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In spite of block anesthesia, pain is severe. When local anesthetic is being injected into the lingual gingiva, the patient is shivering. As the tooth is removed, a large piece of granulation tissue is attached to the tooth (Fig.3 D (green circle)), while a small piece of granulation tissue remains to the lingual wall of the socket (L (green oval)). After debridement and irrigation, a piece of Osteogen Plug is placed, followed by 5-0 Chromic gut suture.
Xin Wei, DDS, PhD, MS 1st edition 03/19/2021, last revision 03/20/2021