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September Newsletter

In cases after flap reflection, it should be slightly and minimally released.

The release cut should be at the base of the flap and minimal as possible, so during the closure itself, the flap should be placed directly above the graft without using any membrane while there should be maximal closure with moderate tension. (shouldn’t  be tension free as we are used to with granules and membranes).

It will provide less pain to the patient, less swallowing, stability to the graft during healing and higher predictability.

Exposure of maximum 1-3mm is not an issue. The soft tissue will proliferate rapidly above the cement and bridge the gap. Do not leave it exposed more than this as you may lose volume.

Previous Issues

August Newsletter

Previous Tips

Socket Preservation Procedures

Press firmly with a dry gauze for 3 seconds to stabilize the material
Do not use a tool to push the cement to the bottom of the socketIn case that you didn’t reflect a flap, protect the cement with a simple collagen sponge that must be sutured and secured to the surrounding soft tissue.Due to the conversion of the grafting material into the patient’s own bone, The radiographic appearance will show the following:
  • During day one after graft placement – it appears radiopaque.
  • Gradually, radiolucency appearance takes place (reflecting the graft transformation into the newly formed osteoid before its calcification).
  • 2-4 weeks after graft placement, the majority of the grafted site will appear radiolucent while few radiopaque spots remain, reflecting the presence of the HA particles.
  • Within 12 weeks, radiopacity takes place with the appearance of the native trabecular form. That is the time when the new osteoid has already calcified.