Socket Graft Case Study

1. Vertical fracture of the upper right second molar
2. Fractured tooth extracted “atraumatically” under local anaesthesia
3. Socket grafting with EthOss®
4. Covered with hemostatic collagen sponge, no primary closure.
5. 12 weeks post-op
6. Re-entry at 12 weeks
7. Bone biopsy and preparation for implant placement
8. Implant placed
9. Additional grafting with EthOss®
10. Tension-free closure
11. After 4 months
12. Penguin ISQ measurement: 74
13. After fitting final screw-retained restoration. Outcome 7 months after implant placement
14. Bone biopsy sample
15. Histomorphometric analysis from University of Freiburg
16. Newly-formed vital bone: 48.12%, residual EthOss®particles: 8.11%
17. EthOss® Particle (EO) closeup, with osteoblasts (OB), osteoid (O) formation and new bone trabeculare (NB)

Radiograph:

1. Inital pa x-ray
2. After extraction and socket grafting
3. 4 weeks post-op
4. 12 weeks post-op
5. After implant placement and additional grafting
6. After 4 months, final restoration