Graft Vs. No Graft?
Last Updated: Jan 31, 2011
Dr. H. asks:
Please see the case photos below. I have a 31 year old male patient who presents with root tips in the #30 + 19 areas [mandibular right first molar and mandibular left first molar; 46, 36] and a sinus tract on the buccal of #18 [mandibular left second molar; 37]. My treatment plan is to extract these 3 teeth and to replace them with implants. My first treatment option is to extract the 3 teeth, lay full thickness flaps to expose the sites, do an aggressive and thorough curettage, harvest bone from the buccal of #18, 19 and to mix the autogenous bone with TCP [tricalcium phosphate, a synthetic ceramic graft material] and to graft the sites and cover with a resorbable membrane. Then place implants after 4-6 months of healing. My alternate treatment plan that I am considering is to extract the teeth and do an aggressive curettage then go back in for implant placement and bone grafting as needed at that time. I suggesting the second option because I am wary of causing an infection in the area. Which do you think would be the better option?
defect on 19
defect on 30
panoramic x-ray
47 Comments on Graft Vs. No Graft?
sb oms
01/31/2011
Ed Kusek DDS DABOI FAAID
01/31/2011
Dr. Ares
02/01/2011
peter fairbairn
02/01/2011
dr.p
02/01/2011
Dr Mario Marcone
02/01/2011
Gregori M. Kurtzman, DDS
02/01/2011
Bruce GKnecht
02/01/2011
Dr G John Berne
02/01/2011
Dr. M
02/01/2011
Ljungberg
02/01/2011
Ljungberg
02/01/2011
Johay
02/02/2011
Dr Yassen Dimitrov
02/02/2011
peter fairbairn
02/02/2011
Robert Horowitz
02/02/2011
john townend
02/02/2011
Gary D. Kitzis DMD DABPer
02/02/2011
Dr. Samir Nayyar
02/04/2011
Bruce GKnecht
02/09/2011
Peter Fairbairn
02/27/2011
john townend
03/16/2011
dr vinayak
03/17/2011
Robert J. Miller
03/18/2011
Dr. Mehdi Jafari
03/18/2011
Robert J. Miller
03/18/2011
Dr. Mehdi Jafari
03/18/2011
Dr. Mehdi Jafari
03/18/2011
Dr.Hossam Barghash
03/21/2011
Robert J. Miller
03/22/2011
Dr. Alex Zavyalov
03/23/2011
Greg Steiner
03/23/2011
Robert J. Miller
03/24/2011
Greg Steiner
03/24/2011
Dr.Hossam Barghash
03/25/2011
Robert J. Miller
03/25/2011
Dr.Hossam Barghash
03/25/2011
Robert J. Miller
03/25/2011
Greg Steiner
03/25/2011
Dr. Mehdi Jafari
03/26/2011
Greg Steiner
03/27/2011
Dr. Mehdi Jafari
03/27/2011
Dr.Hossam Barghash
03/28/2011
Robert J. Miller
03/28/2011
prof.Dr.,Dr.Hossam Bargha
03/30/2011
Dr. Mehdi Jafari
03/30/2011
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01/31/2011