Changes in Morphology of Alveolar Buccal Walls Following Atraumatic Internal Root Fragmentation

The buccal alveolar wall represents the most important structure to provide shape and volume of the alveolous following tooth extraction. The aim of the study was the evaluation of buccal alveolar bone structures following minimally invasive surgery. In 15 patients (3 male, 12 female), aged 20­67 ye...

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Autores principales: Engelke,Wilfried, Beltrán,Víctor, Decco,Oscar, Valdivia-Gandur,Iván, Navarro,Pablo, Fuentes,Ramón
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2015
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000200014
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Sumario:The buccal alveolar wall represents the most important structure to provide shape and volume of the alveolous following tooth extraction. The aim of the study was the evaluation of buccal alveolar bone structures following minimally invasive surgery. In 15 patients (3 male, 12 female), aged 20­67 years, 3 central incisors, 5 lateral incisors, and 7 bicuspids were removed using flapless enucleation. The enucleation comprised endoscopically assisted mesiodistal root sectioning with inward fragmentation of the oral and apical parts followed by internal reduction of the buccal root lamella. Buccal bone height before extraction was 10.61 mm, following extraction 10.50 mm. Crestal width of the buccal bone plate was 1.11 mm before and 1.40 mm after tooth removal. Apical buccal bone width before was 0.66 mm and after extraction 0.40 mm. Gingival height was 13.58 mm before and 13.56 mm following extraction. Following transalveolar enucleation, the buccal alveolar bone wall remains unchanged concerning height and crestal width.