An experienced oral surgeon did all the extractions and alveolar ridge preservations. Extractions were performed under local anesthesia. Periotomes and elevators were used with great care to preserve the buccal bone plate and the surrounding soft and hard tissues. When it was necessary, the teeth were sectioned by a handpiece with diamond burs. No flap was elevated. After tooth extraction, the sockets were carefully debrided to remove all soft tissue remnants. Thereafter, the extraction sockets were randomly assigned to the following two treatment modalities: i) Test group: the sockets were completely filled with deproteinized bovine bone mineral with 10% collagen (DBBM-C;
Geistlich Bio-Oss ® Collagen, Geistlich Pharma AG, Wolhusen, Switzerland), then covered with a native bilayer collagen membrane (NBCM;
Geistlich Bio-Gide ® , Geistlich Pharma AG, Wolhusen, Switzerland). The membrane was shaped in a way to overlap the margins of the extraction sockets by 2-3mm and placed slightly underneath the marginal mucosa. Subsequently, a cross suture was performed to keep the membrane in place.
ii) Control group: the sockets healed spontaneously without any graft materials and with no sutures.
All the patients were instructed to rinse with 0.12% chlorhexidine for 1 minute, twice a day, for ten days. The sutures of the test site were removed 7-10 days after extraction.
Jung R.E., Sapata V.M., Hämmerle C.H.F., Wu H., Hu X.L, & Lin Y. (2018). Combined use of xenogeneic bone substitute material covered with a native bilayer collagen membrane for alveolar ridge preservation: A randomized controlled clinical trial. Clinical oral implants research, 29(5).