Project Description
Semi Impacted Third Molar Case Study
- Initial x-ray
- Clinical view at presentation
- A mucoperiosteal buccal flap was raised and bone was removed to expose the crown of the horizontally positioned third molar
- Sectioning of the crown
- Sectioning of the roots
- After removal of the roots the site was curetted with Lucas hand curettes, and EthOss® degranulation burs were used to remove any remnants of granulation tissue
- Periapical radiograph immediately after surgical extraction
- Grafting of the site with EthOss®
- EthOss® positioned within defect
- Periapical radiograph immediately after grafting
- Tension-free primary closure
- Periapical radiograph 2 weeks post-op. The rapid resorption of the calcium sulfate element of EthOss®increases the porosity of the graft, which accelerates and enhances the ingrowth of new blood vessels, rendering the material more radiopaque radiologically at this time point
- Clinical view 6 months post-op. The site is closed and completely covered by keratinized soft tissues
- Clinical examination revealing no residual periodontal defect distally to the second molar
- Periapical radiograph 6 months post-op showing the consolidation of the grafting material and complete restoration of the bone defect with high quality new bone
- Dr Minas Leventis, DipDS, MSc, PhD
Scarsdale Dental Aesthetic & Implant Clinic, London
