JIACD
The Journal of Implant & Advanced Clinical Dentistry
Extraction socket grafting: What is your protocol and what material are you getting the best results with?
Sat, 02/20/2010 - 06:40 — jdchan
There appears to be various systems to fill extraction sockets after routine extractions to perserve the ridge height for possible implant placement in the future. What are the recommended system or materials that are simple, succesful and practical for most patients?
In Short what material or technique give you the best bone for implant placement?
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Comments
Socket grafting protocol
Atraumatic extraction
FDBA
Cover with PRF
Place ovate pontic if anterior tooth
Socket Grafting protocol: Bio Col Technique
I use the bio col technique by Dr. Sclar. I get consistent bone for implant placement. I use bio-oss, and collatape. I use an ovate pontic and wait 3-4 months healing
Socket Grafting Techniques: Puros and Calcium sulfate
I do atraumatic extraction followed by puros cortical bone mixed with calcium suflate and then I put several layers of calcium sulfate on top. The soft tissue loves it. I get consistent fill.
Socket grafting to prevent bone loss
In general I use anything mineralized: Puros, FDBA, Nuoss all work fine. The key is cleaning out the socket. Assessing the buccal plate. Using an cone shaped membrane if needed.
Primary closure if possible, if not a membrane over the top.
Socket grafting to prevent bone loss.
This treatment is most advantageous for the patient and is not performed in most practices. It is simple and predictable if done correctly. Proper degranulation and detoxification are essential. Decortification is also essential. Primary closure is a must. After this just about any particulate graft material can be used.
Socket graft/socket lift
Another nice and simple technique to maintain bone is the socket lift for maxillary molars.
Socket grafting keep it simple
I try and keep it simple. I use FDBA very lightly packed with some calcium sulfate or a collagen dressing over the top.
Never had an issue.
Socket grafting: FDBA and a Cytoplast membrane
Lately I been using FDBA and a cytoplast membrane. I like it because I dont have to get primary closure. It is easy to remove after a couple of weeks.
Socket grafting: NuOss, Alloss and conform membrane
I been using NuOss or Alloss and a conform membrane. I like the consistency I get when I re-enter the site. I dont feel like I am pulling out particles and get a nice uniform fill.
Socket Grafting: FDBA or Bioss, PRF and calcium sulfate
I currently use either FDBA or Bioss (depending on the defect size and status of the buccal plate). I mix the graft with the exudate from my PRF membranes and some calcium sulfate.
Sometime I add flagyl to the mix as well. I will place two layer of PRF membranes over the top and suture in place.
I get consistent results with this technique.
Socket Grafting technique: CK Dental Bone and Vicyl Mesh tech
I been doing a new technique lately that has worked well in blown out sockets. I use FDBA from CK Dental and vicyl mesh over the top and covering the buccal defect. The vicyl mesh I leave uncovered and I get a thick zone of KG. The soft tissue loves it and grows right over.
I will alternate between this technique for large defects and FDBA very lightly packed with some calcium sulfate for straight forward sockets.
Chace
Socket Grafting Technique:Allograft, Calcium Sulfate or Collagen
Lately I mix Freeze dried allograft, with calcium sulfate binder and wet with flagyl. In non defect sits I cover the socket with calcium sulfate, with a buccal defect I use a collagen membrane.
Dynablast putty and new
Dynablast putty and new product accell... am seeing great results.
Dynablast
Good stuff. Been getting good results with this as well.
Socket grafting
George22, I agree with you, it's simple and very predictable. All three steps are essential. This is a great service for patients. Depending upon the circumstance, I place the implant along with the socket graft. The particulate I like is "Osteogen".