The pros and cons of socket sealing in ridge preservation – latest JCP Digest
Socket-seal techniques are frequently used in bone-regeneration procedures to prevent the loss of alveolar bone after tooth extraction, but the benefits and drawbacks of various procedures have not been well studied.
Techniques for alveolar-ridge preservation that involve primary closure (such as the coronally advanced flap, free gingival grafts, and connective-tissue grafts) were compared with other techniques in a systematic review of clinical trials evaluating various techniques.
The study discovered that the width of the ridge was more effectively preserved when the socket was covered with a flap or graft rather than when a barrier membrane was used. However, it also discovered that neither the various socket-seal methods nor the preservation of the alveolar ridge with primary closure and that with secondary healing showed any statistically significant differences.
References
Martins, J. R., Wagner, T. P., Vallim, A. C., Konflanz, W., Schwendicke, F., Celeste, R. K., & Haas, A. N. (2022). Comparison of the efficacy of different techniques to seal the alveolus during alveolar ridge preservation: Meta-regression and network meta-analysis. Journal of Clinical Periodontology, 49(7), 694–705. https://doi.org/10.1111/jcpe.13628
