EXODONTIA E PRESERVAÇÃO DO REBORDO ALVEOLAR EMPREGANDO MATERIAIS BIOCOMPATÍVEIS: O QUE É POSSÍVEL ATUALMENTE?
EXODONTIA E PRESERVAÇÃO DO REBORDO ALVEOLAR EMPREGANDO MATERIAIS BIOCOMPATÍVEIS: O QUE É POSSÍVEL ATUALMENTE?
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DOI: https://doi.org/10.22533/at.ed.412122505068
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Palavras-chave: Regeneração Óssea, Materiais Biocompatíveis, Perda óssea alveolar, Extração dentária
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Keywords: Bone Regeneration, Biocompatible Materials, Alveolar Bone Loss, Tooth Extraction
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Abstract: Alveolar bone regeneration post-extraction is a crucial topic in modern dentistry. After tooth extraction, chronological events occur in the alveolar process. Biomaterials have been widely studied to enhance guided bone regeneration and alveolar preservation. Technological advancements have enabled the production of alloplastic materials, bringing greater predictability to surgical procedures. This study aims to analyze the healing processes of the alveolus and strategies for alveolar preservation using biomaterials, evaluating differences between contemporary protocols and approaches. Randomized clinical trials were selected from the PubMed, MEDLINE, and LILACS databases, using the keywords: "Bone Regeneration, Biocompatible Materials, Alveolar Bone Loss, and Tooth Extraction," with a time frame from 2014 to April 2024. Exclusion criteria included articles prior to 2014, in vitro and in vivo studies, literature reviews, and case reports. Alveolar healing post-extraction involves sequential phases: inflammatory, proliferative, and remodeling. The use of bone graft materials aims to preserve the ridge and promote new bone formation. Among bone substitutes, autografts, xenografts, and synthetic fillers are noteworthy. With technological advancements and the integration of digital workflows, it is possible to manufacture customized bone materials, providing greater predictability in surgical procedures. Studies indicate that using biomaterials for alveolar ridge preservation is promising, improving bone regeneration. The customization of bone materials, through virtual planning, allows for the production of bone blocks tailored to the defect geometry, ensuring predictability.
- Arthur Roger Araujo de Oliveira
- Gustavo Henrique Pereira Pinto
- Mateus Veppo dos Santos