Comparison of the Efficacy of Tricalcium Phosphate and Mineralized Plasmatic Matrix Graft for the Bone Defect in the Distal Second Molar Tooth After Surgery of the Lower Impacted Third Molar Tooth

Year 2024, Volume: 6 Issue: 1, 60 - 69, 30.04.2024

Ali Kılınç , Bozkurt Kubilay Işık , Sebnem Duygulu

https://doi.org/10.51122/neudentj.2024.89

Abstract

Aim: After the extraction of mandibular horizontal and mesioangular teeth, a defect occurs in the distal part of the second molar. In this study, the effect of MPM on these defects was evaluated.
Materials and methods: 36 patients randomly divided into 3 groups. The first group included MPM and PRF. The second group included B-tcp and PRF. In the 3rd group, the extraction socket was left empty.
At preoperative and postoperative 6th months, periodontal pocket depth, gingival index and plaque index, and the distance between the enamel junction and crestal bone at the distal of the 2nd molar were measured by CBCT. 8 patients were removed for various reasons. 28 patients were evaluated.
Results: Preoperative and postoperative periodontal pocket depths at the sixth month were 7.67 ± 1.58 mm and 4.67 ± 1.23 mm in the MPM group (p<0,001); 6.60±1.96 mm and 4.70±1.34 mm in the β-TCP group (p<0,001); 6.78±1.48 mm and 5.56±1.01 mm in the control group (p<0,023).
Bone defects preoperatively and at six months postoperatively were 7.97 ± 1.04 mm and 3.59 ± 0.66 mm in the MPM group (p<0,001); 6.23 ± 1.37 mm and 2.90 ± 1.04 mm in the β-TCP group (p<0,001); 6.92±0.82 mm and 4.30±0.68 mm in the control group (p<0,001).
Conclusion: MPM is an effective graft material to restore the periodontal health of the distal part of the second molar after impacted lower third molar surgery.

Keywords

bone, extraction of tooth, tricalcium phosphate, platelet-rich fibrin, third molar

Alt Gömülü Üçüncü Molar Dişin Çekimi Sonrası İkinci Moların Distalinde Oluşan Kemik Defektinde Trikalsiyum Fosfat ve Mineralize Plazmatik Matriks Greftin Etkinliğinin Karşılaştırılması

Abstract

ÖZET
Amaç: Mandibular mesioangular ve horizontal dişlerin çekiminden sonra ikinci molar dişin distalinde defekt oluşmaktadır. Bu çalışmada bu defektlere MPM’ in etkisi değerIendirildi.
Materyal ve metot: 36 hasta rastgele 3 gruba ayrıldı. İlk grup MPM ve PRF içermekteydi. İkinci grup B-TCP ve PRF içermekteydi. Üçüncü grupta çekim soketi boş bırakıldı.
Preoperatif ve postoperatif 6. ayda periodontal cep derinliği, dişeti indeksi, plak indeksi ve 2. Moların distalindeki kemik ile mine bileşimi arasındaki mesafe KIBT ile ölçüldü. 8 hasta çeşitli sebeplerle çıkarıldı. 28 hasta değerlendirildi.
Bulgular: Ameliyat öncesi ve sonrası altıncı ayda periodontal cep derinlikleri MPM grubunda 7,67 ± 1,58 mm ve 4,67 ± 1,23 mm (p<0,001); β-TCP grubunda 6,60±1,96 mm ve 4,70±1,34 mm (p<0,001); Kontrol grubunda 6,78±1,48 mm ve 5,56±1,01 mm (p<0,023).
MPM grubunda ameliyat öncesi ve ameliyat sonrası altı ayda kemik defektleri 7,97 ± 1,04 mm ve 3,59 ± 0,66 mm idi (p<0,001); β-TCP grubunda 6,23 ± 1,37 mm ve 2,90 ± 1,04 mm (p<0,001) ; Kontrol grubunda 6,92±0,82 mm ve 4,30±0,68 mm (p<0,001).
Sonuç: MPM, gömülü alt üçüncü molar cerrahisi sonrasında ikinci molar dişin distal kısmının periodontal sağlığını yeniden sağlamada etkili bir greft materyalidir.

Keywords

kemik, üçüncü molar, diş çekimi, trikalsiyum fosfat, trombositten zengin fibrin

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