESS) technique offers a very simple and time-saving technique for alveolar ridge preservation after tooth extraction for both anterior and posterior extraction sockets, and it provides a good seal for the graft material and the soft tissue anatomy was well preserved.

References

Vignoletti, F. Matesanz P, Rodrigo D, Figuero E, Martin C, Sanz M. Surgical protocols for ridge preservation after tooth extraction. A systematic review. Clin. Oral Implants Res. 2012; 23, 22 –38.

Hämmerle, C. H. F., Araújo, M. G. & Simion, M. Evidence -based knowledge on the biology and treatment of extraction sockets. Clin. Oral Implants Res. 2012; 23, 80 –82.

Schropp, L., Kostopoulos, L. & Wenzel, A. Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int. J. Oral Maxillofac. Implants. 2003;18, 189 –199.

Araújo, M. G., Silva, C. O., Misawa, M. and Sukekava, F. Alveolar socket healing: what can we learn?. Periodontology. 2015; 68: 122 –134.

Leblebicioglu, Binnaz & Rawal, Swati & Mariotti, Angelo. A review of the functional and esthetic requirements for dental implants. Journal of the American Dental Association. 2007;138. 321-9. 10.14219/jada.archive.2007.0164.

Covani, U.; Ricci, M.; Bozzolo, G.; Mangano, F.; Zini, A.; Barone, A. Analysis of the pattern of the alveolar ridge remodelling following single tooth extraction. Clin. Oral Implant. Res. 2011; 22, 820–825.

Avila -Ortiz, G. Rodriguez JC, Rudek I, Benavides E, Rios H, Wang HL. Effectiveness of Three Different Alveolar Ridge Preservation Techniques: A Pilot Randomized Controlled Trial. Int. J. Periodontics Restorative Dent. 2014; 34, 509 –521.

Giannini, M., Makishi, P., Ayres, A. P. A., Vermelho, P. M., Fronza, B. M., Nikaido, T., & Tagami, J. Self-Etch Adhesive Systems: A Literature Review. Brazilian Dental Journal. 2015; 26(1), 3–10. doi:10.1590/0103-6440201302442

Landry RG, Turnbull RS, Howley T. Effectiveness of benzydamine HCl in the treatment of periodontal postsurgical patients. Research in Clinic Forums 1988; 10:105–118.

Vittorini Orgeas G, Clementini M, De Risi V, de Sanctis M. Surgical techniques for alveolar socket preservation: a systematic review. Int J Oral Maxillofac Implants. 2013; Jul-Aug;28(4):1049-61.

Bichacho N, Landsberg CJ. Pract Periodontics Aesthet Dent. 1994; May;6(4):35 41; quiz 41.

Wittneben JG, Buser D, Belser UC, Brägger U. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Int J Periodontics Restorative Dent. 2013; JulAug;33(4):447-55.

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Published

2024-06-06

How to Cite

1.
Samad AA, Ahmed JM, Ali HM, Shihab O, Haider A, Karpavicius D. Extraction Socket Seal Technique for Socket Preservation after Tooth Extraction: An Innovative Approach. EDJ [Internet]. 2024 Jun. 6 [cited 2024 Jul. 20];7(1):101-10. Available from: https://edj.hmu.edu.krd/index.php/journal/article/view/276

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Original Articles