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Ridge preservation in cases requiring tooth extraction during endodontic surgery: a case report
Author(s) -
Lin S.,
Cohenca N.,
Muska E. A.,
Front E.
Publication year - 2008
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/j.1365-2591.2008.01400.x
Subject(s) - dentistry , medicine , endodontist , cancellous bone , radiography , orthodontics , surgery , endodontics
Aim To provide a treatment option to endodontists performing surgery that will enhance ridge preservation when tooth extraction is required. Summary A 47‐year‐old woman was referred to an endodontic practice for apical root‐end resection of tooth 22 because of refractory periradicular disease. Radiographic examination revealed a large periradicular lesion, 5 mm in diameter and a root‐end filling at the root apex. The treatment plan included exploratory surgery and apical root‐end resection. A vertical root fracture was diagnosed and the decision was made to extract the tooth. The socket was grafted with a cancellous bovine bone and covered with a resorbable collagen membrane. Follow‐up examination revealed favourable bone healing with formation of a new cortical plate and the preservation of soft tissue width and height in the aesthetic area. Key learning points• The principles of guided bone regeneration. • Preserving or reconstructing the extraction socket. • Enhances the ability to restore function and provide aesthetically pleasing restorations to patients without violating the predictability and function of the prostheses.