Membrane Exposed: Suggestions?
Dr. C asks:
I extracted #3 [maxillary right first molar; 16] and did a bone graft for socket preservation. #3 had previously had root canal treatment and apical surgery. I tried to remove it without damaging the surrounding bone but the extraction process was difficult and I chipped some of the buccal and lingual cortical plate. I placed a bone graft with Cerasorb [Riemser], a synthetic bone product, and covered it with Epiguide [Riemser], a bioresorbable membrane which does not have to be completely covered by the tissue. Much of the membrane was exposed because of the large dimensions of the extraction site. Shortly after the graft procedure, the sutures broke and I was concerned that the membrane would be displaced. Radiographically, the graft looked fine. I covered the graft site with a periodontal dressing to stabilize the membrane. The extraction site is about 10mm wide and is actually bigger now then at the time of extraction. I have prescribed an antibiotic and a chlorhexidine rinse. I would appreciate suggestions on how to proceed at this point.