PATIENT SATISFACTION AND PINK ESTHETICS FOLLOWING MANAGEMENT OF POSTEXTRACTION RIDGE ALTERATIONS WITH DIFFERENT TYPES OF DENTIN GRAFTS: A RANDOMIZED CONTROLLED CLINICAL TRIAL

Objective: This study aimed to compare postoperative patient satisfaction and soft tissue esthetics following alveolar
ridge preservation (ARP) using three different forms of autogenous tooth-derived grafts (ATDGs): undemineralized
dentin (UDD), incompletely demineralized dentin matrix (IDDM), and fully demineralized dentin matrix (FDDM) in
the esthetic zone.
Materials and Methods: Thirty participants who require single tooth extraction in the esthetic zone were randomly
allocated into three equal groups (n=10) to receive ARP with UDD, IDDM, or FDDM. Patient satisfaction using a
questionnaire was assessed on the day of tooth extraction. While, esthetic outcomes were evaluated using the Pink
Esthetic Score (PES), six months after final crown delivery.
Results: High satisfaction was reported in all three groups: UDD (80%), IDDM (60%), and FDDM (70%), with no
statistically significant differences. The mean PES was 12.0 in the UDD group, 11.1 in the IDDM group, and 11.0 in
the FDDM group. Although the UDD group showed slightly higher PES values, the difference was not statistically
significant.
Conclusion: All three forms of ATDGs demonstrated comparable and favorable outcomes in terms of postoperative
patient satisfaction and peri-implant soft tissue esthetics. Different processing techniques did not significantly affect
these outcomes, suggesting that graft selection could be guided by clinical judgement and biological rationale