Decision making process in Post Extraction Therapy. When do we graft?

Today, post-extraction theraspy has changed the way we rehabilitate our patients’ mouths, including immediate loading, simultaneous regeneration and a wide range of benefits for our patients. 

The reality is that sometimes the decision-making does not only depend on us but also on the patient’s financial possibilities, which makes our final result less predictable. 

The important thing at this point is to know what the limitations, expectations and risk/benefit are of doing what can be done and not what should be done due to all these variables. 

That is why I want to share with you the decision-making process in those cases in which we do not want to lose the bone crest because the patient cannot have an immediate implant placed at that time and we are going to perform the single extraction. 

 

Here I present a Table in which I indicate whether it is advisable or not according to the scientific literature to perform the socket preservation by placing biomaterial in the alveolus with the aim of not losing volume and original architecture.

 

This table will indicate in all cases:

 

  1. Remaining Socket Walls: External, Internal, Presence or absence of interradicular septum
  2. Their condition: Thick, thin and absent.
  3. Soft tissue: Present or absent
  4. Periodontal condition of the tooth to be extracted.

 

SOCKET PRESERVATION. DECISION MP

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