Introduction: Alveolar ridge preservation (ARP) is a well‐defined treatment performed to reduce bone dimensional changes occurring during the healing of post‐extraction sockets to allow for adequate implant placement. Leukocyte and platelet‐rich fibrin (L‐PRF) has been showing to potentially promote bone and tissue regeneration during wound healing. Therefore, the aim of this study is to evaluate its efficacy for ARP when applied to fresh extraction sockets, in comparison with spontaneous healing.Materials and Methods: Twenty‐seven patients with hopeless non‐molar teeth were treated. After randomization, fresh extraction sockets were either filled with L‐PRF or allowed to heal spontaneously. CBCTs and intraoral scans were obtained immediately after extraction and at 4 months. Through superimposition of the obtained images, changes in the horizontal ridge width, height, buccal volume, and ridge contour changes were measured, as well as patient‐reported outcome measures (PROM's).Results: The ridge dimensions changed similarly in both groups. Although less reduction occurred in the test group at 1 mm from the bone crest, differences were not statistically significant (p > 0.05). Application of L‐PRF did not prevent reductions of ridge contours, neither in the linear vertical aspect nor in volumetric changes. There were no differences between groups in the need for bone regeneration when placing implants. Patients in both groups reported similar outcomes in terms of bleeding, pain, inflammation, and function at 1 and 4 weeks postoperatively.Conclusion: Alveolar preservation with L‐PRF neither minimized bone resorption occurring after tooth extraction in non‐molar sites nor reduced the need for bone regeneration when placing implants. Furthermore, its use did not improve PROM's.
An in vitro study evaluated the fracture resistance of four CAD/CAM restorative materials: lithium disilicate ceramic (IPS e.max CAD, EM), hybrid ceramic (Vita Enamic, VE), a polymer-based composite (Cerasmart, CS), and a novel 3D-printed resin (Ceramic Crown, CC) fabricated using digital press stereolithography (DPS) technology. Standardized full-coverage crowns were designed and manufactured for each material. All specimens underwent thermocycling and fracture testing using a universal testing machine. EM exhibited the highest fracture resistance (mean: 440.49 N), while VE showed the lowest (173.82 N). CS (265.49 N) and CC (306.76 N) presented intermediate values without statistically significant differences between them. Stereomicroscopic analysis revealed differences in fracture patterns, with IPS e.max CAD showing smooth, brittle fractures, while hybrid and polymer-based materials exhibited tortuous fracture surfaces. These results suggest that DPS technology achieves mechanical performance for Ceramic Crown comparable to that of milled polymer-based composites, while offering production advantages in terms of time efficiency. As one of the first studies to evaluate Ceramic Crown and DPS technology, these findings provide initial insights into their mechanical behavior. However, further studies are required to validate their clinical performance before widespread use can be recommended.
23 July 2026 in Revista de la Facultad de Odontología de la Universidad de Cuenca