Duration: 42 minutes, 23 seconds
Author: Dr. Sascha A. Jovanovic
Extraction Site and Vertical Ridge Augmentation in the Lower Anterior with rhBMP2 Titanium Mesh
In this article, we will discuss the application of BMP bone grafting in extraction site treatment, specifically focusing on the simultaneous extraction and ridge augmentation procedure in the lower anterior region. We will explore the case of a 37-year-old male patient with severe periodontitis on teeth number 23 and 24, and the treatment plan involving BMP2 Infuse bone graft, collagen sponge, and titanium mesh. The bone defect depth ranges from 3 to 6 millimeters, with an approximately 11.5 millimeter mesio distal space.
Extraction site treatment is a common procedure in dentistry, often requiring a two-stage process. However, advancements in bone grafting techniques have allowed for simultaneous extraction and ridge augmentation, leading to improved outcomes and reduced treatment duration.
The Role of BMP Bone Grafting
BMP (Bone Morphogenetic Protein) is a naturally occurring protein that plays a crucial role in bone formation and regeneration. By utilizing rhBMP2 (recombinant human BMP2), the extraction socket can be enhanced for ridge preservation and augmentation.
The Case Study: Patient Profile
Our patient is a 37-year-old male suffering from severe periodontitis in the lower anterior region, specifically on teeth number 23 and 24. To restore both function and aesthetics, a comprehensive treatment plan is essential.
In this case, the treatment plan involves the simultaneous extraction of teeth number 23 and 24, followed by ridge augmentation utilizing BMP2 Infuse bone graft, collagen sponge, and titanium mesh. The bone defect depth ranges from 3 to 6 millimeters, requiring careful consideration and meticulous execution.
The Surgical Procedure
Under local anesthesia, a full-thickness mucoperiosteal flap is created to gain access to the extraction area. Special care is taken to preserve the soft tissue integrity and periosteum for optimal healing and tissue regeneration.
Extraction and Debridement
The teeth are carefully extracted using forceps and elevators, ensuring minimal trauma to the surrounding bone and soft tissues. Thorough debridement of the extraction socket is then performed to remove any residual granulation tissue or infection.
Bone Grafting with BMP2 Infuse
BMP2 Infuse bone graft is prepared according to the manufacturer’s instructions and applied to the extraction socket. This advanced bone graft material acts as a scaffold, providing the necessary support and guidance for new bone formation.
Collagen Sponge Application
A collagen sponge is then placed over the BMP2 Infuse bone graft, sealing the extraction site and aiding in hemostasis. The collagen sponge also acts as a reservoir for growth factors, further promoting bone regeneration.
Placement of Titanium Mesh
To maintain the augmented ridge volume and prevent soft tissue invagination, a titanium mesh is precisely contoured and fixed over the extraction site. The mesh acts as a barrier, ensuring proper space maintenance and preventing soft tissue collapse.
Post-operative Care and Follow-up
The patient is prescribed appropriate antibiotics and analgesics to manage post-operative discomfort and prevent infection. Regular follow-up visits are scheduled to monitor healing progress, occlusion, and overall treatment success.
The simultaneous extraction and ridge augmentation procedure utilizing BMP2 Infuse bone graft, collagen sponge, and titanium mesh presents a promising approach for managing extraction site defects. This technique not only streamlines the treatment process but also enhances the potential for optimal bone regeneration and functional and aesthetic outcomes.
Frequently Asked Questions
1. Is the simultaneous extraction and ridge augmentation procedure safe?
Yes, when performed by a qualified and experienced oral surgeon, the procedure is considered safe. It is essential to follow proper surgical techniques and adhere to post-operative care guidelines.
2. How long does it take for the ridge augmentation to fully heal?
The healing process varies from patient to patient, but it typically takes several months for the ridge augmentation to fully heal. Regular monitoring and follow-up visits with your dentist or oral surgeon are crucial for evaluating progress.
3. Can the use of BMP2 Infuse bone graft cause any complications?
While BMP2 Infuse bone graft has proven to be a safe and effective method for bone augmentation, complications can occur. These may include swelling, infection, or allergic reactions. It is important to discuss any concerns with your oral surgeon prior to the procedure.
4. How long should I wait before getting dental implants after ridge augmentation?
The healing time required before placing dental implants varies depending on factors such as the patient’s overall health and the extent of the augmentation. Your oral surgeon will provide you with a specific timeline and guide you through the process.
5. Are there any alternatives to ridge augmentation with BMP2 Infuse bone graft?
Yes, there are alternative techniques for ridge augmentation, such as autogenous bone grafts or allograft materials. Each option has its advantages and limitations, so it is essential to consult with your oral surgeon to determine the most suitable approach for your specific case.