Our Office Protocol

Biological Tooth Extraction

Whether a tooth needs to be removed due to extensive decay, fractures, or abscessed infections, it is imperative that the following five steps be followed once the entire tooth (crown and root) has been extracted:

1. Removal of the periodontal ligament. This is the elastic fiber that connects the tooth to the bony socket. Research indicates that once this ligament is completely removed, regeneration of the bone matrix occurs in a more proficient and predictable manner.

2. Ozone infiltration. Gaseous ozone administered directly into the extraction site helps disinfect the area, eradicating bacteria, viruses, fungi, and parasites.

3. Laser sterilization of the surgical site. Our state of the art Lightwalker laser lets us sterilize the area to ensure better healing for the patient through complementary infrared wavelengths, Er:YAG and Nd:YAG.

4. Placement of platelet rich fibrin (PRF). PRF is made by spinning a small sample of your blood in a centrifuge, which separates the blood into three layers. The middle section is PRF, which we pack inside the extraction site. Studies show that an extraction site can heal three to five times faster, with bone regeneration and faster, better wound healing.

5. Photobiomodulation (PBM). Once the extraction site has been sutured, a low level light therapy (LLLT) laser is used to penetrate the soft and hard tissues to reduce post-operative pain and speed healing.

Rather than just extracting a tooth and packing the socket with gauze, our protocol promotes a healthier result – a lower risk of dry socket, prevention of future cavitations, and less postoperative pain and discomfort for you.

Cavitation Surgery

Bone necrosis or chronic osteitis are two terms that are commonly used to describe the hollowed-out lesions found at old extraction sites, which can be detected through 3D CBCT imaging. The progressive cellular death of porous bone softens the bone until an actual hole results. The most appropriate treatment for this is essentially a surgical debridement (removal) of the diseased tissue.

Read the International Academy of Oral Medicine & Toxicology’s position paper on cavitations.

The following five steps set the stage for a successful surgical outcome:

• Physical debridement of the osseous defect. Once the surgical site is opened, we use slow speed drilling and surgical curettes to mechanically remove the necrotic (dead) tissue.
• Ozone infiltration. Gaseous ozone administered directly into the extraction site helps disinfect the area, eradicating bacteria, viruses, fungi, and parasites.
• Laser sterilization of the surgical site. Our state of the art Lightwalker laser lets us sterilize the area to ensure better healing for the patient through complementary infrared wavelengths, Er:YAG and Nd:YAG.
• Placement of platelet rich fibrin (PRF). PRF is made by spinning a small sample of your blood in a centrifuge, which separates the blood into three layers. The middle section is PRF, which we pack inside the cavitational site. Studies show that an extraction site can heal three to five times faster, with bone regeneration and faster, better wound healing.
• Photobiomodulation (PBM). Once the extraction site has been sutured, a low level light therapy (LLLT) laser is used to penetrate the soft and hard tissues to reduce post-operative pain and speed healing.

By educating our patients now, our aim is to keep you from experiencing years of unexplained pain, discomfort, or compromised health later in life.

“To Your Good Health”