Comparative analysis of sticky bone and demineralized bone matrix with calcium sulfate hemihydrate on alveolar bone and papillary levels in immediate two-stage dental implant placement: A clinico-radiographic evaluation

Abstract

Introduction: Immediate implant placement in fresh extraction sockets is considered reliable and effective; however, the healing and osseointegration associated with specific graft materials, such as sticky bone and demineralized bone matrix with calcium sulfate hemihydrate (DBM-CSH), require further investigation. This study aims to assess these grafts in conjunction with immediate implants. Materials and Methods: Eighteen patients (6 male and 12 female) requiring at least one tooth extraction were randomly divided into two groups. Group I received sticky bone grafts, while group II was treated with DBM-CSH. Clinical and radiographic evaluations were conducted at baseline, 3 months, and 6 months postimplantation, with outcomes subjected to statistical analysis. Results: The study confirmed that immediate implant placement using atraumatic techniques effectively preserves both hard and soft tissues at the extraction site. Over 6 months, both groups exhibited significant soft tissue improvement, with the sticky bone group showing greater crestal bone level augmentation compared to the DBM-CSH group. Conclusion: Immediate implant placement using sticky bone or DBM-CSH grafts offers esthetic benefits and poses no risk of infection or disease transmission. The addition of DBM to autologous fibrin glue (sticky bone) might enhance immediate implant success.

Keywords

• bone augmentation
• dental implants
• demineralized bone matrix
• immediate implant
• platelet-rich plasma
• sticky bone