Recommending a bone graft immediately after extraction can be a good idea, if in the future an implant is going to be placed. If a bridge is the option you select for replacement of tooth#19, a bone graft would be indicated in some cases where there is a severe amount of bone destruction around that tooth, such that the healed area would leave a large open space. This makes the placement of the bridge and subsequent cleaning in and around the bridge more difficult. If the tooth has relatively healthy bone around it, a bone graft may not be necessary.
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