Background: socket preservation is a main therapeutic procedure to prevent severe
marginal bone resorption after tooth extraction. The aim of this study is to investigate if
there is any difference in the amount of new bone formation 4 months after
extraction and
ridge preservation compared to that after 6 months, Using tricalcium phosphate as a bone
substitute.
Methods: Minimally traumatic extraction with socket preservation using tricalcium
phosphate was done at 30 single-rooted tooth sites in 28 patients. 15 sites healed for an
average of 18 weeks (early healing group), and 17 sites were allowed to heal for an
average of 27 weeks (delayed healing group) before collecting the bone samples .
histological analysis was held to detect the percentage of new bone formation, residual
substitute particles, and connective tissue/non-mineralized structures for each site.
Results: All samples revealed a new bone formation, most of the residual substitute
particles were surrounded by woven bone. No statistically significant differences in the
amount of newly formed bone or residual substitute particles were found between the two
groups. Overall, the early healing group demonstrated a mean of34.8% newbone,
20.5%residual substitute material, and 44.7% non-mineralized tissue. The delayed healing
group showed mean values of 36%, 18.5%, and 45.5%, respectively.
Conclusion: This study suppose that waiting for 6 months after tooth extraction and
socket preservation using tricalcium phosphate does not provide a greater amount of new
bone formation or less residual bone particles compared to that after 4 months.
Aim of the Study:
Investigating the effect of adding rh-BMP2 on the expression of
vascular endothelial growth factor VEGF.
