Fixation screws for graft: which size do you prefer?

Which size and length of fixation screw do you use most often for fixation of a buccal plate that fractured after ridge splitting or to stabilize a block graft? Do you prefer for the screw tip to terminate within the cortical bone? If the screw tip protrudes beyond the lingual cortical plate, is this a problem for the soft tissue? Or would you prefer to leave some threads on the buccal and graft them?

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3 Comments on Fixation screws for graft: which size do you prefer?

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Dennis Flanagan DDS MSc
3/14/2017
When fixation screws are not possible two layers of barrier membrane is appropriate. Dennis Flanagan DDS MSc
Geoff
3/15/2017
Just take a diamond bur and cut them off on the lingual. They aren't always a problem such as on the palate where the tissue is thick, but even there they can be a problem as an irritant.
Dr. H
3/15/2017
I thought that might be a good fix too.

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