Alveolar Ridge Preservation of Damaged Maxillary Molar Extraction Sockets: A Retrospective Study

Jeong-Eun Yu; Yeon-Tae Kim; Seong-Nyun Jeong

doi:10.32542/implantology.2025007

All Issue

2025 Vol.29, Issue 2 Next Page

Review Article

Alveolar Ridge Preservation of Damaged Maxillary Molar Extraction Sockets: A Retrospective Study

30 June 2025. pp. 69-79

PDF XML

Abstract

Purpose: The purpose of this retrospective study was to assess the effectiveness of ARP in damaged maxillary molar extraction sockets using porcine-derived block bone.

Materials and Methods: A total of 28 damaged maxillary first and second molar extraction sockets underwent ARP with porcine-derived soft block bone. Vertical bone height changes were measured radiographically. The types of additional sinus augmentation procedures performed at the time of implant placement were also assessed.

Results: ARP resulted in a vertical bone fill of 7.44 ± 2.08 mm. Implant placements were performed an average of 7.1 months after ARP. Among the 28 cases, lateral sinus floor elevation (LSFE) and transcrestal sinus floor elevation (TSFE) were performed in three and 18 cases, respectively. No additional sinus augmentation was required in seven cases.

Conclusion: Within the limitations of this study, ARP appeared to reduce the need for the most invasive type of maxillary sinus floor elevation, namely LSFE, during implant placement.

Keywords

Cone beam computed tomography

Maxilla

Molar

Radiography

Sinus floor augmentation

Tooth socket

References

Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: A radiographic study. Int J Oral Maxillofac Implants 2008;23:48-56.

18416412

Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32:212-8.

10.1111/j.1600-051X.2005.00642.x15691354

Milinkovic I, Cordaro L. Are there specific indications for the different alveolar bone augmentation procedures for implant placement? A systematic review. Int J Oral Maxillofac Implants 2014;43:606-25.

10.1016/j.ijom.2013.12.00424451333

Hämmerle CHF, Araujo MG, Simion M, Osteology Consensus G. Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Impl Res 2012;23:80-2.

10.1111/j.1600-0501.2011.02370.x22211307

Barone A, Ricci M, Tonelli P, Santini S, Covani U. Tissue changes of extraction sockets in humans: A comparison of spontaneous healing vs. ridge preservation with secondary soft tissue healing. Clin Oral Impl Res 2013;24:1231-7.

10.1111/j.1600-0501.2012.02535.x22784417

Mardas N, Trullenque-Eriksson A, MacBeth N, Petrie A, Donos N. Does ridge preservation following tooth extraction improve implant treatment outcomes: A systematic review: Group 4: Therapeutic concepts & methods. Clin Oral Impl Res 2015;26:180-201.

10.1111/clr.1263926078004

Cha JK, Song YW, Park SH, Jung RE, Jung UW, Thoma DS. Alveolar ridge preservation in the posterior maxilla reduces vertical dimensional change: A randomized controlled clinical trial. Clin Oral Impl Res 2019;30:515-23.

10.1111/clr.1343630980771

Rasperini G, Canullo L, Dellavia C, Pellegrini G, Simion M. Socket grafting in the posterior maxilla reduces the need for sinus augmentation. Int J Periodontics Restorative Dent 2010;30:265-73.

20386783

Levi I, Halperin‐Sternfeld M, Horwitz J, Zigdon‐Giladi H, Machtei EE. Dimensional changes of the maxillary sinus following tooth extraction in the posterior maxilla with and without socket preservation. Clin Implant Dent Relat Res 2017;19:952-8.

10.1111/cid.1252128745002

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.

10.1111/j.1600-0501.2011.02331.x22211304

Chavda S, Levin L. Human Studies of Vertical and Horizontal Alveolar Ridge Augmentation Comparing Different Types of Bone Graft Materials: A Systematic Review. J Oral Implantol 2018;44:74-84.

10.1563/aaid-joi-D-17-0005329135351

Benic GI, Eisner BM, Jung RE, Basler T, Schneider D, Hämmerle CHF. Hard tissue changes after guided bone regeneration of peri-implant defects comparing block versus particulate bone substitutes: 6-month results of a randomized controlled clinical trial. Clin Oral Impl Res 2019;30:1016-26.

