Augma, Followed by Collagen Plug

A 27-year-old man returns for #1 and 32 extraction (Fig.1), eight months post #16 and 17 extraction.  As usual, no bone substitute is placed in #1 socket after extraction (Fig.7).  After #32 extraction, the distal socket looks large so that Augma (Bond Apatite) is placed and pressed (A), followed by a piece of Collagen Plug (C, to prevent Augma (Bone Cement) dissolved by saliva in case premature loss of suture).  In fact there is also buccal defect at #32 due to chronic infection and heavy calculus.  There is cortical bone formation at #16 socket opening (^).  The mesial and distal sockets of #17 (*) seem to be obliterated because of placement of Collagen Plug.

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Xin Wei, DDS, PhD, MS 1st edition 09/06/2019, last revision 12/28/2019