Alveolar Ridge Preservation Using Different Biomaterials: Report of Two Cases

Abstract

Background: The underlying bone framework always determines the soft tissue contours. Numerous aetiologies are linked to tooth loss, which frequently causes abnormalities of the alveolar ridge. Alveolar bone changes in volume as a result of physiologic bone remodelling after tooth extraction, which impacts the way how edentulous area is treated with prosthetic rehabilitation. By limiting the natural post-extraction resorption process, socket preservation methods following tooth extraction will lessen the need for additional ridge augmentation techniques before implant placement while maintaining the existing bone. Case Report: Two male patients, ages 36 and 32, were referred for the extraction of their severely deteriorated first molars in the mandible and for the placement of dental implants to restore the area. Patients were identified as having periodontitis and root caries respectively. In one example, the socket was promptly grafted with Platelet Rich Fibrin with xenograft, and in the other with a collagen sponge, after the irreparable tooth was “atraumatically” excised without creating a flap. After suturing the region, a periodontal dressing was applied and no membrane was employed. Conclusion: After six months, the ridge’s architecture was preserved, and clinical examination showed outstanding soft tissue healing. At six months, a clinical and radiological follow-up evaluation demonstrated consistent and positive outcomes. This article discusses and emphasises the significance of socket preservation after tooth extraction utilising different biomaterials in different case scenarios.