Use of HTR Synthetic Bone As an Augmentation Material in Conjunction with Immediate Implant Placement: A Case Report

Abstract

Immediate placement of dental implants (DI) in fresh extraction sockets is associated with remaining voids around the DI and often a partial dehiscence or thin facial alveolar plate. Bioplant HTR synthetic bone (HTR) was used as a ridge preservation/augmentation material in conjunction with this method of DI placement. A 61-year-old white woman requiring extraction of tooth 12 opted for immediate DI placement. HTR was used to fill the remaining socket void and enhance the facial ridge width, and primary closure was attempted with sutures. DI uncovering was performed at about 6 months. Measurements were taken to the nearest 0.5 mm of the internal socket width and total site width at DI placement and uncovering. The internal socket width was essentially maintained (6.8 vs 6.6 mm), and the total ridge width showed a change from 8.7 to 9.1 mm. The results of this case suggest that HTR is a useful adjunct in the placement of immediate DIs for the preservation of ridge width.

Ridge Preservation Using a Composite Bone Graft and a Bioabsorbable Membrane With and Without Primary Wound Closure: A Comparative Clinical Trial

“…It may be speculated that in cases of expected significant resorption the treatment of choice may be to add an extrasocket graft material. This method showed only 8% of ridge width alteration and may be the treatment of choice in cases when significant resorption is expected 24 (Table 4).…”

The Use of Light/Chemically Hardened Polymethylmethacrylate, Polyhydroxyethylmethacrylate, and Calcium Hydroxide Graft Material in Combination With Polyanhydride Around Implants in Minipigs: Part I: Immediate Stability and Function

“…The findings of the study are consistent with data reported in current literature 51 with respect to STVs when immediate loading was tested. However, to our knowledge, there are only some case reports and case series that tested STVs of immediate implants for which augmentation materials were used to support immediate loading 20,44 …”

“…The synthetic bone‐graft material composed of polymethylmethacrylate (PMMA), polyhydroxyethylmethacrylate (PHEMA), and calcium hydroxide (CH) (PPCH) ¶ is a Food and Drug Administration (FDA)–approved bioabsorbable bone substitute used as a bone‐void filler 40 . Studies 41‐46 of the PPCH polymer composite graft material showed superior clinical results with regard to the horizontal defect fill in human Class II furcation defects compared to open flap debridement or guided tissue regeneration barriers alone. Polyanhydride (PA) (anhydride‐ co ‐imides) matrices are novel bioabsorbable polymeric materials with good mechanical properties designed specifically for orthopedic applications 47 .…”

The effect of simvastatin on remodelling of the alveolar bone following tooth extraction

“…Extensive studies have been carried out into how to maintain the residual alveolar ridge by decreasing alveolar bone resorption or accelerating new bone formation. Although some methods [8][9][10]15,18,25,27,28,30,34,37,38 , such as allografts, autografts, osteoinduction by cytokines or growth factors, osteopromotion by the guided bone regeneration technique and immediate dental implants, can promote bone formation, secondary lesions, immunologic rejection and poor long-term results of these treatments limit their clinical applications.…”