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Osteogen and Socket Preservation using A-PRF+

  

Brien was seen for and extraction of a broken upper left second molar. The radiograph showed deep decay and apical cysts extending into the maxillary sinus. Blood was drawn for a socket preservation using A-PRF+, but after cyst removal we had a communication between the sinus and the mouth requiring additional procedure. In this case we used a new product called "Ostegen" to plug the sinus and covered it over with A-PRF+ plugs and sutured with 4.0 PTFE apical mattress and interrupted sutures

Below is an occlusal mirror shot of the surgical site prior to extraction, socket preservation and cyst removalBelow is an occlusal mirror shot of the extraction socket after tooth and cyst removal leaving an oral-antral communication between the sinus and mouthBelow is an occlusal mirror shot of the Osteogen collagen plug placed into the sinus to block the oral-antral communication between the sinus and mouth, to be covered over woth 4 plugs of A-PRF+ sutured in with 4.0 PTFE apical mattress and interrupted suturesBelow is an occlusal mirro shot of the A-PRF+ placed over the Osteogen plug, sutured into socket with 4.0 PTFE apical mattress and interrupted suturesBelow is an occlusal mirror shot of the Socket preservation 2 days later and healing uneventfully. You can see where the margin of the gingivae was on the extraction socket to where is is two days later. Root canal still to be done on the first molar in front of the extraction site.Below is a picture fo the extracted tooth and the cyst removed from the apex of the molar leading to a communication between the sinus and mouthBelow is a picture of the radiograph of the area showing two failing molars with apical cysts.