Comparative analysis of synthetic and xenogeneic osteoplastic materials application for augmentation of the alveolar process / part of the jaws before dental implantation according to the radiology methods

Abstract

Purpose. Increasing the effectiveness of patients' treatment with partial and complete absence of teeth that require osteoplastic operations by applying synthetic and xenogeneic osteoplastic materials before dental implantation under control of radiology methods. Materials and methods. The study involved 32 patients (14 women and 18 men) aged from 25 to 65 years with the diagnosis: chronic apical periodontitis, chronic periodontitis beyond exacerbation, in which after the operation of tooth extraction, socket preservation with osteoplastic material was performed. All patients underwent cone-beam computed tomography (CBCT) at pre-and postoperative stages of treatment. Results. According to the results of CBCT in the 1st group of patients (synthetic material), a satisfactory condition of the osteoplastic material was noted, the average density of the newly formed bone tissue was 1490 ± 448 conventional units, the width of the alveolar process / part of the jaw before the start of treatment was at average 9.06 ± 0.6 mm. After the operation of tooth extraction and socket preservation was 7.45 ± 0.51 mm, which was 81% of the original width. According to the results of CBCT in patients of the 2nd group (xenogenic material), a satisfactory condition of the osteoplastic material was also noted, the average density of the newly formed bone was at average 1850 ± 370 conventional units, the width of the alveolar process / part of the jaw before the start of treatment was 8.32 ± 0, 53 mm on the average, after the operation of tooth extraction and socket preservation was 6.71 ± 0.39 mm, which was 82% of the original width. Conclusions. CBCT is effective method for evaluating the usage of synthetic and xenogenic osteoplastic materials for augmentation of the alveolar process / part of the jaws before dental implantation.