"Socket Preservation: A must or a passing trend? – A critical approach to the different techniques"
Managing extraction sockets in the anterior maxilla is still a problem that dentists are facing on everyday basis. Many techniques on how to counteract a possible resorption of the alveolus are known. Some of these may require specific clinical skills. Others may require a longer period of treatment. Cell occlusive membranes alone or in combination with different bone grafting materials have been used extensively to enhance healing of extraction sockets and to prevent ridge collapse prior to placement of dental implants. However, bone grafting may interfere with the self-healing process of the socket which will take longer. The use of a membrane (according to the GBR principle) may require a more sophisticated surgery at the time of extraction as well as an extended period of healing to obtain proper maturation of the regenerated area.
Dr. Caiazzo’s lecture will illustrate a simple procedure that may help to facilitate the management of these clinical case scenarios, with minimal interference to the natural healing time of a socket. In particular, placing the graft external to the buccal plate, the Buccal Plate Preservation technique (BPP), may prevent the eventuality of an unaesthetic result due to the resorption of the buccal plate. Thus after extraction it would be possible to place the implants sooner, since the BPP technique does not interfere with the self-healing process of the alveolus.
CV Alfonso Caiazzo
Dr. Alfonso Caiazzo received his dental degree at the University of Naples, Italy. After a Residency in Oral and Maxillofacial surgery at TUFTS University and a Fellowship in Implant Dentistry at New York University, he now practices oral surgery and implant dentistry in Salerno Italy.
He is Visiting Assistant Clinical Instructor of Oral & Maxillofacial Surgery in the Henry M. Goldman School of Dental Medicine (Boston University) and member of the American Association of Oral and Maxillofacial Surgery.
He is Vice President of the Italian Academy of Osteointegration.
Co-editor of the internationally successful book Orthodontically Driven Corticotomy (Wiley- Blackwell 2015), he is co-author of the chapter Implant dentistry in Oral Surgery for the General Dentist, Wiley-Blackwell 2015. Author of several articles in International Journals.