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Title: Extraction Site Grafting
Description: Dr. Bartee describes in great detail a protocol for post extraction socket management in terms of hard tisse grafting on primary site preparation for implant placement.

Link: Watch this educational video online now!

Thank you Dr. Ramirez,

In this case, an acrylic removable partial denture was used with ovate shaped pontics. With this technique, you have to keep the pressure off of the soft tissue and membrane initially, and you have to strike a balance between supporting the soft tissues and creating pressure which might result in necrosis.

I actually prefer a tooth borne temporary, such as a bonded pontic or an Essix (clear vacu-formed acrylic-- .035" Raintree Essix) type of provisional. This approach really avoids the possibility of pressure necrosis during the early healing phase. Let me know if you have any other questions about the technique.

Best regards,

Barry Bartee

Very nice presentation. I have been successfully utilizing Dr Bartee's extraction site preservation technique for several years. I use it routinely in single tooth extraction cases where five essentially intact socket walls remain. I have only occassionally used it for multiple extraction site cases or in cases of compromised buccal and/or lingual wall integrity - instances in which I typically utilize collagen membranes. In five walled single extraction cases, I have consistently seen excellent bone quality and quantity for subsequent successful implant placement or as pontic receptor sites. I have always used Puros as the graft material along with the Cytoplast TXT-200 membrane with great results. Even lacking primary closure, which is typically the case, the post-op course is calm and comfortable. For anyone who has not tried this technique, I highly recommend it as being precictable and successful. Dr Bartee's one day course on socket preservation and this particular technique is also quite worthwhile. As an aside, the technique is very cost effective, due to the reasonable pricing of the membranes, but as they are so good and the procedure is so predictable and successful, I would likely utlize them regardless of cost.