Video: Extraction and socket grafting in preparation for implant placement

July 23, 2019
This surgical video demonstrates removal of a tooth with loss of buccal plate and grafting of the remaining socket with Geistlich Bio-Oss Collagen and Geistlich Bio-Gide to preserve the ridge for implant placement.

Welcome to Clinical Quick Tips Videos, presented by Perio-Implant Advisory. In these videos, we will present techniques and product demonstrations on real patients with an emphasis on solving periodontal- and implant-related issues.

In this five-minute video, Dr. Scott Froum, editorial director of Perio-Implant Advisory, discusses the surgical steps involved in removing a tooth with loss of buccal plate and grafting the remaining socket with Geistlich Bio-Oss Collagen and collagen membrane in order to preserve the ridge for subsequent dental implant placement.

In this case, Dr. Scott Froum performs a live surgery on a 51-year-old male. The patient is in good health and taking no medications. He has an unrestorable tooth No. 13.

While there is an ample amount of soft tissue in the area, there is a buccal plate defect. According to the radiograph, tooth No. 13 was treated previously with a root canal (with an apicoectomy), and there is no periodontal ligament (PDL). This will be a difficult extraction.

Follow along and watch Dr. Froum perform this surgical procedure as he elevates the tooth, makes an osteotomy, performs osseous removal around the root, luxates the tooth, and removes the root. He then prepares to graft the socket by performing a soft-tissue envelope flap incision and placing the collagen material and a collagen membrane in order to preserve the ridge for subsequent dental implant placement.

Editor's note: Join us for the not-to-miss Perio-Implant Advisory Symposium on October 23, 2020. In this important virtual meeting, you’ll learn the newest skills it takes to save patients’ natural dentition. Bring your team and transform your practice. Conference schedule and special rates available at this link. Presented by Geistlich Biomaterials.

View the complete procedure in the video below.

In a related article about bone grafting titled, "Bone grafting after tooth removal: Why, when, and what to use," Dr. Scott Froum discusses tooth extraction prevalence in the US and offers a decision matrix to clarify when bone grafting is needed and the best type of material for site preservation.

More Clinical Quick Tips Videos: Functional crown lengthening around bleeding crown and veneer restorations

More Clinical Tips From Dr. Scott Froum: Click here

Scott Froum, DDS, a graduate of the State University of New York, Stony Brook School of Dental Medicine, is a periodontist in private practice at 1110 2nd Avenue, Suite 305, New York City, New York. He is the editorial director of Perio-Implant Advisory and serves on the editorial advisory board of Dental Economics. Dr. Froum, a diplomate of the American Board of Periodontology, is a clinical associate professor at SUNY Stony Brook School of Dental Medicine in the Department of Periodontology. He serves on the board of editorial consultants for the Academy of Osseointegration's Academy News. Contact him through his website at drscottfroum.comor (212) 751-8530.