Accelerated Soft and Hard Tissue Healing In Extraction Sockets Augmented With Bone Allograft and Amnio- Fluid, Clinical and Histological Report of Ten Cases

Abstract

Preservation of the dental extraction sockets through bone grafting has been a key procedure to maintain the volumetric aspect of the bone walls. This has been proven successful in bone preservation for future implant insertion or prosthetic treatment. Several materials of bone allograft, xenografts, synthetics and membranes were successful in socket preservation however the healing duration and the outcome of bone formed differs. Ten patients selected with posterior extraction sockets for the augmentation procedure, the bone graft mass mixed with Amnio-Spark fluid (Salvin Dental Specialties, Charlotte, NC, USA) and the wound secured with sutures and left to heal with no covering membrane. Post-operative visits scheduled at two, four and twelve weeks’ intervals for monitoring of the healing and core biopsies were harvested from the augmented extraction sockets and examined histologically at the twelve’s week. At two weeks, there was considerable formation of tissue covering the bone graft material which continued to progress into keratinized tissue in four weeks. Core bone biopsies taken at twelve weeks demonstrated a pattern of viable bone formation with minor remnants of the bone graft material. This case series will demonstrate the effectiveness of the amnio- fluid in rapid formation of gingival tissue on top of the augmented extraction socket wounds. Additionally, it will histologically confirm expedited bone remodeling into the extraction socket following the augmentation