China Journal of Oral and Maxillofacial Surgery ›› 2021, Vol. 19 ›› Issue (4): 332-336.doi: 10.19438/j.cjoms.2021.04.008

• Original Articles • Previous Articles     Next Articles

Application of atelo-collagen for distal bone defect restoration of the second molar after mandibular third molar extraction: a split-mouth clinical trial

GUO Ya-rong, LU Xu-guang, WANG Xing, CHENG Yong-feng, HE Dong-ning   

  1. Shanxi Medical University School and Hospital of Stomatology. Taiyuan 030001, Shanxi Province, China
  • Received:2021-01-22 Revised:2021-03-10 Online:2021-07-20 Published:2021-08-05

Abstract: PURPOSE: To evaluate the clinical effect of atelo-collagen grafting on reconstruction of intrabony defects of the second molar after mandibular third molar extraction. METHODS: Thirty-two patients who had their mandibular third molars extracted at Shanxi Medical University Hospital of Stomatology from January 2019 to July 2019 were included in this study. Bilateral mandibular third molars were in horizontal position in all patients. After extraction, the same person's tooth sockets were divided into two groups: the control group and the atelo-collagen group. The tooth sockets in the control group received colloidal silver gelatin sponge, while in the atelo-collagen group atelo-collagen was used to fill the sockets. The patients were followed up for 3, 6 months. Assessments of distal buccal probing depth of the second molar and X-ray examination were performed 3, 6 months postoperatively. The data were analyzed with SPSS 24.0 software package. RESULTS: Probing depths were improved after operation in both groups. There was no significant difference between the two groups. The height and bone density of the new bone in the atelo-collagen group were significantly higher than those in the control group(P<0.001). Three months after operation, the volume of new bone in the atelo-collagen group was significantly larger than the control group. CONCLUSIONS: Atelo-collagen can promote bone regeneration and reconstruction in the intrabony defect of second molar caused by extraction of mandibular third molar.

Key words: Atelo-collagen, Mandibular third molar, Second molar, Bone defect repair

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