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Ulises posted an update
Hey whats everyone’s opinion on using collagen membranes after socket preservation where the site heals via 2ndary intent?
Franco and Erick6 Comments-
I had a recent bad experience where a ptfe membrane kept slipping out. I retucked the membrane and resutured, but it popped out again. Should I have tucked a longer membrane? The patient was wearing a flipper (#8) and may have loosened it.
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Is there a tool or technique to prevent the membrane from folding over itself
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Ive been reading the Pikos bone grafting book and he shows examples of just using stuff like oraplug or colla plug in the extraction sockets. He then uses a biopsy punch of the palate and sutures it on top. So basically bone graft then a small piece ( uses the biopsy punch) of collaplug then biopsy punch again of keratinized palatal tissue and sutures. I like PTFE membranes like mentioned above they seem to work very well when I cannot get primary closure.
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@franco i like this technique that you’re describing. I feel like if you get into the habit of doing it this way, youd get really nice results. I always mean to do this, but then i realize that i didn’t tell the patient ahead of time that i would be punching into their palate and then i ditch the idea
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How often does the punched-out tissue necrose?
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Sorry I missed this message man. I don’t do it this way often enough to give a good answer. I feel like as long as you leave thick enough tissue intact you shouldn’t have too much trouble with necrosis
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