Maintenance of Keratinised Tissue
Socket seal of anterior alveole in late implant placement
Aim: Preservation of hard and soft-tissue volume after extraction in the anterior region for late implant placement.
Conclusion: Volume preservation of hard and soft tissue after tooth extraction is important to prevent extensive guided bone regeneration procedures at implant placement. With this minimally invasive procedure, the volume of hard and soft tissue can be better preserved with Geistlich Bio-Oss® Collagen and Geistlich Mucograft®, respectively, compared to spontaneous healing.1
Extraction of tooth 21 due to a trauma with concomitant external resorptions. Care was taken in preserving the alveolar bone.
Crestal view of the socket after tooth extraction. No flaps are raised around the affected area. A slight buccal bone defect was observed.
The socket is gently curetted for removal of granulation tissue. Subsequently, the wound margins were de-epithelialised with a diamond in a counter piece with water cooling.
Filling of the extraction socket with Geistlich Bio-Oss® Collagen to the level of the palatal bone.
After measuring the alveole, Geistlich Mucograft® is punched (8 mm diameter)..
The Geistlich Mucograft® punch is placed on top of Geistlich Bio-Oss® Collagen to seal the filled alveole.
Suturing of the Geistlich Mucograft® with 6-0 single interrupted sutures.
Nice healing of the soft tissues 1 week after extraction.
1 Jung RE, et al. J Clin Periodontol. 2013 Jan;40(1):90-8