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Open AccessArticle

A Clinical and Histological Study about the Socket Preservation in a Patient under Oral Bisphosphonates Treatment: A Case Report

1
Falmed Medical Care, Viale G. d’Annunzio, 73, 65127 Pescara, Italy
2
Department of Medical, Oral and Biotechnological Sciences, G. d’Annunzio University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
3
Department of Medicine and Ageing Sciences, G. d’Annunzio University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Paolo Cappare
Biology 2021, 10(4), 262; https://doi.org/10.3390/biology10040262
Received: 18 January 2021 / Revised: 18 March 2021 / Accepted: 19 March 2021 / Published: 25 March 2021
The aim of the present study is to assess the clinical and histological healing of a post-extractive alveolus following the procedure for socket preservation, in a patient receiving oral bisphosphonates for more than 6 years. After the extraction, enzymatically-deantigenated horse bone granules and an equine pericardium membrane were used to preserve the tooth socket. The patient was placed on a monthly follow-up in order to monitor the healing process. A 3 mm trephine bur was used to drill the bone for implant site preparation and to collect the bone sample. No signs and symptoms related to osteonecrosis of the jaws were reported. Histological data showed that, after 5 months, the mean percentages of trabecular bone, bone marrow and residual bone graft were respectively 45.74 ± 0.09%, 48.09 ± 0.08%, and 6.16 ± 0.01%. The residual graft material appeared to be osteointegrated and none of the particles appeared to be encapsulated. The present case report supports the guidelines that assume that patients undergoing oral bisphosphonate therapy can be eligible for surgical therapy. More clinical studies with larger sample sizes are needed to support this clinical evidence. View Full-Text
Keywords: oral bisphosphonates; osteonecrosis of the jaw; extraction socket; socket preservation; bone graft; histological analysis; bone oral bisphosphonates; osteonecrosis of the jaw; extraction socket; socket preservation; bone graft; histological analysis; bone
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MDPI and ACS Style

Falco, A.; Bataccia, F.; Vittorini Orgeas, L.; Perfetti, F.; Basile, M.; Di Pietro, R. A Clinical and Histological Study about the Socket Preservation in a Patient under Oral Bisphosphonates Treatment: A Case Report. Biology 2021, 10, 262. https://doi.org/10.3390/biology10040262

AMA Style

Falco A, Bataccia F, Vittorini Orgeas L, Perfetti F, Basile M, Di Pietro R. A Clinical and Histological Study about the Socket Preservation in a Patient under Oral Bisphosphonates Treatment: A Case Report. Biology. 2021; 10(4):262. https://doi.org/10.3390/biology10040262

Chicago/Turabian Style

Falco, Antonello; Bataccia, Francesco; Vittorini Orgeas, Lorenzo; Perfetti, Federico; Basile, Mariangela; Di Pietro, Roberta. 2021. "A Clinical and Histological Study about the Socket Preservation in a Patient under Oral Bisphosphonates Treatment: A Case Report" Biology 10, no. 4: 262. https://doi.org/10.3390/biology10040262

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