I have a patient of record who comes in each year for a recall examination and oral prophylaxis and is otherwise healthy. She presented recently with an abscess around #2 [maxillary right second molar;17]. She also has an impacted adjacent #1 [maxillary right third molar;18]. #17 has significant intraoral swelling of the gingiva and deep pockets. #2 is has a full gold crown which is splinted to #3 [maxillary right first molar;16] which is healthy. I am planning on extracting #2 because this tooth is hopeless. Should I attempt a bone graft with membrane at the time of extraction? I am assuming the bone around the socket will be infected. Would it be better to extract #2 and wait until the area heals and infection resolves and then place a bone graft and membrane? If the buccal wall remains intact should I not do a graft? What do you recommend?
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