Tooth extraction is inevitable when a tooth is beyond repair due to caries, fracture, or periodontal disease. After extraction, the alveolar bone in this area becomes nonfunctional, and resorption occurs, known as atrophic resorption.
It has been proven that 50% of loss of bone width takes place within one year after extraction. Two-thirds of this loss, representing 5-7 mm, is lost only within the first three months.
Socket preservation is a series of precautions our professionals can perform to prevent bone resorption after tooth extraction.

Importance of Socket Preservation

After tooth extraction, the supporting alveolar bone will be lost because it is no longer needed. This loss will create a problem when restoring a missing tooth, especially in the upper jaw.

If the missing tooth is to be restored using a dental implant, the bone loss decreases the success rate of the implant due to the diminished bone support. Therefore, an additional bone graft step will be essential.

If a dental bridge  is used, bone loss may compromise the aesthetics. There will be a space between the ridge and the artificial tooth used to replace the missing tooth. So, either the artificial tooth will be elongated, or a dark space will exist between the replacement tooth and the ridge, neither of which will give you a satisfactory look.

Preserving the bone during extraction through socket preservation is crucial for successful restoration in the future.

Socket Preservation 02
Socket Preservation 03

Socket preservation at Camden High Street Dental Practice

Our professional team aims to prevent bone loss during the healing process of an extracted tooth to ensure a successful prosthetic replacement. Socket preservation involves precautions during and after tooth extraction.

During tooth extraction

Tooth extraction takes place under the effect of local anesthesia. It must be as atraumatic as possible to preserve the bone and soft tissues around it. Dental experts at Camden High Street Dental Practice utilize cutting-edge technologies for gentle tooth extractions. The tooth extraction is performed under local anesthesia using a Piezotome.

A piezotome is a device used during tooth extraction to cut the ligaments attaching the tooth to the bone using ultrasonic waves. It provides preservation of the soft tissues and bone around, minimal discomfort after extraction, and faster healing.

After tooth extraction

After tooth removal, a bone graft and a membrane are inserted into the empty socket to stimulate bone formation and prevent resorption. Finally, absorbable stitches are used to close the socket and promote healing.

A four-month healing time is needed after socket preservation and before implant placement.

Bone grafting materials during socket preservation

There are several bone grafting materials used for socket preservation. These include:

  1. Autograft: The bone is taken from the patient himself but from a site other than the extraction site, such as the buccal bone of the maxillary canine. This type of graft is not currently used due to the resorption developing at the donor site.
  2. Allograft: Human bone taken from another individual, for example, freeze-dried bone allograft. Disease transmission has been reported during the early introduction of this type.
  3. Xenograft: Natural bone derived from animal species such as bovine bone. There have been no reports of disease transmission between the animal and the recipient.
  4. Alloplast: synthetic bone materials like calcium phosphate and glass ceramics. Its production is very challenging to replicate the surface characteristics of natural bone.

Types of membranes used in Socket Preservation

The main advantage of the membrane is that it allows for guided bone regeneration. The membrane prevents fibrous ingrowth in the empty socket and promotes bone growth.

There are two types of membranes: resorbable and non-resorbable membranes. Resorbable membranes have the advantage of eliminating the need for a second surgery for retrieval.

Recovery after Socket Preservation

Only a slight pain or discomfort may occur following socket preservation for a few days. Your doctor will prescribe painkillers to reduce the discomfort.

The following tips may help you achieve a fast and successful recovery:

  • Take a day to rest at home and elevate your head during sleep.
  • Avoid drinking from a straw, spitting, blowing your nose, and spitting.
  • Do not vigorously rinse your mouth on the same day as the procedure.
  • Refrain from smoking and alcohol for three days after surgery.
  • Continue brushing and flossing your teeth as usual, but avoid touching the extraction site.
  • On the next day, use warm saline mouthwash to reduce inflammation.

If the pain persists or worsens, or in case you experience any unusual conditions after a tooth extraction, consult your doctor immediately.

Socket preservation is a simple procedure that grants you a successful restoration in the future after extraction. Not all extraction cases require socket preservation. Consult your dentist to determine if you need one.

Frequently Asked Questions

Socket preservation is a series of steps during tooth extraction aiming at conserving the bone and soft tissue to ensure successful esthetic restoration.

During a tooth extraction, the dentist will try to make the procedure as atraumatic as possible. After the extraction, a bone graft and membrane are inserted into the empty socket to facilitate healing and prevent bone resorption.

Bone remodeling occurs at the extraction site, where the bone supporting the tooth will resorb because it becomes non-functional. This will make it difficult for missing tooth restoration, whether with dental bridges or implants.

Not all extraction patients need socket preservation. Your doctor recommends this procedure based on the existing amount of bone defect and the types of restoration to be used. If your doctor recommends socket preservation, you may want to consider it.

Not all insurance companies agree to cover socket preservation. However, some companies include it in their plans due to the increased awareness of the benefits of socket preservation and how it eliminates the need for a separate bone graft surgery. Contact your insurance company to find out more.
All our dentists undertake basic extractions but if you are looking for the very best oral surgeon for your extraction, including the most complex extractions for example ankylosed teeth or wisdom teeth then we have one of the UK’s leading oral surgeons Dr Javier Perez. You may call the clinic to book a consult with Dr Perez.

