Tooth Removal Focused on Comfort, Preservation, and Regeneration
Committing to the removal of a tooth can be a daunting task, but Dr. Petersen and Team TKDDS are committed to ensuring your comfort and idealized outcome. We will gently guide you through the extraction process, which will be conducted in the most minimally invasive and natural manner possible.
We respect what nature has given you, and it is our aim to preserve as much of your bone and gum tissue during, and after, every tooth removal. We accomplish this by taking extra time to a-traumatically remove every tooth, as well as remove the periodontal ligament surrounding the tooth with mechanical debridement and ozone irrigation. The removal of the periodontal ligament and other soft tissues in the tooth socket is critical, as the remaining soft tissue impedes or obstructs your natural bony healing process. Ultimately, we want to preserve the bony contour within the extraction site, and minimize the risk of long-standing granulation tissue infiltration, residual cysts, or bony cavitations.
The Benefits of Ozone and Platelet Rich Fibrin During Tooth Extraction
- Faster bony and gingival healing2,3
- Decreased swelling during healing2,3,4,5
- Better blood supply to the tooth socket6 and reduced risk of “dry sockets”3,4,6
- Less pain after tooth extraction2,3,5,6
What is Platelet Rich Fibrin (PRF) and How Can it Help after a Tooth is Removed?
In conjunction with tooth removal, Dr. Petersen offers the option to preserve the contour of your surrounding bone with the most biocompatible materials available. Platelet Rich Fibrin (PRF) is an isolated concentrate from your own blood (100% you) that contains growth factors, stem cells, and immune cells1. PRF has been shown to improve tissue regeneration, reduce healing time, and the risk of infection when placed in extraction sockets after tooth removal. When placed in an intact tooth socket, PRF is remodelled into bone, and does so faster than a blood clot would.2,3 The amount of blood needed for PRF is small (10-30 ml), and can be collected during your tooth removal procedure. The processing of your blood is done in a closed and isolated, FDA approved system until it returns to the extraction site. We find our patients who have this PRF procedure performed heal 2-3 times faster than normal. For situations where a significant amount of bone is missing due to an infection or trauma, our team will consult with you about the best option for your particular circumstance.
How can Ozone Irrigation Improve Healing and Reduce Infection Risk After Tooth Removal?
Ozone (03) is a powerful antimicrobial gas that has shown use as a natural disinfectant in oral surgery. Traditionally, treating oral infections is done systemically with antibiotics, which disrupts your healthy bacteria. However, in many instances, local use of ozone in the tooth extraction site and surrounding tissues can reduce active infection without collateral harm to the bacteria in the rest of your body. O3 also has shown anti-inflammatory and immunostimulatory effects when used in wound healing.7 While ozone is toxic to anaerobic bacteria at the levels we irrigate at, your tissues have natural protection which deactivate ozone and prevent tissue harm.
When is Tooth Removal Necessary?
Occasionally, a tooth is so extensively damaged, either by tooth decay, gum disease, or trauma, that tooth removal is appropriate. A common sign that a tooth should be considered for removal is lingering pain or swelling. Dr. Petersen and the TKDDS Team will guide you on your decision of tooth removal and make sure to inform you about possible alternatives to tooth removal as well as options for replacing your missing tooth after it is removed.
What to Expect After a Tooth is Removed
The healing process begins by forming a stable blood clot. This clot forms best by biting down on gauze for 30-minute intervals, evaluating the gauze, and reapplying gauze to the site if some bleeding remains. You may have to cycle through several sets of gauze and pressure to form a non-bleeding clot.
After the blood clot has formed, it is important not to agitate or disturb the site. Avoiding suction through straws, drinking alcohol, smoking, eating sharp hard foods, and vigorous swishing will reduce the probability of the blood clot dislodging. To heal and reduce pain as best as possible, please refrain from these activities for a week after your tooth is removed. Additionally, vigorous exercise for the first 48 hours should be avoided to keep the clot stable.
Lots of water and a soft diet filled with healthy nutrition is recommended after tooth removal. Normal dental hygiene (brushing, flossing, oral irrigation) after 24 hours around everywhere except the surgical site —please do not attempt to clean the surgical site with anything other than a gentle cleansing of saline water. To make saline water combine ¼ teaspoon of salt with 1 cup of water, swish gently, and spit out.
- Miron R, et al. Platelet Rich Fibrin in Regenerative Dentistry. Hoboken: Wiley, 2017
- Sammartino G, et al. Influence of Leukocyte and Flatelet Rich Fibrin (L-PRF) in the Healing of Simple Postextraction Sockets: A Split-Mouth Study. BioMed Res Internation. 2015. 10:2314-2320
- Al-Hamed F, et al. Clinical Effects of Platelet-Rich Fibrin (PRF) following surgical extraction of lower third molar. The Saudi J for Dent Res. 2017. 8(1-2):19-25
- 4. Ozgul O, Senses F, Er N, et al. Efficacy of platelet rich fibrin in the reduction of the pain and swelling after impacted third molar surgery: randomized multicenter split-mouth clinical trial. Head Face Med. 2015;11:37.
- Naik B, Karunakar P, Jayadev M, Marshal VR. Role of Platelet rich fibrin in wound healing: A critical review. J Conserv Dent. 2013;16(4):284-293.
- Ahmedi J, Ahmedi E, Sejfija O, Agani Z, Hamiti V. Efficiency of gaseous ozone in reducing the development of dry socket following surgical third molar extraction. Eur J Dent. 2016;10(3):381-385. doi:10.4103/1305-7456.184168
- Loncar B, Mravak Stipetic M, Matosevic D, Tarle Z. Ozone application in dentistry. Arch Med Res. 2009;40:136–7.