Extraction Socket Grafting


using GraftonŽ DBM Putty

Don Callan, D.D.S.
Assistant Professor
Baylor College of Medicine, Houston, TX

Extraction Socket Grafting

Overview


Dr. Callan used Grafton DBM Putty. The following is Dr. CalIan's technique for the grafting of extraction sockets and associated osseous defects with Grafton DBM Putty for the eventual placement of endosseous dental implants.

Patient Background


The patient is a 60-year-old female who sustained a non-salvageable root fracture of an endodontically treated maxillary left second bicuspid and desires treatment with an endosseous dental implant. The site requires grafting to build bony support for the implant as well as a cosmetic result.

Procedure


  • Standard aseptic technique is used throughout the procedure.
  • The fractured tooth and root are extracted. A full-thickness mucogingival flap with releasing incision is reflected to expose the supporting ridge.
  • All granulation tissue from the abscessed root is carefully debrided. Care is taken to ensure that the entire root is removed.
  • The Grafton DBM Putty is rehydrated in sterile tetracycline solution and excess solution is removed.
  • Grafton DBM Putty is gently packed into the extraction socket. Additional Grafton DBM Putty is used to build out the osseous defects and the buccal surface of the alveolar ridge. Excessive compaction of the graft material is avoided.
  • If closure is not possible, a barrier membrane is used to protect the graft site from bacterial contamination and epithelial cell migration.
  • The incision is first reapproximated at the coronal portion of the releasing incision. The site is then closed with 4-0 gut and 4-0 Vicryl (Ethicon) suture.
  • After a healing period of approximately four months, a dental implant will be put in place. Prosthetic restoration will then be performed after an additional four-month healing period.