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Atraumatic Tooth Extraction

Here at the Marylebone Implant Centre, our staff makes every effort possible to ensure that our patient’s precious bone and gum tissues are well preserved in order to better guarantee the success of the dental implant procedures and treatments we perform here at our office.

An In-depth Look at Atraumatic Tooth Extraction:

There are generally four walls of the tooth socket in which the root will reside. The outer wall is the one that faces your cheeks and lipsand is a lot thinner that the inner wall which faces the roof of your mouth and your tongue. Usually when talking about an atraumatic tooth extraction this includes a special effort by a dentist and his staff in which they will be using special dental equipment to ensure that the removal of the tooth doesn’t compromise the outer wall of your root. In most case’s a dental surgeon who is experienced in performing such an extraction will be performing the surgery using microsurgical equipment.

Benefits to Atraumatic Tooth Extraction:

The benefits to having an atraumatic tooth extraction with a trained implantologist like here at Marylebone Implant Centre includes the fact that you will feel less pain and discomfort during the procedure. Those who opt to have an atraumatic tooth extraction will have a shorter recovery time with minimal post-operative complications to worry about. The biggest benefit, though, is the fact that most of the bone structure is saved which will provide a better foundation for upcoming implant placement. By keeping the outer wall of the root or tooth, the implantologist ensures a higher chance to obtain a more aesthetic result in case a dental implant is placed in that socket, at the time of the extraction or after the healing. By preserving the bucal wall the surgeon may also reduce the need of having to do a bone graft if a dental implant is considered for that area. For more information about this procedure and many others to help prepare your jawbone for dental implants, please contact our office or stop by to further discuss your options. We focus in many different dental implant preparation procedures to help ensure that you will have the most beautiful smile possible.
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Surgical Extraction

Reduce the Risk of Complications with Surgical Techniques to Extract a Tooth:

There can be several reasons why a dentist may determine that your tooth needs to be extracted surgically. In some cases the tooth may be covered by bone structure or gum tissue which makes it difficult for the dentist to be able to see. You could also have a damaged or broken tooth which makes it impossible to remove without a surgery. On those occasions, other neighboring teeth and/or tissue could become damaged and the end results could be impossible to predict, if the tooth is not removed surgically. Tooth sectioning can help reduce the level of difficulty to remove a tooth.There are many different things that could prove to be challenging for a dentist to remove your tooth including the way it’s positioned and the shape of the root. By separating the tooth into parts, a dentist can then focus on one part of the tooth and work on that part to ensure that you have a safe surgical removal of your tooth.

How Much Pain Should You Expect?

You should not experience much pain or discomfort when you are having a tooth extracted surgically. The dentist will have the area numbed before he/she begins to drill so the only thing you should feel during the process is the drilling, but absolutely no pain.

Don’t Fear Getting Your Tooth Extracted Surgically

In the situation in which your dentist suggests performing a tooth extraction surgically, usually it would be because it’s the safest, quickest, and best way to ensure that there will be little to no trauma to the bone structure beneath the tooth. This is not only positive for the patient’s healing process, but also in the event that the patient would want to get a tooth implant in the future.
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Wisdom teeth extraction

Wisdom teeth usually grow out during the early twenties for most patients at which most of the time the patient has already had their 28 adult teeth already fully grown and in place. Sometimes a person can have one tooth, two, three, or even all four of their wisdom teeth grow out at some point of their life. In some cases there isn’t enough space for the wisdom tooth/teeth to grow out properly which could result in patients needed to get one or more of their wisdom teeth extracted. Wisdom teeth that grow out at a certain angle, emerge partially, or get stuck are known as impacted. There are several different types of impacted wisdom teeth which include:
  • Horizontal Impaction – Grows Horizontally
  • Vertical Impaction – Wisdom tooth can’t break through the gums because it’s stuck against the next tooth
  • Mesial Impaction – Grows at an angle facing the front of the mouth
  • Distal Impaction – Grows away from the tooth next to it

Why Wisdom Teeth are extracted

Impacted wisdom teeth or wisdom teeth that have not been able to fully break through the surface of your gum line can cause issues over time. Bacteria and food particles can build up and get trapped leading to gum disease, infections, and tooth decay. For this reason if you have a wisdom tooth that is giving your problems you should contact our office immediately to let Dr. Santos take a look at them. Wisdom Teeth Extraction Process: Dr. Santos will have to take X-rays of your wisdom teeth in order to get a better understanding of why you are experiencing pain and if they need to be removed or not. There will be some swelling and discomfort after the tooth is removed with the first couple of days being the worse. The dentist will be able to give you some pain medication to help cope with the discomfort, but after a couple of weeks everything should be back to normal.
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Socket Preservation

Socket Preservation is a procedure in which graft material or scaffold is placed in the socket of an extracted tooth at the time of extraction to preserve the alveolar ridge. After extraction, jaw bones may need to be preserved to keep sockets in its original shape. Without socket preservation, the bone quickly resorbs. The jaw bone will never revert to its original shape once bone is lost and tissue contour has changed.
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Bone grafting

