Preventing permanent bone loss and gum damage
Prior to the removal of any tooth Dr D'Angelo takes the time to discuss with his patients the options
for a replacement tooth. It is important to consider the options as they affect the way the removal of the tooth is approached.
Dr D'Angelo prefers an approach of ATRAUMATIC TOOTH REMOVAL
(without trauma) for any situation where an implant may be a consideration for replacement. He carefully removes the tooth with a technique that dramatically reduces or eliminates trauma to the tissues surrounding the tooth.
Advantages of Atraumatic Tooth Removal:
- Much less or no pain afterwards
- Reduces risk of infection
- Improves tissue health
- Preserves soft tissue and bone contours
Atraumatic Tooth Removal
Immediately upon removal of a tooth the surrounding boney ridge begins to resorb
This continues indefinitely with the greatest loss of bone
occurring in the first months and years after extraction.
When a dental implant is planned after this resorption occurs a compromise in the position of the implant or modification of the ridge to attain an ideal implant position needs to be considered.
Atraumatic Tooth Removal helps minimize or eliminate this problem.
Another technique that Dr. D'Angelo uses at the time of tooth removal to ensure an ideal dental ridge for implant placement is called
Ridge Preservation (or, Socket preservation).
In this technique a grafting or scaffolding material is placed into the socket after removal to ensure bone growth through the socket. This helps to minimize resorption especially in cases where the bone overlying the tooth is thin or damaged.
Advantages of Ridge Preservation
- Improved ridge dimension for implant placement
- Improved tissue contours
- Improved esthetics for final restoration
In some cases a dental implant can be placed at the time of tooth removal. If the tooth size and shape are with in certain parameters and the surrounding tissues are healthy immediate placement can offer tremendous advantages toward assuring an ideal outcome for esthetically demanding situations.
Advantages of Immediate Implant Placement
- Optimum esthetics for final restoration
- Preserves original tissue contours
- Saves time
- Reduces the number of procedures needed