Bone Graft – Socket Preservation

Removal of a tooth is sometimes necessary because of infection, severe bone loss, or fracture of the tooth. The bone that holds the tooth in place, also known as the socket, may be reduced in volume by periodontal disease or long-standing infection (Figures 1-2). The void that remains following tooth removal may create a problem especially if the plan is to replace the tooth with a dental implant. The jaw deformity can be regenerated by a procedure called socket preservation. This will significantly increase your chance of having a successful and long-lasting dental implant.

After the tooth is removed, the remaining socket is filled with bone graft material. It is then covered with an artificial membrane. The socket will then heal with minimal shrinkage and collapse of the surrounding gum tissue. The regenerated bone in the socket will provide a foundation for the future implant (Figures 3-7). Your dentist may recommend that a tooth be removed. If you are considering replacing the tooth with an implant later on, be sure to ask if socket preservation is necessary.

The procedure takes approximately one hour. It may be done with local anaesthetic alone, or in combination with sedation (see “Sedation”). Most patients are back at work two days after having had extraction and socket preservation. The majority of healing takes place during the first month, and patients may then resume most of their normal eating and oral hygiene practices (see “Post-Operative Instructions”). Dr. Valentin Dabuleanu will see you for a 1-week and 4-week post-operative check.