Augma for Socket Preservation
A 84-year-old man (uncontrolled diabetes) requests extraction of terminal teeth (#17, 20-22) for complete denture (Fig.1-3). He does not have finance for implants now. After extraction and debridement, 1 cc of Bond Apatite is applied to the sockets (Fig.4-6). The sockets at #20-22 are primarily closed with 4-0 PGA (Fig.7), while that of #17 with 4-0 Chromic gut suture over Osteogen Plug (a type of Collagen Plug, Fig.8). PGA sutures remain in place (Fig.9,10), while Chromic Gut ones dissolve 7 days postop (Fig.11). The ridge at the extraction sites remains robust 2 months postop (Fig.12). The sockets seem to remain radiopaque 2 months postop (Fig.13).
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No Deviation
Plug
Bone
Cement
Xin Wei, DDS, PhD, MS 1st edition
02/27/2020, last revision
05/04/2020