Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Mar;14(1):101-6.
doi: 10.1007/s12663-013-0599-z. Epub 2013 Nov 14.

The effect of alloplastic bone graft and absorbable gelatin sponge in prevention of periodontal defects on the distal aspect of mandibular second molars, after surgical removal of impacted mandibular third molar: a comparative prospective study

Manju Singh  1 , Kalyani Bhate  1 , Deepak Kulkarni  1 , S N Santhosh Kumar  1 , Rahul Kathariya  2
Affiliations

The effect of alloplastic bone graft and absorbable gelatin sponge in prevention of periodontal defects on the distal aspect of mandibular second molars, after surgical removal of impacted mandibular third molar: a comparative prospective study

Manju Singh et al. J Maxillofac Oral Surg. 2015 Mar.

Abstract

Aim: Recent studies claim that haemostatic agents can be used as bone graft substitutes. The aim of this study was to compare the efficacy of alloplastic bone graft with absorbable gelatin sponge in prevention of periodontal defects distal to mandibular second molar after the surgical removal of impacted mandibular third molars.

Materials and methods: A prospective, randomized, single-blind split-mouth study was designed. The study consisted of 25 patients requiring surgical removal of bilateral impacted mandibular 3rd molars. The surgical sites were randomly divided into 2 groups: group I: G-graft (hydroxyapatite + collagen, study group) and group II: Abgel (absorbable gelatin sponge, control group). Patients were recalled on lst and 7th postoperative days and 3rd and 6th postoperative months. Probing depth, alveolar bone levels and soft tissue wound healing were evaluated. Paired t test was used to compare pre and post-operative alveolar bone levels and probing depth (PD). Wilcoxon signed ranks test was used to compare the wound healing.

Results: The soft tissue wound healing, PD and the distance between the cemento-enamel junction on the distal aspect of mandibular second molar (point A) and the alveolar crest on the distal aspect of the same tooth (point B) were significantly higher in group I as compared to group II.

Conclusion: This study reveals an increase in the alveolar bone level, improvement of PD and better wound healing in group I. Group II subjects required longer healing time than the normal. The authors disagree the claim that the haemostatic agents can be used as bone graft substitutes. However, long-term, multicenter, randomized controlled clinical trials are required.

Keywords: Collagen; Hemostatics; Hydroxyapatite-beta tricalcium phosphate; Impacted teeth.

PubMed Disclaimer

References

    1. Ahmed A, Mohamed F, Hattab K. Surgical extraction of impacted mandibular third molars: postoperative complications and their risk factors. JMJ. 2009;9:272–275.
    1. Richardson DT, Dodson TB. Risk of periodontal defects after third molar surgery: an exercise in evidence-based clinical decision-making. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:133–137. doi: 10.1016/j.tripleo.2005.02.063. - DOI - PubMed
    1. Kan KW, Liu JKS, Lo ECM, Corbet EF, Leung WK. Residual periodontal defects distal to the mandibular second molar 6-36 months after impacted third molar extraction—A retrospective cross-sectional study of young adults. J Clin Periodontol. 2002;29:1004–1011. doi: 10.1034/j.1600-051X.2002.291105.x. - DOI - PubMed
    1. Peng KY, Tseng YC, Shen EC, Chiu SC, Fu E, Huang YW. Mandibular second molar periodontal status after third molar extraction. J Periodontol. 2001;72:1647–1651. doi: 10.1902/jop.2001.72.12.1647. - DOI - PubMed
    1. Dodson TB. Management of mandibular third molar extraction sites to prevent periodontal defects. J Oral Maxillofac Surg. 2004;62:1213–1224. doi: 10.1016/j.joms.2004.06.035. - DOI - PubMed

LinkOut - more resources