Dr Salama JOMI 2014.pdf


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Kotsakis et al

Fig 1  The longer orange line represents the
line that connects the CEJ of the two neighboring
teeth and was used as a reference point. The
green line extended 5 mm apical to the reference
line during all measurements. The shorter orange
line represents the additional measurement that
was taken from the CEJ of the neighboring tooth
to ascertain reproducibility of the measurements
in the mesiodistal plane.

Figs 2a and 2b   A 37-year-old woman presented
with a maxillary central incisor that was scheduled for extraction because of apical root resorption. A no. 12 blade was used to detach the
supracrestal fibers and minimize distortion of the
gingival architecture during extraction.

a

performed by obtaining apicocoronal measurements
of the length of teeth adjacent to the grafted site to the
nearest tenth of a millimeter and adjusting the magnitude of the socket/site changes accordingly with the
aid of specialized software (Dental Imaging Software
version 6.1.7, Carestream Dental).25 All measurements
were performed twice at two separate time intervals
by the same examiner, and the mean of the two measurements was reported.
Horizontal ridge dimensions were determined with
the aid of an implant dentistry–specific caliper (bone
caliper, G. Hartzell & Son) designed to penetrate soft
tissue and assess bone width. The cementoenamel
junction (CEJ) of the teeth adjacent to the sites to be
augmented was used as a fixed reference point. The
caliper was placed at 5 mm below the line that connected the CEJs of the two neighboring teeth. Additionally,

b

the exact mesiodistal distance between the site of measurement and the root surface of the nearest tooth was
recorded to ensure that the follow-up measurement
would be standardized and reproducible26 (Fig 1). For
study sites adjacent to an edentulous area, such as a
second molar, a line that was parallel to the alveolar
crest and was coming through the neighboring tooth’s
CEJ was considered the reference point.

Socket Preservation

All patients received dental prophylaxis and oral hygiene instructions approximately 15 days prior to the
surgery and were allocated to either one of the test
groups or the control group according to a randomization list. Each patient was given 1 g amoxicillin orally
1 hour before surgery. All surgical procedures were
performed by the same operator (GK). The socket-plug
The International Journal of Oral & Maxillofacial Implants 143

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