Current Methods of Socket Preservation

Current Methods of Socket Preservation

  • Packing of grafting materials into the socket
  • Use membrane in most of the cases
  • Do primary closure of the socket by raising a mucoperiosteal flap
  • Sometimes, immobilizing the block bone graft with screws is done

These grafting materials can be:

  • Pellets
  • Granules
  • Gel
  • Paste
  • Powder
  • Sponge
  • Blocks

Clinical Challenges with Autogenous Bone Graft

  • The need for secondary surgical site
  • Increased operating time, cost and patient’s discomfort
  • Increased potential for donor site morbidity
  • All surgery harbours the potential intraoperative and postoperative complication

Clinical Challenges with Xenograft

  • It may be necessary to use xenograft in combination with autogenous grafts
  • Potential risk of disease transmission
  • Potential risk of host immune response
  • Some patients may want to choose synthetic materials for religious and cultural reasons

Clinical Challenges with Allografts

  • Host rejection
  • Long term medication

Clinical Challenges with Alloplasts

  • Mechanically weak
  • Quality of bone may be compromised
  • May take a long time to resorb