10.1111/clr.1351531332835

Lee JH, Kim YT, Jeong SN. Alveolar ridge preservation of damaged or periodontally compromised extraction sockets with bovine- and porcine-derived block bone substitutes: A retrospective case-control study. Clin Implant Dent Relat Res 2023;25:1033-43.

10.1111/cid.1324637431152

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008;61:344-9.

10.1016/j.jclinepi.2007.11.00818313558

Jung RE, Sapata VM, Hämmerle CHF, Wu H, Hu XL, Lin Y. Combined use of xenogeneic bone substitute material covered with a native bilayer collagen membrane for alveolar ridge preservation: A randomized controlled clinical trial. Clin Oral Impl Res 2018;29:522-9.

10.1111/clr.1314929607553

Park SH, Song YW, Sanz-Martín I, Cha JK, Lee JS, Jung UW. Clinical benefits of ridge preservation for implant placement compared to natural healing in maxillary teeth: A retrospective study. J Clin Periodontol 2020;47:382-91.

10.1111/jcpe.1323131820460

Barone A, Orlando B, Cingano L, Marconcini S, Derchi G, Covani U. A randomized clinical trial to evaluate and compare implants placed in augmented versus non-augmented extraction sockets: 3-year results. J Periodontol 2012;81:836-46.

10.1902/jop.2011.11020522141358

Stacchi C, Andolsek F, Berton F, Perinetti G, Navarra CO, Di Lenarda R. Intraoperative complications during sinus floor elevation with lateral approach: A systematic review. Int J Oral Maxillofac Implants 2017;32:e107-18.

10.11607/jomi.488428494033

Thoma DS, Zeltner M, Hüsler J, Hämmerle CHF, Jung RE. EAO Supplement Working Group 4 - EAO CC 2015 short implants versus sinus lifting with longer implants to restore the posterior maxilla: A systematic review. Clin Oral Impl Res 2015;26:154-69.

10.1111/clr.1261525997901

Sheikh Z, Hamdan N, Ikeda Y, Grynpas M, Ganss B, Glogauer M. Natural graft tissues and synthetic biomaterials for periodontal and alveolar bone reconstructive applications: A review. Biomater Res 2017;21:17-36.

10.1186/s40824-017-0095-528593053PMC5460509

Wong R, Rabie A. Effect of Bio-Oss^® Collagen and Collagen Matrix on Bone Formation. Open Biomed Eng J 2010;4:71-6.

10.2174/187412070100401007120461225PMC2866303

Lee JH, Kim DH, Jeong SN. Comparative assessment of anterior maxillary alveolar ridge preservation with and without adjunctive use of enamel matrix derivative: A randomized clinical trial. Clin Oral Impl Res 2020;31:1-9.

10.1111/clr.1353031472087

Lee JH, Jeong SN. Effect of enamel matrix derivative on alveolar ridge preservation in the posterior maxilla: A randomized controlled clinical trial. Clin Implant Dent Relat Res 2020;22:622-30.

10.1111/cid.1294032902075

Bae EB, Kim HJ, Ahn JJ, Bae HY, Kim HJ, Huh JB. Comparison of Bone Regeneration between Porcine-Derived and Bovine-Derived Xenografts in Rat Calvarial Defects: A Non-Inferiority Study. Materials 2019;12:3412.

10.3390/ma1220341231635277PMC6829332

Koo TH, Song YW, Cha JK, Jung UW, Kim CS, Lee JS. Histologic analysis following grafting of damaged extraction sockets using deproteinized bovine or porcine bone mineral: A randomized clinical trial. Clin Oral Impl Res 2020;31:93-102.

10.1111/clr.1355731724239

Kim Y, Nowzari H, Rich SK. Risk of Prion Disease Transmission through Bovine-Derived Bone Substitutes: A S(ystematic Review. Clin Implant Dent Relat Res 2013;15:645-53.

10.1111/j.1708-8208.2011.00407.x22171533

Lee JH, Kim DH, Jeong SN. Adjunctive use of enamel matrix derivatives to porcine-derived xenograft for the treatment of one-wall intrabony defects: Two-year longitudinal results of a randomized controlled clinical trial. J Periodontol 2020;91:880-9.

10.1002/JPER.19-043231811645PMC7497188

Apostolopoulos P, Darby I. Retrospective success and survival rates of dental implants placed after a ridge preservation procedure. Clin Oral Impl Res 2017;28:461-8.

10.1111/clr.1282026945786