Socket Grafting Without Flap Reflection

Socket Grafting without Flap Reflection

1.  No need to raise a flap.
2.  Extract the tooth and prepare the socket for grafting.
3.  Eject the cement into the socket.
4.  Press firmly over the cement for 3 seconds using dry sterile unfolded gauze and finger pressure followed by another 3 second press with a peritoneal elevator. Do not use an instrument to push the cement into the apex. 
5. Protect the exposed cement with Augma Shield™.
6. Suture and secure Augma Shield™ in place with a simple cross stitch suture.

Expert Tips:

• The cement should be well compacted in the cervical zone, though filling the apex zone is not crucial.
• During the initial stage of healing, the cement should not be left exposed.
• If Augma Shield™ is not available in your country a simple collagen sponge or plug can be used instead.