Socket Grafting with Flap Reflection

How-to video for Socket Grafting with flap reflection using bone graft cement.

Applicable for: Bond Apatite®, 3D Bond+™

Socket Grafting with Flap Reflection : Surgical Protocols

  1. Before Flap reflection perform mesial oblique vertical incision (up to 2-3 mm into the mobile mucosa).
  2. Raise full thickness flap, minimally as needed to expose the entire defect.
  3. Extract the tooth and prepare the site for grafting.
  4. Cement application
    • Eject the cement into the site.
    • Place a dry sterile gauze and press firmly for 3 seconds on the buccal and occlusal aspects.
    • Press again on top of the gauze using a periosteal elevator in order to compact and compress the cement well.
  5. Reposition the flap for maximal closure by stretching it directly above the cement (exposure of 2-3 mm is fine, but not more than that).
  6. Suture: Start from mesial, then distal, then in the middle, after that sutures can be placed in between.
  7. When using the Augma Shield™ for coverage:
    • Suture the vertical incision and cover the exposed material with Augma Shield™.

Expert Tips:

  • Press firmly for 3 seconds, with a finger above a dry gauze.
  • Exert additional pressure for few seconds on the gauze with a periosteal elevator.
  • The material should be well compacted from all directions, buccally and occlusally.
  • No soft tissue manipulation should be performed to gain a tension free flap.
  • The flap is stretched for closure. Therefore, no periosteal releasing incision.

Explanations by: Amos Yahav, DMD

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