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Robbie posted an update
I EXT/grafted a #4 today. A) this little bugger did not just come out, had to cut down the root all the way to that laceration and some on the buccal. B) this caused me to make the mistake of perfing out the buccal plate like a 3mm sized hole or so. Something of that nature.
I cut a piece of membrane into a sort of ice cream cone and stuffed it on the buccal and grafted.
So, what’s your approach to taking that crooked toe out and what would you have done for the perf?
Is what I did favor well for the buccal plate?
Thanks folks
Have a good day!
Dao, Jedediah and 2 others3 Comments-
I would also apply the ice cream cone technique. But if you cannot see it could be quite challenging. If it was too apical i would open a flap with relieving incisions and access the fenestration area grafting it and placing a collagen membrane
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I could certainly see it, i measure with a probe and transferred that to the membrane. I’m 90% sure it covered it.
Retrospect the flap would have been the way to go i think.
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If the socket has good width and it’s very small perforation 1 to 3 mm you would be fine just grafting that with really having minimal negative effect to the outcome and you would just graft it and come back and place an implant and four months or so. If it was a much larger defect in the bone is very thin where would be best to do additional grafting then yes you would do a full thickness flap and augment the area, that may be smaller large depending on the need.
In the future, sometimes you can strategically remove Bohn on the Neil distal side, several millimeters down with a very thin bur so you have more healthy to structure to be able to leverage elevate, and even in some cases use forceps that have a grip extension and you’ll be surprised what you’re able to get out without having the section many times And typically won’t have any effect on the ability to place an immediate implant
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