Autogenous demineralized dentin graft sited immediately after dental extraction
Autogenous demineralized dentin graft sited immediately after dental extraction
Keywords:
Dentin graft, Dental extraction, Bone Density, Autogenous graft.Abstract
Introduction: To evaluate the clinical usefulness of autogenous fresh demineralized dentin (DDM) graft prepared at the chair side for alveolar bone grafting immediately after dental extractions.
Material and Methods: Under local anesthesia after clean extraction, caries or soft tissue debris were removed from extracted tooth. After removal of enamel, cementum, and pulp tissue, the clean and dry tooth mainly dentin, was immediately grinded with a help of 'mortar and pestle’. The demineralized dentin particulate of 0.5-2mm was immersed in basic alcohol cleanser in a sterile container to dissolve all organic debris and bacteria for 10 minutes. Then, the particulate was washed by sterile phosphate buffered saline (PBS). The bacteria-free particulate dentin was ready for immediate grafting into extraction sites.
Results: Gradual absorption of DDM granules and remodelled into new bone formation in the Orthopantomograph (OPG) showed favourable wound healing with excellent bone formation.
Conclusions: Chair side preparation of autogenous fresh demineralized dentin graft after extraction can be a useful alternative to the use of autogenous bone or other graft materials for the immediate reconstruction of alveolar bone defects to facilitate the future prosthesis and save the cost of graft to a patient which are commercially available in market.
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