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Modified alveolar ridge preservation to promote the osteogenesis of the distal surface of second molar after mandibular impacted third molar extraction: a preliminary study

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Abstract

Objectives

The objective of the retrospective study was to explore whether the use of a modified alveolar ridge preservation technique impacts osteogenesis on the distal surface of the second molar after mandibular third molar (M3) extraction.

Materials and methods

A total of 54 patients were enrolled in this study and divided into three different groups, including modified alveolar ridge preservation (MARP) group, traditional tooth extraction (TRA) group, and classical guided bone regeneration (GBR) group. In this study, MARP was designed with the highlights of the preservation of the alveolar bone superior and lingual to M3. These patients chose different surgical methods according to their own wishes for past infection or in order to prevent pericoronitis, and the operation time and surgical cost of each group were recorded. The periodontal conditions of the ipsilateral mandibular second molar (M2) and the height of its distal alveolar bone were measured during the postoperative follow-up.

Results

The probing depth, clinical attachment level, and osseous defect depth on the distal surface of the ipsilateral M2 in the MARP group were better than those of the TRA group at any time of the follow-up (P < 0.05 for all), but there was no statistical difference in the measurements when compared to the GBR group at 6 months after operation (P > 0.05 for all).

Conclusions

Thus, MARP therapy not only improves the regeneration of periodontal osseous defects distal to the M2 after M3 extraction but also reduces the operation time and surgical cost.

Clinical relevance

This paper introduces a modified surgical method that can not only economically and effectively remove the impacted mandibular third molar but also obtain stable osteogenesis.

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Acknowledgements

The authors thank Dr. Wenbin Wei and Dr. Hui Li at the Department of Oral Surgery, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, for their efforts and support during the conduction of the study. Data belong to the authors, and by no means did the sponsor interfere with the conduction of the trial or the publication of its results.

Funding

This study was supported by the Special Research on Medical Innovation of Shanghai Municipal Commission of Science and Technology (21Y11903500).

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Authors and Affiliations

  1. Department of Oral Surgery, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, and Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, Shanghai, China

    Yeping Lu, Yiwen Wang, Ying Chai & Minjie Chen

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  1. Yeping Lu
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  2. Yiwen Wang
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  3. Ying Chai
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  4. Minjie Chen
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Contributions

Yeping Lu contributed to conception, design, data acquisition and interpretation, and drafted the manuscript; YiWen Wang and Ying Chai contributed to data acquisition and interpretation; Minjie Chen contributed to conception and design and critically revised the manuscript. All authors gave final approval and agree to be accountable for all aspects of the work.

Corresponding author

Correspondence to Minjie Chen.

Ethics declarations

Ethics approval and consent to participate

This non-randomized retrospective controlled trial was conducted in accordance with the Declaration of Helsinki (revised 2013). The present study was approved by the Ethical Committee of Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University (No. SH9H-2021-T211-1).

Conflict of interest

The authors declare no competing interests.

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Lu, Y., Wang, Y., Chai, Y. et al. Modified alveolar ridge preservation to promote the osteogenesis of the distal surface of second molar after mandibular impacted third molar extraction: a preliminary study. Clin Oral Invest 27, 6089–6096 (2023). https://doi.org/10.1007/s00784-023-05224-7

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