Editorial Type:
Article Category: Letter
 | 
Online Publication Date: 06 Mar 2020

Utilizing Chronic Intrasocket Granulation Tissue for Ridge Preservation: A Novel Approach

DMD, PhD,
DDS, PhD, and
DMD, PhD
Page Range: 438 – 445
DOI: 10.1563/aaid-joi-D-19-00116
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Figure 1.
Figure 1.

Case 1. (a) Clinical situation of #14 and #15. (b) Transverse cone-beam computerized tomographic image. (c) Cross-sectional cone-beam computerized tomographic image of #14. (d) Cross-sectional cone-beam computerized tomographic image of #15. (e) Following extraction, a primary horizontal incision was made on the buccal aspect of the ridge. (f) A flap including intrasocket granulation tissue was elevated. (g) Deproteinized bovine bone mineral was grafted for restoring the ridge contour. (h) Primary flap closure was obtained.


Figure 1.
Figure 1.

Continued. (i) Healing after 1 week. (j) Healing after 3 weeks. (k) Healing after 4 months. (l) Well-formed ridge contour was observed after flap elevation week. (m) Implants were placed with 1-step underdrilling. (n) A definitive prosthesis was delivered. Yellow arrowhead: primary incision line.


Figure 2.
Figure 2.

Case 2. (a) Initial clinical situation of #4 and #5. (b) A horizontal incision was made on the palatal aspect of the ridge, and a flap including the intrasocket granulation tissue was then elevated. (c) Deproteinized bovine bone mineral was grafted for restoring ridge contour. (d) A collagen matrix was used for the #5 socket, and flap closure was made. (e) Healing after 1 week. (f) Healing after 10 weeks. (g) Implant placement. (h) Delivery of definitive prosthesis. Yellow arrowhead: primary incision line.


Figure 3.
Figure 3.

Case 3. (a) Initial clinical situation of #15. (b) Following extraction, thick intrasocket granulation tissue was observed. (c) Primary incision was made on the mesial aspect of the #15 socket. (d) Deproteinized bovine bone mineral was grafted, and primary flap closure was obtained. (e) Healing after 1 week. (f) Healing after 5 months. (g) Implant placement. (h) Delivery of definitive prosthesis. Yellow arrowhead: primary incision line.


Figure 4.
Figure 4.

Representative panoramic radiographic images of the cases.


Figure 5.
Figure 5.

Representative cone-beam computerized tomographic images of the cases.


Contributor Notes

Corresponding author, e-mail: yherr@khu.ac.kr
These authors contributed equally to this work.
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