We are one of the countries leading clinics for complicated extractions and socket preservations. Dr Javier Perez our oral surgeon has pioneered his own techniques to remove teeth in the most gentle and safest methods using innovative surgical techniques. We have removed over 10,000 + teeth over the years often with socket preservation. We have a national reputation for complex removals with patients coming from all over the UK. Dr Javier Perez is available at our Camden High Street Dental Clinic and at our sister clinics Dulwich Dental Office and Dental Care Centre New Cross. You may call all 3 clinics to find out the earliest availability with Dr Javier Perez.

Dr Javier Perez.jpg

Dr Javier Perez

GDC No. 225487

Dental Implant and Oral Surgeon Expert

Dr Javier Perez graduated in dental surgery in 2010.

His clinical practice is focused on dental implants and oral surgery, from simple single tooth replacements to complex reconstructions involving both soft and hard tissues.

Dr Javier has completed a Masters in Implant Dentistry MClinDent (Implant) in London over three years and was awarded a diploma in Oral Surgery from the Royal College of Surgeons of England, one of the most prestigious colleges in UK.
Dr Perez has trained in Oral Surgery at the Maxillofacial Unit in the Queen Victoria Hospital NHS Foundation Trust in South England. He is at the forefront of dental implants and oral surgery regularly attending National and International conferences to develop his skills and learn about the latest trends in Implantology.

At Camden High Street Dental our implant team have placed over 5000 implants, often undertaking and being referred cases from other practioners. We also consult and treat cases where you may have been told that you are unsuitable for dental implants. Having assembled one of the countries leading dental implant teams we can treat the most advanced and complex cases here at Camden High Street Dental.

Outside of work Dr Javier spends the majority of his time with his young family, recently welcoming a new son (October, 2021). He enjoys spending weekends exploring London, especially going to local food markets.

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Dentist Near You

If you require local dentist in London or any type of private or NHS dental treatment in Camden, Brockley, Crofton Park, Ladywell, Forest Hill, Rushey Green, Nunhead, Peckham, Blackheath, Lee Green, Greenwich, Dulwich, Lewisham, Perry Vale, Camberwell, Downham, Sydenham, Bellingham, Millwall, Eltham , Rotherhithe, Surrey Docks, Herne Hill, Penge, Bermondsey, Gipsy Hill, Grove Park, Crystal Palace, Tulse Hill, Thornton Heath, Charlton, Bermondsey or Deptford contact the Camden High Street Dental Practice today.

Testimonials

Dr Shirazi is great, he is friendly and you feel in comfort in his care!

Dr Shirazi has been my dentist for many years and I highly recommend him. He is always informative and supportive and I trust him completely. Thanks doctor for all you do

I have been with this dental practice for the past 10 years and have always received excellent care from my dentist Dr. Prasad. I would recommend this dental practice. Friendly service and a dentist who cares for his patients’ dental health .

Undine S.

Had an appointment with Dr Romain Prassad today what a lovely and kind dentist really put me at ease and is doing everything he can to help save my tooth thankyou so much ☺️

Tor M.

I had a wisdom tooth removed and a filling today, I cannot fault my treatment! My dentist was very skilled and calming! I didn’t even feel the injections! Restored my faith in dentists! TOO CLASS!!

I would really recommend this Dental Practice. Dr Kolar is a very attentive dentist who cares about the you as a person as well as about the health of your teeth and gums. He takes time to explain the processes he is leading you through, explains how your dental health has progressed over time and encourages you to take care of your teeth. For the first time in my life I look forward to coming to the dentist!

Toby R.

I have been registered at this dental practice now, for just over 15 years. Throughout that whole period, I have been lucky enough to have been looked after by the wonderful, and patient, Dr Prasad. He has covered many procedures in my mouth, from extraction, and root canal, right up to the most recent procedure, Composite bonding of my broken two front teeth. Do not hesitate to register at this practise, as you will be looked after with care and consideration.

Thank you Dr Prasao

Suzanne L.

Very friendly

During the lockdown period I was able to see Dr Irfan for a dental emergency I had. I’m so grateful that they have been available throughout this. Gillian the practice manager contacted me and offered me an appointment the same day. I am a long standing patient at this practice and cannot thank them enough for great service they have provided to me throughout the years. Great dentist, staff and management. Thank you all so much.

Susan L.

The Dental Care Center has been an excellent dentist surgery that I have been attending as a patient for many years. When I was young I didn’t have a pleasant experience with my local dentist on more than one occasion. I found the dentist at Camden dental care center very reassuring and comforting. The management and reception were also very welcoming.

Stewart S.

Dr Yasha saw me when my teeth were a mess, I was super self conscious about it and it was affecting my life really negatively. I needed 3 bridges, which are still holding up great, and I’m on the practice plan so have the motivation to go in for regular hygienist and checkup appointments. Not only is my oral health better than ever, my overall wellbeing and peace of mind is immeasurably improved. The care and consistency of treatment I’ve received from Dr Yasha and hygienist Ramin has made going to the dentist (almost) a pleasure. 100% would recommend. Really great people doing excellent work.

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COSMETIC DENTISTRY

From smile makeovers and tooth whitening to invisibraces. We offer a wide range of cosmetic services to guarantee a great smile in 6 months