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 thoughts on “Fixation screws for graft: which size do you prefer?

  1. When fixation screws are not possible two layers of barrier membrane is appropriate.
    Dennis Flanagan DDS MSc

  2. 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.

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