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EVALUATE THE EFFICACY OF AN AUTOLOGOUS DENTIN GRAFT AFTER SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLAR
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Abstract
Objective: This study aims to evaluate the effect of autologous dentin graft on the improvement of periodontal pocket depth and alveolar crest level distal to the adjacent mandibular second molar after surgical removal of the impacted mandibular third molar. Method: A randomized split-mouth clinical trial was performed on 13 patients with 4 wisdom teeth that were indicated for extraction, in which the mandibular third molar on both sides had a symmetrical orientation and the same difficulty level. In the experimental group, after extraction of the maxilla third molar, the extracted tooth was ground and processed. This graft was then placed into the mandibular third molar socket and covered with a hemostatic sponge, while in the control group it was filled with a hemostatic sponge. The depth of the distobuccal and the distolingual periodontal pocket of the adjacent second molar were recorded pre-surgery and 1, 3, and 6 months post-surgery. The adjacent second molar’s alveolar crest level was evaluated in periapical film at 7 days, 3 months, and 6 months after surgery. Results: There were a statistically significant difference in periodontal pocket depth reduction and alveolar crest level improvement between the experimental and control groups. Conclusion: Autologous dentin is an effective biomaterial in improving pocket depth and alveolar crest level at the distal second molar after surgical removal of the impacted mandibular third molar.
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Keywords
surgical removal of impacted mandibular third molar, autologous dentin graft, alveolar bone height, periodontal pocket depth
References
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