{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T21:57:12Z","timestamp":1770328632021,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:00Z","timestamp":1626998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp; Exp Dental Res"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The dental alveolus is lined by a thin cortical layer (\u201cbundle bone\u201d, \u201calveolar bone proper\u201d, \u201ccribriform plate\u201d, \u201clamina dura\u201d), that can impede access to the bone marrow and its vasculature. During unassisted socket healing, the alveolar bundle bone is gradually resorbed allowing tissue resources from the bone marrow to enter into the socket space. An optimized wound healing process, either during unassisted socket healing or during ridge preservation procedures, with autogenous bone and\/or any bone\/collagen substitute material, depends at least partly on an adequate vascularization of the socket space. This ensures sufficient recruitment of osteoblast and osteoclast precursor cells and facilitates fast bone regeneration and\/or uneventful integration of the augmentation material.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present technical note describes an easy treatment step after tooth extraction aiming to improve socket healing with or without any ridge preservation procedure, by facilitating an increased blood inflow into the dental alveolus. Specifically, after tooth extraction the alveolar bundle bone is perforated several times \u2013 mainly in a palatally\/lingually\u00a0\u2013 by a small round bur (diameter &lt; 1 mm) extending into the trabecular bone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results and conclusions<\/jats:title><jats:p>By means of this relatively simple treatment step, an increased blood inflow into the alveolus is achieved after tooth extraction, which might enhance socket healing and corticalization of the entrance, and in turn result in a lower complication rate (e.g., dry socket), in an enhanced graft incorporation, and\/or in a reduced loss of alveolar ridge volume.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cre2.474","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T07:42:59Z","timestamp":1627026179000},"page":"3-8","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Improved access to the bone marrow space by multiple perforations of the alveolar bundle bone after tooth extraction\u2014A case report"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2396-8773","authenticated-orcid":false,"given":"Christian","family":"Ulm","sequence":"first","affiliation":[{"name":"Division of Oral Surgery, University Clinic of Dentistry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg D.","family":"Strbac","sequence":"additional","affiliation":[{"name":"Division of Oral Surgery, University Clinic of Dentistry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8161-3754","authenticated-orcid":false,"given":"Andreas","family":"Stavropoulos","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Odontology University of Malm\u00f6  Malm\u00f6 Sweden"},{"name":"Division of Regenerative Dentistry and Periodontology, University Clinics of Dental Medicine (CUMD) University of Geneva  Geneva Switzerland"},{"name":"Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azadeh","family":"Esfandeyari","sequence":"additional","affiliation":[{"name":"Division of Oral Surgery, University Clinic of Dentistry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toni","family":"Dobsak","sequence":"additional","affiliation":[{"name":"Core Facility Hard Tissue and Biomaterial Research, Karl Donath Laboratory, School of Dentistry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8279-7943","authenticated-orcid":false,"given":"Kristina","family":"Bertl","sequence":"additional","affiliation":[{"name":"Division of Oral Surgery, University Clinic of Dentistry Medical University of Vienna  Vienna Austria"},{"name":"Department of Periodontology, Faculty of Odontology University of Malm\u00f6  Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-018-2588-6"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13081"},{"key":"e_1_2_8_4_1","first-page":"27","article-title":"Morphologic changes of the mandible after extraction and wearing of dentures. 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