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TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS
UCLA SCHOOL OF DENTISTRY
Presents Presents Dr. E. Barrie Kenney Professor & Chairman Section of Periodontics
E. Barrie Kenney B.D.Sc., D.D.S., M.S., F.R.A.C.D.S. Tarrson Family Endowed Chair in Periodontics. Professor and Chairman Division of Associated Clinical Specialties UCLA School of Dentistry Bone Maintenance After Tooth Extractions
 
Dog Socket at 3 month, Normal Healing Closed Flap
[object Object]
 
[object Object],[object Object]
 
 
 
Open socket Technique for Extractions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Closed flap Technique for Extractions
Open socket Technique for Extractions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],WITHOUT FLAP
 
 
 
 
 
 
 
 
Open socket Technique for Extractions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],WITH FLAP
 
 
 
 
 
 
Open Flap Technique -  Biogran plus Capset for sockets  compared to flap alone ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
4.00 6.43 Changes in socket fill -1.00 -0.38 Changes in height -3.40 -3.48 Changes in width Controls Biogran + Capset
Open flap Technique for Extractions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Closed flap Technique for Extractions
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Closed flap Technique for Extractions
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Surgical Technique for Ridge Preservation Sulcular Incision and Vertical Releasing Incision
Titanium Pins as a Reference Point
Flap Mobilization GTAM Membrane in place
Suturing Technique Water-proof Closure
Results of Clinical Trials of Ridge Maintenance Following Tooth Extraction. ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
[object Object]
3 Sites with Exposure of Goretex 4.33 3.66 Changes in socket fill -1.66 -1.00 Changes in height -4.33 -2.00 Changes in width Control Goretex
7 Sites with No Exposure of Goretex 2.92 5.43 Changes in socket fill -1.00 -0.28 Changes in height -4.43 -1.71 Changes in width Control Goretex
3 Sites with Exposure to Goretex ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],7 Pairs of Extractions with no Exposure of Goretex
 
 
 
 
 
 
 
 
 
Closed Flap Technique -  Resolut membrane alone compared  to flaps alone ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
 
3.94 5.81 Changes in socket fill -1.50 -0.38 Changes in height -4.56 -1.31 Changes in width Controls Resolut
RANDOMIZED STUDY EVALUATING RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN 2 FOR EXTRACTION SOCKET AUGMENTATION FIORELLINI,J.T. ET AL J. PERIODONT.2005 76: 605 80 PATIENTS CAT SCANS OF SOCKETS GOT 0.75 OR 1.5 MG/ML BMP OR PLACEBO COLLAGEN SPONGE OR NO TREATMENT EVALUATED AT 4 MONTHS 50% BONE LOSS ON BUCCAL
CHANGES IN HEIGHT (MM ) NONE  -1,7 PLACEBO -1,0 0.75 BMP  -0.62 1.50 BMP -0,02 CHANGES IN WIDTH 75% SOCKET LENGTH NONE 1.65 PLACEBO 1.82 0.75 BMP  2.29 1.75 BMP  2.68 (MM).
 
 
 
 
 
 
 
Randomized Study  Evaluating Human Bone Morphogenetic Protein-2  for Extraction  Socket Augmentation Fiorelli J P et al J Periodont 2005, 76:605 ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bone Density, Biopsies: No significant changes seen, trabecular bone no inflammation Changes at 4 months 2.68mm 2.29mm 1.82mm Changes in width 75% length, i.e., apical end 86% 55% 59% Implant placed with no augmentation 3.27mm 1.76mm 0.82mm Changes in width 25% length, i.e., coronal end -0.02mm -0.62mm -1.00mm Changes in height N=21 N=22 N=17 1.50mg/ml 0.75mg/ml Control
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
[object Object]
 
 
 
 
Closed Flap Techniques –  Goretex alone for sockets  compared to flaps alone ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],10 patients with anterior teeth extractions with flaps, Titanium pins as reference points. Took Impressions of exposed sockets. One socket covered with Goretex (PTFE) membrane, other socket no regenerative procedure. Flaps mobilized and tight closure. Reentry at six months.
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]

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