An ultimate generation bone paste is used to manage a post-extractive site in combination with a collagen membrane.
The Sheet summarizes the case of a 43-year old patient whose element 27 was compromised due to a fractured crown. The patient underwent atraumatic extraction of the element. Careful cleaning of the post-extractive socket was then performed and the bone substitute was grafted. The graft was performed using Activabone Mouldable Paste: the special bone paste was extruded directly from the syringe into the post-extractive site, then molded with blunt instruments to achieve optimal contact with the internal walls of the socket. The grafted site was protected using a resorbable collagen membrane (Biocollagen, Bioteck), after suitably shaping it prior to its placement. After placing the membrane, the gingival margins were stabilized with a few interrupted sutures using nonresorbable suture. The suture was removed after one week, following significant soft tissue healing. The histological examination performed 5 months after the surgery, showed a significant newly formed bone structure, while no signs of inflammation were observed. In conclusion, the bone substitute employed has made it possible to achieve effective regeneration of the alveolar process both in clinical and histological terms.