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SOCKET PRESERVATION PROCEDURE AFTER TOOTH EXTRACTION

“ Goce Delcev ” University - Stip Faculty of Medical Sciences DENTAL MEDICINE R. MACEDONIA. SOCKET PRESERVATION PROCEDURE AFTER TOOTH EXTRACTION. prof. d-r Cena DIMOVA, as. D-r Kiro PAPAKOCA. INTRODUCTION. SEVEN IMPORTANT QUESTIONS TO THE SOCKET PRESERVATION.

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SOCKET PRESERVATION PROCEDURE AFTER TOOTH EXTRACTION

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  1. “GoceDelcev” University - Stip Faculty of Medical Sciences DENTAL MEDICINE R. MACEDONIA SOCKET PRESERVATION PROCEDURE AFTER TOOTH EXTRACTION prof. d-r Cena DIMOVA, as. D-r Kiro PAPAKOCA

  2. INTRODUCTION • SEVEN IMPORTANT QUESTIONS TO THE SOCKET PRESERVATION • EVIDENCE OF SOCCET PRESERVATION

  3. INTRODUCTION • After tooth extraction, the residual alveolar ridge generally provides limited bone volume because of ongoing, progressive bone resorption. • Healing events within postextraction sockets reduce the dimensions of the socket over time.

  4. Asdentists, wehear a lotaboutimplantsandbonegrafting. Wehear a lotaboutsinusliftsandridgegrafting. • Extractionsocketpreservationhasnotbeengiventheattentionitdeserves. Unfortunatelyforourpatients, mostofusarenotgraftingextractionsites to preservethealveolarbone. • Thefollowingdiscussionshouldhelp to answersomebasic questions aboutsocketpreservationandhopefullyhelpusall to considerprovidingthisas a service to ourpatients.

  5. INTRODUCTION • SEVENN IMPORTANT QUESTIONS TO THE SOCKET PRESERVATION • EVIDENCE OF SOCCET PRESERVATION

  6. THERE ARE 7 IMPORTANT QUESTIONS TO THIS DISCUSSION: 1. Whatisextractionsocketpreservation? 2. Isit a difficultprocedure? 3. Whatisthebenefittothepatient? 4. Whataretheconsequencesofnotgrafting? 5. Whoshouldbeperformingthisprocedure? 6. Whatisthebenefit to thedentist? 7. Issocketpreservationthestandardofcare?

  7. Whatisextractionsocketpreservation? • Theprocessbeginswithatraumatictoothextraction. • Everyattemptismade to preservethesurroundingboneandsofttissue, withanemphasisonbeingcarefulnot to fracturethedelicatebuccalplate. • Thereare a numberoftechniquesandinstrumentsthataidinthisprocess. • Ingeneral, oneneverwants to elevatesothatforceisdirectedtowardthebuccalplate. • Oncethetoothisextracted, allthegranulationtissueisremovedfromthesocket. • Itis important thatgoodbleedingisestablishedinthesocket. • Next, a bonegraftmaterialisplacedintothesocket.

  8. Isit a difficultprocedure? Absolutelynot! Itismuchmoredifficulttodo a goodcompositerestorationthanitistograft a socket.

  9. bone remodeling after the extraction • alveolar preservation and augmentation

  10. Implantation after bone remodeling • Implantation after alveolar preservation and augmentation

  11. Therefore, withoutgrafting, thereis a higherlikelihoodthat a ridgelaptyperestorationor a “longpontic” wouldbenecessarytofillinthespaceoftheresorbedsocketandridge. Wedonothavetoacceptthesecompromisedestheticresults. Wehavealldealt, prosthetically, withtheeffectsof a ridgecollapse. Thesurgerytocorrectthesedefectsismanytimesmoredifficult, expensiveandlesspredictablethangraftingthesocketinitially. Thesedefectsarepreventableforthemostpart.

  12. Whoshouldbeperformingthisprocedure? • Everypracticingdentistiscapableofsocketpreservationprocedures. Ifyouarecomfortableextracting a tooth, you 100% canandshouldgraftthesocket. Everydentistowesittotheirpatientstoofferthisservice.

  13. Whatisthebenefittothedentist? • Youareprovidingthebestpossiblecaretoyourpatients. Theresultwillbefewerrestorativechallengesandbetterfunctionalandestheticresults. Itiswhatweallstrivetoachieve. • Youarelearning a newandinterestingprocedure, whichissomethingweallliketodo. Socketgraftingwillalsoaddsignificantlytoyourincome.

  14. Issocketpreservationthestandardofcare? • Asofnow, eachpractitionermustanswerthisquestionforhimorherself. • BasedonthepointsinsectiononeIfitwereyou, wouldyouwant a ridgepreservationprocedureperformedatthetimeoftoothremoval?

  15. CONCLUSION • itisthestandardofcaretooffersocketpreservationandtoexplainthepotentialconsequencesofnotgrafting. • Ifsomeonechoosesnottograftanextractionsite, becarefultoclearlydocumentitinhischart. • Itisonly a mattertimethatitwillbecomethestandardofcare.

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