Maxillofac Plast Reconstr Surg.  2015 Feb;37(2):8. 10.1186/s40902-015-0009-1.

Autogenous fresh demineralized tooth graft prepared at chairside for dental implant

• Kim ES

• KMID: 2381880
• DOI: http://doi.org/10.1186/s40902-015-0009-1

Abstract

BACKGROUND
This study aimed to evaluate the clinical usefulness of autogenous fresh demineralized tooth (auto-FDT) graft prepared at the chairside for alveolar bone grafting during dental implant surgery.
METHODS
In total, 38 patients requiring both tooth extraction (for endodontic or periodontal reasons or third molar extraction) and alveolar bone regeneration for dental implant placement were included. Within 2 h after clean extraction, the teeth were prepared at the chairside to serve as bone graft material. In the same sitting, blocks or chips of this graft material were used to reconstruct defects at the osteotomy site simultaneously with or before implant placement. Twelve months after prosthesis fabrication and placement, the clinical findings and implant success rates were evaluated. Histological studies were randomly conducted for selected cases.
RESULTS
Clinical evaluation showed favorable wound healing with minimal complications and good bone support for the implants. No implant was lost after 12 months of function following prosthetic rehabilitation. Histological examination revealed new bone formation induced by the graft material.
CONCLUSIONS
Chairside preparation of autogenous fresh demineralized teeth after extraction can be a useful alternative to the use of autogenous bone or other graft materials for the immediate reconstruction of alveolar bone defects to facilitate subsequent implant placement.

Keyword

Dental implant; Bone graft; Autogenous fresh demineralized tooth; Auto-FDT; Tooth osteoplantation

MeSH Terms

Alveolar Bone Grafting
Bone Regeneration
Dental Implants*
Humans
Molar, Third
Osteogenesis
Osteotomy
Prostheses and Implants
Rehabilitation
Tooth Extraction
Tooth*
Transplants*
Wound Healing
Dental Implants