Cyanoacrylate versus Collagen Membrane as a Sealing for Alveolar Ridge Preservation: A Randomized Clinical Trial

doi:10.3390/jfb15100279

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AutoresFabio Camacho-Alonso, Osmundo Gilbel-Del Águila, Paula Ferrer-Díaz, David Peñarrocha-Oltra, Yolanda Guerrero-Sánchez, Juan Carlos Bernabeu-Mira

Por qué importa

Este ensayo clínico aleatorizado comparó la eficacia de dos materiales de sellado, cianoacrilato y membrana de colágeno, en la preservación del reborde alveolar tras extracciones dentales, con colocación inmediata de implantes. Se evaluaron variables clínicas y radiológicas a los 3, 12 y 18 meses. Los resultados preliminares a los tres meses mostraron una mayor reducción en la anchura ósea buccolingual con el cianoacrilato, aunque esta diferencia no se mantuvo en seguimientos posteriores. Sin embargo, tanto la pérdida de inserción clínica como la pérdida ósea marginal fueron significativamente mayores en el grupo tratado con cianoacrilato. A pesar de una incidencia de cinco exposiciones de membrana en este grupo, el cianoacrilato se asocia con resultados clínicos y radiológicos aparentemente superiores. Los hallazgos sugieren que el cianoacrilato podría ser una alternativa a considerar frente a las membranas de colágeno en la preservación alveolar.

Abstract original

This study involved a randomized clinical trial that included 140 patients. Alveolar ridge preservation was performed with xenografts. Sealing in the control group consisted of a collagen membrane versus cyanoacrylate in the test group. The dental implants were placed immediately after extraction. The variables were evaluated at 3, 12, and 18 months of follow-up. Pearson's chi-squared test was used for qualitative variables and the Student t-test for related samples was used for quantitative variables. The change in buccolingual alveolar bone width was significantly greater in the CMX group than in the CX group after three months (p < 0.005). However, significance was not reached at the other follow-up timepoints (p > 0.005). CAL showed significantly greater values in the CMX group than in the CX group (p < 0.005), and MBL proved greater in the CMX group than in the CX group, with p < 0.001. Five membrane exposures were recorded in the CMX group. Cyanoacrylate as a sealing method for alveolar ridge preservation seems to afford better clinical and radiological results than collagen membrane.

Leer texto completo ↗DOI · 10.3390/jfb15100279

Autor Doctor&Cols

Osmundo Gilbel del Águila
Cirugía Oral e Implantología

Cómo citar

Camacho-Alonso F, Águila OG, Ferrer-Díaz P, Peñarrocha-Oltra D, Guerrero-Sánchez Y, Bernabeu-Mira JC. Cyanoacrylate versus Collagen Membrane as a Sealing for Alveolar Ridge Preservation: A Randomized Clinical Trial. Journal of Functional Biomaterials. 2024. doi:10.3390/jfb15100279