An Alternative Technique for Ridge Reconstruction of Extraction Socket with Buccal Dehiscence: A Clinical Case Report

Abstract

A clinical case report describing the use of an alternative ridge reconstruction technique to augment an extraction socket with buccal dehiscence. Unassisted healing following flapless extraction of teeth possessing such buccal wall defects leads to severe bone and soft tissue deformities, and an aesthetic compromise. Current treatment strategies are based on the assumption that maintenance of the buccal tissues leads to superior clinical outcomes. Our proposed ridge reconstruction technique challenges this concept by suggesting that a lack of buccal bone in fact, enhances bone augmentation with our proposed treatment strategy, as demonstrated by the positive radiographic changes. Our technique consists of socket grafting with deproteinised bovine bone particulates and socket sealing with an immediate ovate pontic. The ability to achieve effective circumferential socket seal is paramount in maximising ridge augmentation. The increase in bone volume thus provides the ideal surgical environment for implant placement in the prosthetically driven position, ensuring optimal aesthetics and function of the implant. The patients also benefit from the provision of an immediate tooth replacement and the reduced postoperative morbidity as this is a flapless technique, involving no sutures or barrier membranes. The ultimate result is the ability to achieve superior clinical outcomes with maximum benefit for the patients