The treatment of osseous defect distal to the mandibular second molars following surgical removal of impacted mandibular third molars: a literature review

Abstract

Abstract: The presence of osseous defect distal to the mandibular second molars as a result of surgical removal of impacted mandibular third molars is a common phenomenon, and the management is often far from easy. The nature course of the periodontal breakdown suggested patients with high risk indicators should be intervened at the time of tooth removal. Compared to periodontal treatment and placing membranes, dentoalveolar reconstructive procedures exhibit a more effective outcome in inducing and accelerating bone regeneration. The bone graft substitutes include autogenous bone, allograft bone, synthetic bone and tissue engineered bone. Although the use of various biomaterials have made significant progress in bone regeneration, total bone regeneration still needs to be investigated.

Key words: Mandibular second molar, Mandibular third molar extraction, Distal osseous defect, Bone regeneration

CLC Number:

R782.1

GE Jing, YANG Chi, ZHENG Jia-wei, WANG Yong. The treatment of osseous defect distal to the mandibular second molars following surgical removal of impacted mandibular third molars: a literature review[J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(1): 76-82.

References

[1] Morris CR, Jerman AC. Panoramic radiographic survey: a study of embedded third molars [J]. J Oral Surg, 1971, 29(2): 122-125.
[2] Kugelberg CF. Impacted lower third molars and periodontal health. An epidemiological, methodological, retrospective and prospective clinical, study[J]. Swed Dent J Suppl,1990, 68: 1-52.
[3] Odusanya SA. Third molar impaction among Nigerian youths [J]. Odontostomatol Trop, 1984, 7(2): 79-83.
[4] Peng KY, Tseng YC, Shen EC, et al. Mandibular second molar periodontal status after third molar extraction [J]. J Periodontol, 2001, 72(12): 1647-1651.
[5] Kugelberg CF, Ahlström U, Ericson S, et al. Periodontal healing after impacted lower third molar surgery. A retrospective study [J]. Int J Oral Surg, 1985, 14(1): 29-40.
[6] Bartold PM, McCulloch CA, Narayanan AS, et al. Tissue engineering: a new paradigm for periodontal regeneration based on molecular and cell biology [J]. Periodontol 2000, 2000, 24: 253-269.
[7] Agustín Zer��n J. Glossary of periodontal terms [J]. Rev ADM, 1990, 47(6): 350-358.
[8] Dodson TB. Management of mandibular third molar extraction sites to prevent periodontal defects [J]. J Oral Maxillofac Surg, 2004, 62(10): 1213-1224.
[9] Hassan KS, Marei HF, Alagl AS. Does grafting of third molar extraction sockets enhance periodontal measures in 30- to 35-year-old patients[J]. J Oral Maxillofac Surg,2012,70(4): 757-764.
[10] Kaur P, Maria A. Efficacy of platelet rich plasma and hydroxyapatite crystals in bone regeneration after surgical removal of mandibular third molars [J]. J Maxillofac Oral Surg, 2013, 12(1): 51-59.
[11] Pons-Vicente O1, Valmaseda-Castell��n E, Berini-Aytés L, et al. Effect on pocket depth and attachment level of manual versus ultrasonic scaling of lower second molars following lower third molar extraction: a randomized controlled trial [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 107(3): e11-19.
[12] Krausz AA, Machtei EE, Peled M. Effects of lower third molar extraction on attachment level and alveolar bone height of the adjacent second molar[J]. Int J Oral Maxillofac Surg,2005, 34(7): 756-760.
[13] Andrade Munhoz E, Bodanezi A, Ferreira Junior O, et al. Bone crestal height and bone density after third-molar extraction and grafting: a long-term follow-up study [J]. Clin Oral Investig, 2011, 15(1): 123-126.
[14] Quee TA, Gosselin D, Millar EP, et al. Surgical removal of the fully impacted mandibular third molar. The influence of flap design and alveolar bone height on the periodontal status of the second molar[J]. J Periodontol, 1985, 56(10): 625-630.
[15] Montero J, Mazzaglia G. Effect of removing an impacted mandibular third molar on the periodontal status of the mandibular second molar[J]. J Oral Maxillofac Surg,2011,69(11): 2691-2697.
[16] Richardson DT, Dodson TB. Risk of periodontal defects after third molar surgery: an exercise in evidence-based clinical decision-making [J]. Oral Surg Oral Med Oral Path Oral Radiol Endod, 2005, 100(2): 133-137.
