Socket Graft of a Maxillary 1st Molar

Diagnosis
1. #16 Hopeless for endodontic and restorative reasons.
2. Odontogenic sinusitis

Treatment plan
Extraction of #16 and graft
3-4 months later
Dental implant placement with possible minor sinus lift

We utilized a cross type, double layer technique with a collagen membrane to over come major facial bone resorption.
Why?
Because the facial wall was very thin with small fenestration present. This kind of conditions might lead to up to 4mm bone resorption if GBR is not utilized at the time of extraction.
Upon re-entry the alveolar ridge width was 10.5 mm. This allows us to place a 5mm diameter implant with good amount of bone surrounding it.

Ioannis