Health Matters Related to Periodontal
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For Dental Health Professionals
of interest in Periodontics
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Many times a patient may think once their problem tooth
has been removed, their problems are over. This is far from the case. Most
teeth today are removed because there has been an infection. Usually, much of the
bone around the tooth's root has been destroyed. After a tooth extraction, the gum
heals down in the socket (hole) before the bone has time to completely reform, leaving a
resorbed ridge. If the socket is not "augmented" a large, often cosmetic defect
To prevent bone resorption after extraction, we suggest the socket be filled with a
material (bone graft) that reduces
gum shrinkage and sometimes isolate the socket with a
membrane (protective sheet) that prevents gum down growth (See Guided
Tissue Regeneration). Treating the problem before it
occurs is ideal. Here are some clinical photos.
|This photo shows a hopeless upper bicuspid with serious
bone loss. The patient lost her crown several weeks prior.
||Here is the extracted, fractured tooth that could not be
|This is the bone defect resulting from the infection. A
serious cosmetic defect would result.
||A bone graft is placed in to the extraction socket to
restore the lost bone.
||Finally, the gum is closed over the bone graft that has
been protected by a GTR membrane (see above).
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