For dental implants to be successful, the jawbone must have enough bone to support them. Tooth loss often leads to more loss of bone. The tooth loss may be caused by periodontal (gum) disease, dental caries (cavities) and infection, injury or trauma, or a developmental defect. If the bone under your gum is not tall enough, not wide enough or both, you will need a procedure to add bone to your jaw before implants can be placed. Bone augmentation is a term that describes a variety of procedures used to “build” bone so that dental implants can be placed. These procedures typically involve grafting (adding) bone or bonelike materials to the jaw. After grafting, you have to wait several months for the grafted material to fuse with the existing bone. Sinthetic grafted materials either cause surrounding bone to grow into the graft or cause cells around the graft to change into bone. A graft from your own bone transplants bone cells or a block of bone that fuses to the jaw. Several different procedures can be used for bone augmentation. Your dentist will select one depending on the type, location and number of implants to be used. If you need a bone graft, it is important that you and your dentist discuss all of the options available to you.
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Bone block graft

In the event that a patient doesn’t have the adequate amount of bone structure for dental implants after they have lost a tooth, a dental surgeon may have to harvest the patient’s native bone to increase the bone volume in these areas. There could be several reasons why a patient would not have the sufficient amount of bone structure to handle an implant and thus would require for a certain procedure like the block bone graft in order to successfully receive dental implants. These reasons would include the following possibilities:
  • There could be a situation where a tooth was extracted without a socket graft placed in immediately for a new implant or a re-implantation of a tooth.
  • There could be a situation where a patient would have a missing tooth in which they suffered a lot of bone destruction from a tumour, infection, or cysts.
  • There could be a situation where a patient’s jaw bone area was congenitally missing which would result in damage to the normal bone structure that would be in place to support the tooth which never fully developed.
  • Dental trauma can cause a patient to have significant bone loss.
In these and many other situations in which a patient doesn’t have enough bone structure to have implants set in place, Dr. Santos will use a grafting procedure such as the autogenous block bone graft to give you the right amount of bone to successfully sustain a dental implant. This bone grafting would probably come from the lower jawbone in the region where the patient’s wisdom teeth would be located known as the mandibular ramus region. Alternative places could include the patient’s chin. For a successful procedure, the dentist would remove a small block of bone (usually less than 1 cm square) from one of the two mentioned spots listed above and transfer it to the area where you would have significant bone insufficiency. It will be secured using two extremely small screws and overlaid with a collagen membrane and bovine bone. There is usually a four to six month waiting period to ensure that the patient is fully healed before attempting to place an implant in the area where the graft was placed. For more information about this procedure and other bone grafting techniques performed by Dr. Santos, please contact our office for a dental implant consultation.
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Ridge split

Without proper bone structure set in place, it’s very difficult for a patient to receive a successful dental implant procedure. Here we will take a look at the ridge split technique and how it can benefit patients who are seeking a successful dental implant procedure without any complications. The lack of alveolar bone is quite common in many patients who are in need of dental implants. For patients who have sufficient alveolar bone structure, the implant procedure would be not being as complicated for both the patient and the dentist. For those who don’t have sufficient bone structure, there are procedures that can help. To help regenerate alveolar bone structure, the procedure is not a simple one and this will require special attention by both the patient and Dr. Santos. However, with the proper procedure, patients have the future of having a beautiful smile and be able to enjoy life again as they normally would have with their original teeth in place. Many leading dental surgeons around the world view the ridge split technique as one of the best ways to augment alveolar bone width. For those who are faced with an edentulous mandible situation, which requires a horizontal alveolar bone augmentation, the ridge split method is a very efficient procedure.

Two Stage Method for Oral Surgery

For some dentists, they will use a two-stage method in order for the patient to receive a successful ridge splitting operation for dental implants. The first stage will consist of completely splitting the mandibular bone by using a piezo instrument instead of working with a hand piece or drill. The second stage will be implant placement. The size of the implant and the structure of the bone will help determine the size of the ridge split. Once everything is completed properly, the alveolar plate will be stable enough to ensure that the patient would have a successful implant set in place. This method has proven to be successful for many patients who are looking for permanent solutions for their missing teeth. If you have questions about this procedure or other procedures performed here at Marylebone Implant Centre, please contact Dr. Santos or one of his trained staff members today.
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Osteotome summers

The Osteotome Summers technique, developed by Dr. Robert Summers, is procedure that would help to increase the height of bone in a location where due to the close proximity of the maxillary sinus, a implant placement could not be possible to be placed. In order to be a candidate to have this procedure done, the patient needs a minimum of 5 to 7mm of residual bone where the future implant will be placed.
There could be up to two different applications of this technique, which are described here. The first one will be where the implant site will be prepared and created, which had previously had inadequate bone structure for an implant to be immediately placed. The next step will be a surgical procedure, which will add additional augmentation of the bone in which it’s created when the implant is ready to be inserted in place. If you are looking for more information about this procedure and to find out if it’s the right procedure to help you receive dental implants, you can call the trained staff here at Marylebone Implant Centre. We can discuss in full details about the Osteotome procedure and many others that are being offered here in-house to help ensure that your dental implant is a success.
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Sinus lift

Sinus lift Caldwell-Luk or lateral window technique Is a procedure typically done when there is not enough bone in a patient’s upper jaw to have dental implants fitted due to the close proximity to the maxillary sinus. The maxillary sinuses tend to enlarge during our life – we call it Pneumatisation of the sinuses. Also, when an upper molar is extracted or as a result of periodontal disease (gum disease), severe bone resorption may happen in the area. As a combination of all these factors, there may be insufficient bone in order to place dental implants in the posterior maxilla. In this case, a sinus lift may be performed in order to allow enough bone in that area. In this procedure the surgeon would open a small window on the sinus wall, carefully detach and lift the schneiderian membrane and insert a bone graft material in the area. This technique may be combined, simultaneously with dental implant placement or done in a two stage approach. In this case, the surgeon needs to wait 6-9 months for the bone to mature before placing the implants.
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