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Case Reports in Dentistry
Volume 2018 (2018), Article ID 6412806, 8 pages
https://doi.org/10.1155/2018/6412806
Case Report

Alveolar Ridge Preservation Using a Novel Synthetic Grafting Material: A Case with Two-Year Follow-Up

1Department of Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, 2700 Martin Luther King Jr. Boulevard, Detroit, MI 48208, USA
2Department of Oral and Maxillofacial Surgery, Dental School, National and Kapodistrian University of Athens, 2 Thivon Street, Goudi, Athens 115 27, Greece
3Manchester Molecular Pathology Innovation Centre, The University of Manchester, Nelson Street, Manchester M13 9NQ, UK
4Departments of Periodontics, Implant Dentistry, and Oral Surgery, New York University College of Dentistry, 345 E. 24th Street, New York, NY 10010, USA

Correspondence should be addressed to Minas Leventis

Received 10 October 2017; Accepted 13 December 2017; Published 1 February 2018

Academic Editor: Eduardo Hochuli-Vieira

Copyright © 2018 Peter Fairbairn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This case report highlights the use of a novel in situ hardening synthetic (alloplastic), resorbable, bone grafting material composed of beta tricalcium phosphate and calcium sulfate, for alveolar ridge preservation. A 35-year-old female patient was referred by her general dentist for extraction of the mandibular right first molar and rehabilitation of the site with a dental implant. The nonrestorable tooth was “atraumatically” extracted without raising a flap, and the socket was immediately grafted with the synthetic biomaterial and covered with a hemostatic fleece. No membrane was used, and the site was left uncovered without obtaining primary closure, in order to heal by secondary intention. After 12 weeks, the architecture of the ridge was preserved, and clinical observation revealed excellent soft tissue healing without loss of attached gingiva. At reentry for placement of the implant, a bone core biopsy was obtained, and primary implant stability was measured by final seating torque and resonance frequency analysis. Histological analysis revealed pronounced bone regeneration while high levels of primary implant stability were recorded. The implant was successfully loaded 12 weeks after placement. Clinical and radiological follow-up examination at two years revealed stable and successful results regarding biological, functional, and esthetic parameters.