Evidence map›Paper›PMID 42072241›Full record

ArticleBioengineering (Basel, Switzerland)2026

Alveolar Ridge Preservation Revisited: A Multimodal Evaluation of Bone Preservation and Regeneration-Preliminary Findings from a Randomized Controlled Clinical Trial.

Anja Heselich, Ramin Najafi, Sami Alammawi, Joanna Śmieszek-Wilczewska, Shahram Ghanaati

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anja HeselichFORM-Lab, Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Center of the Goethe University Frankfurt, Goethe University, 60590 Frankfurt am Main, Germany.ORCID 0000-0002-6799-8325
Ramin NajafiFORM-Lab, Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Center of the Goethe University Frankfurt, Goethe University, 60590 Frankfurt am Main, Germany.
Sami AlammawiFORM-Lab, Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Center of the Goethe University Frankfurt, Goethe University, 60590 Frankfurt am Main, Germany.ORCID 0009-0007-0162-4295
Joanna Śmieszek-WilczewskaDenticus Clinic, Lelewela 1/1, 44-100 Gliwice, Poland.ORCID 0000-0002-9640-3917
Shahram GhanaatiFORM-Lab, Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Center of the Goethe University Frankfurt, Goethe University, 60590 Frankfurt am Main, Germany.ORCID 0000-0002-7897-0854

Funding

Academy for Biological Innovations in Surgery (ABIS) e.V. n/aNIBEC Ltd., South Korea n/a; related clinical trial was sponsored in the frame of a PMCF trial
6 · The paper itself

Abstract

Alveolar ridge preservation using biomaterials is a well-established approach to counteract post-extraction bone resorption and optimize conditions for implant placement. However, most studies rely only on a single evaluation method and thereby risk overlooking essential aspects of alveolar regeneration. This preliminary analysis aimed to assess alveolar ridge preservation outcome using a multimodal approach combining histomorphometric, radiological, and image-based visualization methods. Twenty out of a planned 60 patients per group from an ongoing randomized controlled clinical trial were included. Patients were allocated to alveolar ridge preservation with a bone substitute material (BSM), a collagen-based material, a combination of both, or natural healing as control. Outcomes included CBCT-based volumetric analysis, histomorphometry, and primary implant stability via ISQ. Mineralized bone volume was significantly better preserved in bone substitute material groups compared to other groups, with BSM combined with collagen yielding the highest values. Histomorphometrically determined hard tissue fractions and implant stability were comparable across groups. Notably, CBCT-based visualization revealed non-ossified hypodense regions, so-called cavitations or covered socket residuum (CSR) within the former extraction sockets across all groups, independent of the biomaterial applied. BSM-based alveolar ridge preservation, particularly combined with a collagen membrane, most effectively maintained mineralized bone volume after extraction. Beside volumetric benefits, this preliminary in-dept analysis of the first part of the trial highlights cavitations/CSRs as a potentially underrecognized feature of post-extraction healing. Integrating quantitative with qualitative visualization-based assessments provides a more complete understanding of alveolar bone regeneration.

Indexed as

bone regenerationcavitationsCBCTcovered socket residuum (CSR)histomorphometryridge preservation

Identifiers

PMID42072241
PMCPMC13114089

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.