In situ endoscopic analysis of bone microstructure and vascularization in post-extraction sites immediately after a minimally invasive vertical tooth extraction in teeth with different periodontal status

Daniela Arraño, Alejandra Chaparro, Marcio Lazzarini, Pablo Acuña-Mardones, Wilfried Engelke, Víctor Beltrán

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this study was to perform an in situ endoscopic analysis of the vascularization of post-extraction sites immediately after a non-traumatic extraction in terms of the number of blood vessels per field (NBV), relative area of blood vessels (RABV) and relative area of unmineralized bone (RAUB) in teeth with different periodontal status (PS). This assessment was performed using short distance support immersion endoscopy (SD-SIE). Ten patients (4 men/ 6 women, aged between 25 and 44) were selected. From them, 10 teeth were extracted due to periodontal reasons or other motives. These teeth were then categorized into 2 groups according to their PS, either as periodontally compromised (PC) (clinical attachment loss (CAL) > 7 mm and probing depth (PD) > 5 mm) or periodontally healthy (PH) (CAL < 7 mm and PD < 5 mm, without bleeding or suppuration during periodontal probing), and mobile (M) (> 1 mm horizontally) or immobile (I) (< 1 mm horizontally). The minimally invasive vertical tooth extractions were performed using the Benex ® extractor. Immediately after extraction, a rigid immersion endoscope with a diameter of 2.7 mm was introduced, and a video-alveoloscopy was carried out. This video was analyzed by ImageJ software for the quantification of NBV, RABV and RAUB per field of the post-extraction sites with different PS (PC, PH, M, I) were quantified. In the PC group, significantly greater values for RAUB were observed (33.45 %) compared to those from the PH group (19.65 %). Compared with the M group, the I group did not show significant differences in terms of RAUB or RABV. There were also no differences in NBV in both groups (Means: 33.8 vs. 30.5, respectively).

Translated title of the contributionIn situ endoscopic analysis of bone microstructure and vascularization in post-extraction sites immediately after a minimally invasive vertical tooth extraction in teeth with different periodontal status
Original languageSpanish
Pages (from-to)1735-1741
Number of pages7
JournalInternational Journal of Morphology
Volume38
Issue number6
DOIs
StatePublished - Dec 2020

Bibliographical note

Funding Information:
ACKNOWLEDGEMENTS. This study was funded in part by the DIUFRO projects DI17-0170 and DIE17-0002. Additionally, the authors VB and AC received funding from the project awarded during the second “Inicia tu Idea Ufro-UAndes” contest. Author WE was financed by the project Folio PAI80160012, CONICYT-Chile.

Publisher Copyright:
© 2020, Universidad de la Frontera. All rights reserved.

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