[17] Marmary Y, Brayer L, Tzukert A, et al. Alveolar bone repair following extraction of impacted mandibular third molars [J]. Oral Surg Oral Med Oral Pathol, 1986, 61(4): 324-326.
[18] Faria AI, Gallas-Torreira M, L��pez-Rat��n M. Mandibular second molar periodontal healing after impacted third molar extraction in young adults[J]. J Oral Maxillofac Surg, 2012,70(12): 2732-2741.
[19] Kugelberg CF, Ahlström U, Ericson S, et al. The influence of anatomical, pathophysiological and other factors on periodontal healing after impacted lower third molar surgery. A multiple regression analysis [J]. J Clin Periodontol, 1991, 18(1): 37-43.
[20] Kan KW, Liu JK, Lo EC, et al. Residual periodontal defects distal to the mandibular second molar 6-36 months after impacted third molar extraction[J]. J Clin Periodontol,2002,29(11):1004-1011.
[21] Leung WK, Corbet EF, Kan KW, et al. A regimen of systematic periodontal care after removal of impacted mandibular third molars manages periodontal pockets associated with the mandibular second molars [J]. J Clin Periodontol, 2005, 32(7): 725-731.
[22] Jakse N, Bankaoglu V, Wimmer G, et al. Primary wound healing after lower third molar surgery: evaluation of 2 different flap designs [J]. Oral Surg Oral Med Oral Path Oral Radiol Endod, 2002, 93(1): 7-12.
[23] Suarez-Cunqueiro MM, Gutwald R, Reichman J, et al. Marginal flap versus paramarginal flap in impacted third molar surgery: a prospective study [J]. Oral Surg Oral Med Oral Path Oral Radiol Endod, 2003, 95(4): 403-408.
[24] Karaca I, Simek S, Uar D, et al. Review of flap design influence on the health of the periodontium after mandibular third molar surgery [J]. Oral Surg Oral Med Oral Path Oral Radiol Endod, 2007, 104(1): 18-23.
[25] Karapataki S, Hugoson A, Falk H, et al. Healing following GTR treatment of intrabony defects distal to mandibular 2nd molars using resorbable and non-resorbable barriers [J]. J Clin Periodontol, 2000, 27(5): 333-340.
[26] Osborne WH, Snyder AJ, Tempel TR. Attachment levels and crevicular depths at the distal of mandibular second molars following removal of adjacent third molars [J]. J Periodontol, 1982, 53(2): 93-95.
[27] Corinaldesi G, Lizio G, Badiali G, et al. Treatment of intrabony defects after impacted mandibular third molar removal with bioabsorbable and non-resorbable membranes [J]. J Periodontol, 2011, 82(10): 1404-1413.
[28] Aimetti M, Romano F. Use of resorbable membranes in periodontal defects treatment after extraction of impacted mandibular third molars [J]. Minerva Stomatol, 2007, 56(10): 497-508.
[29] Dodson TB. Is there a role for reconstructive techniques to prevent periodontal defects after third molar surgery [J]. Oral Maxillofac Surg Clin North Am, 2007, 19(1): 99-104, vii.
[30] Sammartino G, Tia M, Marenzi G, et al. Use of autologous platelet-rich plasma (PRP) in periodontal defect treatment after extraction of impacted mandibular third molars [J]. J Oral Maxillofac Surg, 2005, 63(6): 766-770.
[31] Beaman FD, Bancroft LW, Peterson JJ, et al. Bone graft materials and synthetic substitutes [J]. Radiol Clin North Am, 2006, 44(3): 451-461.
[32] Aghazadeh A, Rutger Persson G, Renvert S. A single-centre randomized controlled clinical trial on the adjunct treatment of intra-bony defects with autogenous bone or a xenograft: results after 12 months [J]. J Clin Periodontol, 2012, 39(7): 666-673.
[33] Nygaard-Østby P, Bakke V, Nesdal O, et al. Periodontal healing following reconstructive surgery: effect of guided tissue regeneration using a bioresorbable barrier device when combined with autogenous bone grafting. A randomized-controlled clinical trial [J]. J Clin Periodontol, 2008, 35(1): 37-43.
[34] Jensen T, Schou S, Stavropoulos A, et al. Maxillary sinus floor augmentation with Bio-Oss or Bio-Oss mixed with autogenous bone as graft: a systematic review [J]. Clin Oral Implants Res, 2012, 23(3): 263-273.
[35] Camelo M, Nevins ML, Lynch SE, et al. Periodontal regeneration with an autogenous bone-Bio-Oss composite graft and a Bio-Gide membrane[J].Int J Periodontics Restorative Dent,2001,21(2):109-119.
[36] Hassan KS, Marei HF, Alagl AS. Composite bone graft for treatment of osseous defects after surgical removal of impacted third and second molars: case report and review of the literature [J]. Oral Surg Oral Med Oral Path Oral Radiol Endod,2011,112(6): e8-15.
