2nd Lower Molar Distal Bone Graft M

A 51-year-old man returns for #17 extraction 3.5 years post #32 one (Fig.1,2).  The bone distal to #18 is lost severely (Fig.1).  After #17 extraction and granu-lation tissue removal, Collagen Plug (Fig.3 C), Osteogen Plug (O) and cortical: cancellous (50: 50) mine-ralized allograft (.5-1 mm) saturated with ~ .2 ml of .3 mg/ml of rhPDGF-BB (B, one component of GEM21S) is placed in the socket.  The patient returns with chief complaint of referring pain to the left ear 6 days postop, although the extraction wound looks fine.   The mild pain (controlled by pain medication) persists 10 days postop.

Return to Plug  GEM21S Cases Xin Wei, DDS, PhD, MS 1st edition 03/12/2020, last revision 03/31/2020