Cytocone Procedure: Conservative Repair of a Buccal Plate Dehiscence in Preparation for Implant Placement
Changi, K.K.; Greenstein, G.
Compendium of Continuing Education in Dentistry 39(5): 294-299; Quiz 300
2018
ISSN/ISBN: 2158-1797 PMID: 29714495 Document Number: 694986
In type II sockets, the soft-tissue level is at or coronal to the cementoenamel junction, and part of the buccal plate is missing. In the esthetic zone, a patient with this type of situation often is not a good candidate for immediate implant placement until the osseous defect is repaired. Therefore, use of a conservative regenerative procedure to repair such a defective socket would be advantageous. The Cytocone procedure utilizes a nonresorbable dense polytetrafluorethylene (d-PTFE) barrier and modifies the classic "ice cream cone" technique to restore a buccal osseous defect without raising a labial flap. This article describes and illustrates the Cytocone procedure.