Glocker SS on extreme case
An extreme case with little bone to preserve. A lower incisor with a chronic infection must be removed. The patient accepted a block graft and a CTG to treat this case as a Type 2 or 3 case with a delayed approach.
I prefered to treat as a Glocker SS, in a staged mode.
We have to decide if we extract and do what we planned or try to maintain the buccal bone with a SS.
The socket was cleanned and rinsed with povidone.
The buccal comunication at the end of the socket was close by a INTERNAL membrane of collagen.
Allograft and a suture will do the rest.
After 3 months if we where successful, we will procced with an implant with or without immediate provisional.