Early healing of the alveolar process after tooth extraction: an experimental study in the beagle dog

J Clin Periodontol. 2013 Jun;40(6):638-44. doi: 10.1111/jcpe.12074. Epub 2013 Mar 27.

Abstract

Aim: To describe the early healing events in the alveolar socket during the first 8 weeks of spontaneous healing after tooth extraction.

Materials and methods: 16 adult beagle dogs were selected and five healing periods were analysed (4 h, 1 week, 2 weeks, 4 weeks, 8 weeks). Mandibular premolars were extracted and each socket corresponding to the mesial root was left to heal undisturbed. In each healing period, three animals were euthanatized, each providing four study sites. Healing was assessed by descriptive histology and by histometric analysis using as landmarks: the vertical distance between buccal and lingual crest (B'L') and the width of buccal and lingual walls at three different levels. Differences between means for each variable for each healing period were compared (ANOVA; p < 0.05).

Results: B'L' at baseline was 0.45 (0.18) mm and decreased during the healing period to a final value of 0.18 (0.08) mm. The lingual width (Lw) remains almost unchanged while the buccal width (Bw) at 1 (Bw1) and 2 (Bw2) mm was reduced in about 40% of its initial value.

Conclusions: Minor vertical bone reduction in both the buccal and lingual socket walls were observed. A marked horizontal reduction of the buccal bone wall was observed mostly in its coronal aspect.

MeSH terms

  • Alveolar Bone Loss / etiology*
  • Alveolar Process / physiology*
  • Analysis of Variance
  • Animals
  • Bone Remodeling / physiology*
  • Dogs
  • Time Factors
  • Tooth Extraction* / adverse effects
  • Tooth Socket / physiology*
  • Wound Healing / physiology*