[37] Drosos GI, Kazakos KI, Kouzoumpasis P, et al. Safety and efficacy of commercially available demineralised bone matrix preparations: a critical review of clinical studies [J]. Injury, 2007, 38(Suppl 4): S13-21.
[38] Arenaz-Búa J, Luaces-Rey R, Sironvalle-Soliva S, et al. A comparative study of platelet-rich plasma, hydroxyapatite, demineralized bone matrix and autologous bone to promote bone regeneration after mandibular impacted third molar extraction [J]. Med Oral Patol Oral Cir Bucal, 2010,15(3): e483-489.
[39] Dodson TB. Is there a role for reconstructive techniques to prevent periodontal defects after third molar surgery ? [J]. J Oral Maxillofac Surg, 2005, 63(7): 891-896.
[40] Scabbia A, Trombelli L. A comparative study on the use of a HA/collagen/chondroitin sulphate biomaterial (Biostite) and a bovine-derived HA xenograft (Bio-Oss) in the treatment of deep intra-osseous defects [J]. J Clin Periodontol, 2004, 31(5): 348-355.
[41] Pietruska MD. A comparative study on the use of Bio-Oss and enamel matrix derivative (Emdogain) in the treatment of periodontal bone defects[J]. Eur J Oral Sci, 2001,109(3):178-181.
[42] Scheyer ET, Velasquez-Plata D, Brunsvold MA, et al. A clinical comparison of a bovine-derived xenograft used alone and in combination with enamel matrix derivative for the treatment of periodontal osseous defects in humans [J]. J Periodontol, 2002, 73(4): 423-432.
[43] Sammartino G, Tia M, Bucci T, et al. Prevention of mandibular third molar extraction-associated periodontal defects: a comparative study [J]. J Periodontol, 2009, 80(3): 389-396.
[44] Hallman M, Lundgren S, Sennerby L. Histologic analysis of clinical biopsies taken 6 months and 3 years after maxillary sinus floor augmentation with 80% bovine hydroxyapatite and 20% autogenous bone mixed with fibrin glue[J]. Clin Implant Dent Relat Res, 2001, 3(2): 87-96.
[45] Throndson RR, Sexton SB. Grafting mandibular third molar extraction sites: a comparison of bioactive glass to a nongrafted site [J]. Oral Surg Oral Med Oral Path Oral Radiol Endod, 2002, 94(4): 413-419.
[46] d'Aquino R, De Rosa A, Lanza V, et al. Human mandible bone defect repair by the grafting of dental pulp stem/progenitor cells and collagen sponge biocomplexes [J]. Eur Cells Mater, 2009, 18: 75-83.
[47] Jones AA, Buser D, Schenk R, et al. The effect of rhBMP-2 around endosseous implants with and without membranes in the canine model [J]. J Periodontol, 2006, 77(7): 1184-1193.
[48] Ferretti C, Ripamonti U. Human segmental mandibular defects treated with naturally derived bone morphogenetic proteins [J]. J Craniofac Surg, 2002, 13(3): 434-444.
[49] Raida M, Heymann AC, Gunther C, et al. Role of bone morphogenetic protein 2 in the crosstalk between endothelial progenitor cells and mesenchymal stem cells [J]. Int J Mol Med, 2006,18(4): 735-739.
[50] Sammartino G, Tia M, Gentile E, et al. Platelet-rich plasma and resorbable membrane for prevention of periodontal defects after deeply impacted lower third molar extraction [J]. J Oral Maxillofac Surg, 2009, 67(11): 2369-2373.
[51] Agarwal A, Gupta ND. Platelet-rich plasma combined with decalcified freeze-dried bone allograft for the treatment of noncontained human intrabony periodontal defects: a randomized controlled split-mouth study [J]. Int J Periodontics Restorative Dent, 2014, 34(5): 705-711.
[52] Butcher A, Milner R, Ellis K, et al. Interaction of platelet-rich concentrate with bone graft materials: an in vitro study [J]. J Orthop Trauma, 2009, 23(3): 195-200, 201-202.
[53] Wang Z, Weng Y, Lu S, et al. Osteoblastic mesenchymal stem cell sheet combined with Choukroun platelet-rich fibrin induces bone formation at an ectopic site [J]. J Biomed Mater Res B Appl Biomater, 2014 Oct 18. [Epub ahead of print]
[54] Clipet F, Tricot S, Alno N, et al. In vitro effects of Choukroun's platelet-rich fibrin conditioned medium on 3 different cell lines implicated in dental implantology[J].Implant Dent,2012,21(1):51-56.
[55] Ruga E, Gallesio C, Boffano P. Platelet-rich fibrin and piezoelectric surgery: a safe technique for the prevention of periodontal complications in third molar surgery [J]. J Craniofac Surg, 2011, 22(5): 1951-1955.
[56] Li W, Xiao L, Hu J. The use of enamel matrix derivative alone versus in combination with bone grafts to treat patients with periodontal intrabony defects: a meta-analysis [J]. J Am Dent Assoc, 2012, 143(9): e46-56.