Tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentation
Abstract Background This study was designed to evaluate the clinical and radiographical outcome of tooth shell for maxillary alveolar ridge augmentation as an alternative to traditional autogenous bone shell graft. Materials and methods Twenty eight patients with one or two maxillary extracted teeth...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-04-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-025-05940-4 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850170768834428928 |
|---|---|
| author | Khaled Ahmed Ibrahim Awad Mohamed Abdel-Monem Tawik Mohamed Mohamed Hussein Shaimaa Ahmed Abo El-Farag Sally El Sayed Abdel Sameaa |
| author_facet | Khaled Ahmed Ibrahim Awad Mohamed Abdel-Monem Tawik Mohamed Mohamed Hussein Shaimaa Ahmed Abo El-Farag Sally El Sayed Abdel Sameaa |
| author_sort | Khaled Ahmed Ibrahim Awad |
| collection | DOAJ |
| description | Abstract Background This study was designed to evaluate the clinical and radiographical outcome of tooth shell for maxillary alveolar ridge augmentation as an alternative to traditional autogenous bone shell graft. Materials and methods Twenty eight patients with one or two maxillary extracted teeth (esthetic zone) in need for horizontal bone augmentation were divided into two groups (14 patients each). Group I (control group): bone augmentation was done by using bone shell technique (BST). Group II (study group): bone augmentation was done by using tooth shell technique (TST). Implant stability was evaluated at the time of implant placement, after 4 months (loading time), and 4 months after loading. Radiographic evaluation was made using Cone beam computed tomography (CBCT) scans before grafting (T0), immediately (T1), and 6 months post grafting (T2). Results In this study, 30 implants were inserted in the esthetic zone. All implants were successfully osseointegrated. No statistically significant difference was found between the studied groups as regards implant stability (P > 0.05) assessed baseline, 4 months after implant placement, and 4 months after loading. The radiographic evaluation demonstrated a statistically significant lower median amount of graft resorption at 1 mm, 5 mm, and 10 mm & total among the study than the control group (p = 0.001, 0.001, 0.04 & 0.001 respectively). Conclusion TST used for lateral ridge augmentation has excellent dimensional stability and the least amount of graft resorption. Trial registration This study was retrospectively registered on www.clinicaltrials.gov with registration number (NCT06416605) on 16 /5 /2024. |
| format | Article |
| id | doaj-art-e29705aee4a44aa08086f3dc8f1037fa |
| institution | OA Journals |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-e29705aee4a44aa08086f3dc8f1037fa2025-08-20T02:20:25ZengBMCBMC Oral Health1472-68312025-04-0125111310.1186/s12903-025-05940-4Tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentationKhaled Ahmed Ibrahim Awad0Mohamed Abdel-Monem Tawik1Mohamed Mohamed Hussein2Shaimaa Ahmed Abo El-Farag3Sally El Sayed Abdel Sameaa4Faculty of Dentistry, Kafr El-Sheikh UniversityFaculty of Dentistry, Mansoura UniversityFaculty of Dentistry, Kafr El-Sheikh UniversityFaculty of Dentistry, Mansoura UniversityFaculty of Dentistry, Mansoura UniversityAbstract Background This study was designed to evaluate the clinical and radiographical outcome of tooth shell for maxillary alveolar ridge augmentation as an alternative to traditional autogenous bone shell graft. Materials and methods Twenty eight patients with one or two maxillary extracted teeth (esthetic zone) in need for horizontal bone augmentation were divided into two groups (14 patients each). Group I (control group): bone augmentation was done by using bone shell technique (BST). Group II (study group): bone augmentation was done by using tooth shell technique (TST). Implant stability was evaluated at the time of implant placement, after 4 months (loading time), and 4 months after loading. Radiographic evaluation was made using Cone beam computed tomography (CBCT) scans before grafting (T0), immediately (T1), and 6 months post grafting (T2). Results In this study, 30 implants were inserted in the esthetic zone. All implants were successfully osseointegrated. No statistically significant difference was found between the studied groups as regards implant stability (P > 0.05) assessed baseline, 4 months after implant placement, and 4 months after loading. The radiographic evaluation demonstrated a statistically significant lower median amount of graft resorption at 1 mm, 5 mm, and 10 mm & total among the study than the control group (p = 0.001, 0.001, 0.04 & 0.001 respectively). Conclusion TST used for lateral ridge augmentation has excellent dimensional stability and the least amount of graft resorption. Trial registration This study was retrospectively registered on www.clinicaltrials.gov with registration number (NCT06416605) on 16 /5 /2024.https://doi.org/10.1186/s12903-025-05940-4Bone shell techniqueTooth shell techniqueAutogenous tooth graftKhoury technique |
| spellingShingle | Khaled Ahmed Ibrahim Awad Mohamed Abdel-Monem Tawik Mohamed Mohamed Hussein Shaimaa Ahmed Abo El-Farag Sally El Sayed Abdel Sameaa Tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentation BMC Oral Health Bone shell technique Tooth shell technique Autogenous tooth graft Khoury technique |
| title | Tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentation |
| title_full | Tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentation |
| title_fullStr | Tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentation |
| title_full_unstemmed | Tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentation |
| title_short | Tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentation |
| title_sort | tooth shell versus bone shell technique for horizontal maxillary alveolar ridge augmentation |
| topic | Bone shell technique Tooth shell technique Autogenous tooth graft Khoury technique |
| url | https://doi.org/10.1186/s12903-025-05940-4 |
| work_keys_str_mv | AT khaledahmedibrahimawad toothshellversusboneshelltechniqueforhorizontalmaxillaryalveolarridgeaugmentation AT mohamedabdelmonemtawik toothshellversusboneshelltechniqueforhorizontalmaxillaryalveolarridgeaugmentation AT mohamedmohamedhussein toothshellversusboneshelltechniqueforhorizontalmaxillaryalveolarridgeaugmentation AT shaimaaahmedaboelfarag toothshellversusboneshelltechniqueforhorizontalmaxillaryalveolarridgeaugmentation AT sallyelsayedabdelsameaa toothshellversusboneshelltechniqueforhorizontalmaxillaryalveolarridgeaugmentation |