all my patients get bone spicules after extractions

#All my patients get bone spicules after extractions plus

OsteoGraf/LD-300 is supplied in sterile 1- and 3- gram vials. This preservation eliminates the need for a re-entry surgical procedure to repair and/or augment any potential deformity of the residual ridge. Resorbable calcium phosphates are biocompatible, they provide calcium for bone formation, and, since bone completely surrounds the defect, preserve the alveolar ridge form after tooth extraction. Importantly, no evidence of graft material was seen, supporting the remodeling to bone. Histology (Michael Rohrer, DDS, University of Oklahoma) showed relatively dense trabeculae with areas of bone marrow(6). Bone taken from a site previously grafted with OsteoGraf/LD-300 was histologically confirmed by a core specimen taken at 16 months. The formation of new bone in a four- or five-wall defect, such as an extraction socket, will occur by direct attachment to the old bone spicules with preliminary resorption of the old bone. It provides a readily available source of calcium that is necessary for mitogenesis and can be used successfully for ridge preservation. It is a pure form of calcium phosphate, highly porous and resorbable. In an extraction socket, an inexpensive, resorbable calcium phosphate material can be used such as OsteoGraf®/LD-300. With a variety of alloplasts commercially available, the composition of the material should be evaluated for its suitability for the clinical indication. Preserving the alveolar ridge offers patients choices in their restorative treatment plans, including endosseous implants(5). Studies provide the clinical rationale for grafting fresh extraction sockets as preventive care. To prevent this complication, grafting extraction sockets with alloplastic materials has become a routine part of extraction surgery in my office. can be quoted as saying, 'During the first year after tooth loss, 40 - 60% of the width of the alveolar ridge resorbs after tooth extraction(4).' The resorption and collapse of the hard and soft tissue architecture increases the complexity of the restorative treatment plan for the doctor and has a dramatic negative effect on the esthetics of the final prosthesis. The bone fill that occurs in extraction sites falls short of the original crestal height and width and continues to degrade over time. At this stage the alveolar crest appears to undergo a slight resorption, which progressively increases. He explains that mineralization is apparent at day 18, but by 38 days, the laminadura had lost its definitive outline. In 1960, Amler(3) reported the human alveolar socket healing sequela in undisturbed extractions. For decades we have thought that socket healing included bone formation and bone fill. Tooth extraction is one of the most common surgical procedures performed in dental offices. Maintenance of the ridge form is of utmost importance if esthetics dictate the degree of satisfaction for the patient. Yet, many of us do not realize the necessity for grafting fresh extraction sockets for preservation of the alveolar process. This resorption process can make the commitment of a natural-looking restoration for our patients more difficult to achieve.

#All my patients get bone spicules after extractions plus

Pietrokovskia and Massler(2) (University of Illinois) studied the morphologic changes that take place after a tooth is extracted and the upward plus inward resorption pattern of the alveolar maxilla. For more than 60 years, clinicians and scientists alike have reported on the consequences resulting from incomplete bone fill of the alveolar socket after tooth extraction.

Residual ridge resorption (RRR) has been well-documented in the literature dating back to 1935 with Deebach`s(1) article on the healing process following the removal of teeth. The challenge arises when patients exhibit less-than-normal oral anatomy, particularly of the residual ridge.