Bone Graft for Periimplantitis While 3rd Molar Extraction I
A 26-year-old man returns for #17,32 extraction 5.5 months post #1,16 one (Fig.1,2). In fact the crown/abutment at #31 is loose and removed, which makes easy for access, debridement with Titanium brush and bone graft (Fig.2 arrowheads, Ossogen). Osteogen plug is placed in the extraction sockets. The patient has limited mouth opening. Hemorrhage in #17 socket is controlled apparently with the plug following incomplete removal of granulation tissue. A piece of 12x12 mm Amnion-Chorion Membrane seems small for bone graft coverage. Cytoplast is added, followed by PGA suture. The former may keep the bone graft in place in case the wound dehisces.
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Plug
Allograft
Xin Wei, DDS, PhD, MS 1st edition
12/24/2019, last revision
02/01/2020