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Deproteinized bovine bone derived with collagen improves soft and bone tissue outcomes in flapless immediate implant approach and immediate provisionalization: a randomized clinical trial

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Abstract

Objectives

This study aimed at evaluating soft and hard tissue dimensions after immediate implant placement and immediate temporization with or without alveolar preservation at the maxillary anterior region.

Materials and methods

Twenty-two patients needing maxillary incisor extraction and with the possibility of immediate implant placement were randomly assigned to the following groups: test (n = 11): immediate implant placement + deproteinized bovine bone derived with collagen inserted into the alveolus or control (n = 11): immediate implant placement without biomaterial. All soft tissue measurements were evaluated at baseline, 3 months, and 6 months after implant therapy. Cone beam tomography was performed at baseline and at 6 months after implant placement to evaluate hard tissue dimension.

Results

The test group presented higher height of soft tissue at mesiobuccal and distobuccal sites at 3 months and 6 months when compared to the control group (p < 0.05). Regarding the bone tissue, the test group showed higher buccolingual ridge dimension at 6 months when compared to the control group (p < 0.05).

Conclusions

It can be concluded that the use of deproteinized bovine bone derived with collagen together with immediate dental implants results in better soft and bone tissue outcomes than immediate implants alone.

Clinical relevance

The use of deproteinized bovine bone derived with collagen may enhance the results regarding soft and bone tissue in combination with immediate implant and temporization.

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Funding

This research received no specific grant from any funding agency.

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Authors and Affiliations

  1. Dental Research Division, School of Dentistry, Universidade Paulista (UNIP), Av. Dr. Bacelar, 1212, 4º andar, Vila Clementino, São Paulo, SP, 04026-002, Brazil

    Felipe Fonseca Girlanda, Hsu Shao Feng, Mônica Grazieli Corrêa, Márcio Zaffalon Casati, Suzana Peres Pimentel, Fernanda Vieira Ribeiro & Fabiano Ribeiro Cirano

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  1. Felipe Fonseca Girlanda
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  2. Hsu Shao Feng
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  3. Mônica Grazieli Corrêa
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  4. Márcio Zaffalon Casati
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  6. Fernanda Vieira Ribeiro
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  7. Fabiano Ribeiro Cirano
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Correspondence to Fabiano Ribeiro Cirano.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the local ethical committee of Paulista University (56342516.8.0000.5512).

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Girlanda, F.F., Feng, H.S., Corrêa, M.G. et al. Deproteinized bovine bone derived with collagen improves soft and bone tissue outcomes in flapless immediate implant approach and immediate provisionalization: a randomized clinical trial. Clin Oral Invest 23, 3885–3893 (2019). https://doi.org/10.1007/s00784-019-02819-x

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  • DOI: https://doi.org/10.1007/s00784-019-02819-x

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