Procedures

Extraction Socket Grafting
Using Grafton® DBM Putty

Don Callan, D.D.S..
Assistant Professor
 Baylor College of Medicine, Houston, TX
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.
Pre-operative radiograph.
.
The tooth is extracted and the site debrided.
Grafton® DBM Putty is gently packed into the extracton socket.
Additional Grafton® DBM Putty is placed to build the alveolar bone buccally.
 Closure is achieved with the aid of a barrier membrane, avoiding compaction of the graft
"I routinely graft extraction sockets with Grafton® DBM Puty to help the body regenerate the appropriate foundation for eventual implant placement"

Don Callan, D.D.S.
General Remarks
Dr. Callan used Grafton® DBM Putty processed by Osteotech, Inc. 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.

Detailed Description
  • 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 soluton and excess soluton 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.
*Grafton® DBM Putty does not require rehydration prior to use.
  • 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 placed. Prosthetic restoration will then be performed after an additional four-month healing period.

BACK TO TOP

© Copyright Osteotech, Inc. 2007. All rights reserved.