Abstract
Background:Mineralized Plasmatic Matrix [MPM] is a unique form of platelet rich fibrin that contains mineralized bone graft particles within a fibrin network.Aim:This study was conducted to evaluate horizontal ridge augmentation using MPM with and without a coverage membrane.Materials and Methods:Sixteen edentulous spaces were randomly divided into 2 equal groups. MPM was used for horizontal ridge augmentation with and without a covering collagen membrane (group 1 and 2, respectively). Cone Beam CT images were obtained preoperatively as well as 1 week and 4 months postoperatively to evaluate alveolar ridge and the resorption of the grafting material at 3 predetermined points along with the site where the future dental implant will be placed.Student’s t-test (Unpaired) was used for comparing two different groups with quantitative parametric data and student’s t-test (Paired) was used for comparing two related groups with quantitative parametric data while repeated measures ANOVA (Analysis of variance) followed by post-hoc Bonferroni was used for comparing more than two related groups with quantitative parametric data.Student’s t-test (Unpaired) was used for comparing two different groups with quantitative parametric data and student’s t-test (Paired) was used for comparing two related groups with quantitative parametric data while repeated measures ANOVA (Analysis of variance) followed by post-hoc Bonferroni was used for comparing more than two related groups with quantitative parametric data.Results:There was no statistically significant difference between the gained bone width in both groups. More but not statistically significant resorption was recorded in group 2.Conclusion:MPM can be successfully used for horizontal ridge augmentation without a barrier membrane.
Highlights
Resorption of the alveolar ridge is inevitable following tooth loss
Mineralized Plasmatic Matrix (MPM) can be successfully used for horizontal ridge augmentation without a barrier membrane
Sixteen edentulous spaces were grafted to increase the width of the alveolar ridge in 14 patients
Summary
Resorption of the alveolar ridge is inevitable following tooth loss. This situation is more pronounced in the anterior maxilla. Up to 33% of the alveolar ridge width and height are reported to extend within the first year after extraction. The resultant insufficient bone quantity and quality. Despite the wide variety of grafting techniques reported in the literature, there is no consensus regarding which is the best method to be used. The decision is usually tailored by the surgeon, depending on the clinical situation [5 - 7]. Horizontal ridge augmentation often utilizes a block graft or a particulate bone graft with the barrier membrane [8]. Mineralized Plasmatic Matrix [MPM] is a unique form of platelet rich fibrin that contains mineralized bone graft particles within a fibrin network
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