Tooth Extraction and Socket Preservation

[RobertLei]

Just had my tooth pulled 3hrs ago, & the lidocane is starting to wear off. How often should I replace the gauze? And when do I start rinsing my mouth w warm salt water? Can I do it today, or do I wait till tomorrow? Thank you! :)

[Antdemo]

wow, he makes it sound like you can go to a shop and buy a toolkit and wack it in your mouth lol..

[xfirefox0811]

What a wonderful idea! 

[matbbm]

wow tell me this now

[Bioscaffold]

Hi there, yes it is cool. Its also a cool option to prevent your bone loss when you have lost your tooth. Thanks for your comment.

[MzChelxoxo]

wow surgical procedures in 3d animation are cool.

[Bioscaffold]

yes it is. its a a low cost option to prevent a higher cost bone grafting surgery in the future.

[kirbyman1kanden7pf]

this is a smart idea.

[MsMaliB]

Hello.

I just had this done after an extraction of the lower right tooth, the one right next to where the wisdom tooth was. I'm now thinking that it was unnecessary, as it might not even be necessary to have an implant or bridge there because it is a back tooth. Is socket preservation even beneficial for someone who isn't having any sort of prosthetic?

[Bioscaffold]

Hi MsMaliB, Its always good to preserve your bone after tooth extraction regardless whether you want to replace that tooth or not. Today you may not need to put anything in that site but in future if you lose some more teeth from that side, then you may need to put an implant to make a multiunit bridge. But without sufficient bone, implant can't be placed. So socket preservation is like an investment for the future. Hope you can see the rationale behind this concept. Thanks.

[coolcat10fromecobuds]

what if that didnt happen cause your orthidontist wanted to let one of your teeth grow over the socket so you have straight teeth? :(

[Bioscaffold]

@coolcat10fromecobuds Hi! Alvelac can be used for orthodontic cases but it depends on the orthodontist treatment plan. If he is planning to move the tooth within few weeks after the extraction, then Alvelac cannot be used as it will be in the way of the tooth movement. But if the dentist is planning to wait for at least 3 months before starting to move the teeth, then Alvelac is useful. So for ortho patient, the waiting time is 3 months after the Alvelac is placed.

[coolcat10fromecobuds]

@Bioscaffold oooohhhhh, thx for the info :)

[Bioscaffold]

@coolcat10fromecobuds, Orthodontist can not make a new tooth grow in the socket but they move other tooth in to that gap. So unless your bone is healed in that site, no tooth can be moved in! And when a tooth is moved in, it also need good bony support to be strong at that site. So in any way, you need good bone after extraction in that site. so socket preservation is always a better choice after extraction.

[lozolaza]

how long does it take 2 resorb while scaffolding?

[Bioscaffold]

@lozolaza Alvelac’s crystallinity is adjusted in order to control the rate of degradation of scaffold in the socket to an optimal 2-6 months. This is to allow for the Alvelac enough time to maintain the socket integrity and yet dissolve away in time for bone to regenerate and not to obstruct its formation.

[grettagrids]

my teeth NEED extraction and I refuse dentures!! thanks for posting this since I want future implants. had one pulled today.... see my vid of first tooth pulled.

[humairahoque]

hi i have a question

i got rid of my 4 wisdom teeth... so will i have gum / bone loss problems because i didn't do what this video is telling... i just let it heel naturally

[Bioscaffold]

Hello Ms humairahoque, wisdom teeth are very far back in our mouth and normally dont contibute to our food chewing. thats why we usually dont restore wisdome teeth with artificial teeth or implants. So unless you want to put an impalnt to replace your extracted wisdom teeth, you can just let it heal naturally and even if you lose some bone, it wont effect you so much. So no worries.

Thanks

Dr Nazrul

[mccullochte]

@humairahoque. Depends on how many teeth you have lost over all. If you are missing a lot of teeth, the jawbone will melt away and you will have to do block grafting. Dr. McCulloch

[humairahoque]

@mccullochte

all together i took out 4 teeth (wisdom teeth)

will i have any promblem ???

:(

[Mario64DSi]

Looks Painful XD

[foleybarbarian]

Can you not just do a Dental Bone grafting?? and make the newly Formed tooth to push up over the Gum?? it would Cost money but still

[thenightspot]

i guess im fucked then

[Bioscaffold]

Hi Zijad, you didnt mention which tooth was extracted. all tooth will undergo some kind of resorption if not preserved. but the rate of bone loss depands on many factor. the most likely thing can happen to you is, your tooth socket will heal as usal but after few months, there may be some bone loss at the site of extraction. but any way, its too late to do anything now. so just hope for the best.

Thanks

Dr Nazrul

[zijad1995]

i had tooth extraction today can you tell me im 15 by the way could this happen to me its the back tooth and it is full of blood i think it should be closing not sure since im NOt a dentist

[josephine08753]

COST??

[marinakiske]

Where can i find it here in Mexico?? I´m really interested...

[unicorneto]

i didnt understand 1 thing, does it come to replace bio-oss+ resorbable mambrane?

it looks like Alvelac will be efficent only in cases where both lingual and buccal plates are preserved..

[kirbonite]

this is a good thing I think.. I wish this had been available when i lost my tooth. Now, without bone grafting. I would not be able to maintain an implant. this would also help support surrounding tissues and reduce resorption. making any appliance fit better and reducing the risk of losing more teeth due to resorption.

[10aDowningStreet]

whats with the robot voiceover

[Bioscaffold]

Thanks for the comment, we will take note and look into what we can do in our next video.

[chomulungma]

With intact buccal and lingual walls, why would a skilled implant practitioner not place the implant immediately after extraction and save the patient an additional operation plus cost of the Alvelac?

[Bioscaffold]

Immediate implant is possible and good if the right conditions are present. These include intact buccal and lingual / palatal walls, good socket condition, sufficient bone height and width, skilled implant practitioner, patient affordability. In many cases, however, one or more of these conditions may not be present and hence immediate implants may be riskier though not impossible. Generally, practitioners agree that immediate implants can reduce success rate by up to 10%.........

[Bioscaffold]

...Immediate implant is mostly preferred for the anterior segment of the jaw mainly for the aesthetic reason not for the posterior area. But if the socket condition or the patient financial condition is not very optimum and either dentist or the patient wants to wait few months before putting in the implant, socket preservation is the best way to go.

[lozolaza]

@Bioscaffold plz more evidence-based information is required. r u publishing some papers & clinical cases soon ?

[Bioscaffold]

@lozolaza Yes we are. We currently have clinical cases done in Singapore, UK, Taiwan, India and Philippines and will soon be publishing them out.

[lozolaza]

@chomulungma this procedure, immediate loading, needs GTR and GBR using bone grafting & membrane placement simultaneously. Otherwise, as mentioned recently in the literature, the labial plate of bone loses 30% approx. of its volume esp. occluso-cervically.

[houseofliew138]

Informative and innovative product !