Dentin autograft for socket preservation
The patient (heavy smoker) was referred for extractions of non-restorable teeth and implant placement. Due to the defects in the left upper maxilla, immediate implant placement was not an option for me. Limited bone amount apical-palatal in the canine area would jeopardize the primary implant stability and Glocker procedure (socket shield with delayed implant placement) would have been an option. With residual bone height 4-5 mm in the posterior maxilla, a two-stage sinus lift was not necessary. Nevertheless, we decided to perform sinus elevation together with teeth extractions and sockets grafting, in order to prepare implant sites for immediate loading. Sockets preservation was done utilizing partially demineralized dentin covered with PRF membranes. CBCT superimposition shows absolutely satisfactory ridge dimension maintenance, the ridge appearance at re-entry similar to the native bone. The final image and x-ray are taken this week, one year after the treatment was finished.