If you aren’t doing socket grafting and or A-PRF in your office, whats wrong with you? You can lose up to 40% bone height and definitely in the anterior lose your buccal plate. Here is a super simple case where we extracted some root tips and combined Implant Direct’s DirecGen DFDBA mixed cortical and cancellous bone with A-PRF. What’s DFDBA you say? Ground up cadaver bone. Yes, very morbid. You need to let your patients know that this is human irradiated bone. Completely sterile. And the may be vegan! I had a vegan patient that didn’t want DFDBA, so we had to go with a synthetic. I know, its LA!
A lot of people are taking courses on phlebotomy. I learned in my residency, but that being said. I only do it in my office when someone has big veins. We have a podiatrist down the hall and ask their nurses to help when its tough. That being said I thought I nailed this one, but was only able to get one vial. Still enough to do a small socket graft. The PRF that we got was separated into some that would be combined with graft and another will be squished to make a membrane.
The roots were extracted and I did a little crystal incision so we could get the graft under the tissue. I use 1 cc per socket and I like combined cortical and cancellous bone mixed with the PRF. Having the PRF makes its sticky and easier to condense.
On top of the graft combination we used the remaining PRF as a membrane. And yes I know, I need to go back to seamstress school with my sticking. Used Villet 2 which has a shorter resorb time than the purple ones. Looking forward to the post of pictures and will post the implant surgery in about 3 months.