Careful management of extraction sockets after tooth extraction prevents unsightly bone loss and provides a better cosmetic outcome for tooth replacement.
When a tooth is extracted an empty socket remains, in order to
preserve the bone, reduce bleeding and expedite healing a socket graft is
placed at the time of surgery. It has been shown that after extractions if bone
grafting is not performed 40 to
60 percent of bone may be lost. Socket grafting and ridge preservation also
aids in delaying facial aging lines from around lips. This maintaining of bone,
opens a variety of restorative options as well as less bulky partials and
dentures.
Careful management of extraction sockets after
tooth extraction prevents unsightly bone loss and provides a better cosmetic
outcome for tooth replacement. As well, the bone at extraction socket should be
preserved and enhanced to allow for predictable dental implant placement, should it be needed
immediately or in the future. The management involves placing bone into the
tooth socket at the time of extraction, then covering that area with a collagen
"membrane" to protect the bone underneath. The area needs to heal two
to six months, depending on the size of the socket. The additional expense of
this step is worth it to prevent defects from occurring and the additional need
of bone repair procedures in the future, which are more costly and extensive.
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