Save the Earth. Use the Dentin Grinder.
Ehhh...Not the catchiest slogan, but it's a work in progress.
For years, dentists have tried all options and techniques possible to replace bone following extractions. If you forgot all the very long, and boring grafting options and techniques since dental school-here’s a quick review
1️⃣Anorganic bovine bone mineral (ABBM). AKA Bio-Oss.
2️⃣Autogenous Block Grafts
4️⃣Use of platelet-rich fibrin
Not a comprehensive list, but long story short is that A LOT has been thrown at improving the stability and success of bone grafting.
And so enters tooth recycling
You know when you have one of those crazy ideas that just really makes sense? This is one of those.
Introducing Autogenous dentin grafting....in simplistic terms: making a grafting material from the already extracted tooth. A novel and interesting idea.
Back to Your Oral Biology Class
So, why does this seem like it would work? Let’s take a quick refresher on the composition of a tooth.
Teeth are made up of 80% dentine, 15% enamel, and 5% cementum and pulp. And to our advantage, dentine is very similar to the structure of human bone.
And the (limited) research is promising. Some highlights:
- 🦴Bony. In an analysis of bone following autogenous grafting, the researchers concluded, “autogenous mineralized dentin particles can be considered an alternative graft material.
- 👎Loser: Bio-Oss. A randomized clinical trial showed 12.4% more bone was formed with autogenous grafting compared to the xenograft.
- 🐚Shell. Another novel idea. One clinician proved that a dentin shell and autogenous grafting material could be used to fix alveolar crest defects.
All this is great....but...
At least we couldn’t find any. If you are better at scraping the depths of PubMed and found better research let us know.
We will stop talking👇.
And let the visualized literature do the work.