For socket grafting after an extraction we use a simple grafting procedure.
- Collagen plug that incorporates A dense bone graft similar to HA (but resolvable).
The idea behind this is simplicity.
- No need for a membrane to cover the graft- just do 4 things:
1) extract gently.
2) curettage and degranulate the bone.
3) place the Plug to height of bone in socket.
4) place an x suture on top of socket.
- Remember that if you Suspect an active infection or a buccal wall missing bone- this will not work at all.
- If there is anything but a clean 4 wall defect after the extraction you will need to revert to a full flap, clean the socket and graft with bone and a membrane. PRF and PRP are very helpful in these situations.
- You really want to only do posterior socket grafts. Anterior grafts are much more difficult because you can lose the interprox papilla and patients are very sensitive to aesthetics. Let a more experienced person do those for the first few years and progress when ready.