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Center For Aesthetic & Implant Dentistry
Jennifer N. Nguyen, D.M.D, F.A.D.I.A  & Associates
3232 W. Lake Mary Blvd. #1400
Lake Mary, FL. 32746  



Additional Section


Post Dental Extraction Problems: What Happens When a Tooth is Extracted?

All of the following problems can arise after Tooth Extraction:

- Adjacent teeth may move into empty spaces disrupting alignment of teeth and their function

- Biting force may exert pressure on remaining teeth causing them to loosen

- Multiple loss of teeth result in the shrinkage of upper and lower jaw. This leads to the "collapse" of support for facial structures such as lips and cheeks, causing effects of pre-mature aging

More technically, the jaw bone surrounding the teeth, called "alveolar bone" supports the teeth. After an extraction, the alveolar bone naturally begins to erode away since it is no longer needed it to support the tooth that has been removed.

Bone height loss can be up to 1.5 mm in 3 months and decrease in the width of alveolar ridge can be as much as 50% within 12 months. Even with complete healing, there is generally some erosion or resorption that can lead to shorter and thinner surround bone than compared to prior extraction. This can lead to significant cosmetic or functional problems including gum tissue defect.

The only solution to this is to preserve the socket after extraction

What is Socket Preservation?

Saving the bone thus allows for tooth restoration work to be done successfully. Without sufficient bone quantity and quality, prosthetic dentistry that include Dental Implants, Fixed Bridges and Dentures do not have a solid foundation to anchor on. And what turns out may not only be a dent in the wallet for nothing more than an ugly misfit of false replacements hanging above receding gums!

Socket Preservation is an indispensible procedure, the all-important, fundamental "must have" to bone loss prevention following tooth extraction! Jaw bones have the crucial function of propping up gum tissue and holding onto teeth to keep one’s smile looking beautiful and natural. After the tooth is removed, jaw bones have to be preserved to keep sockets in shape. Preservation as the name has it, is the maintenance of the socket, which is essentially the height and width of the gap that is left after the tooth is removed.



1. Dental Implants

These are artificial tooth and root replacements that resemble and functions like a natural tooth.

The more bone support there is, the stronger the implant replacements will be.

Without socket preservation, bone can resorb to a point where more complex and costly bone grafting procedures are required to artificially create the necessary support.

Preventing bone loss is obviously much easier than regenerating the bone later.

2. Fixed Bridge

A fixed bridge is a non-removable prosthesis cemented to natural teeth on either side which are used as abutments. Without Socket Preservation, the supporting alveolar bone becomes deficient and there will be an unsightly space under the pontic (artificial tooth) that traps food and may cause speech impediment.

 3. Denture

Other replacement alternatives include removable partial or full dentures. These too require solid bone support to function properly as they sit on the ridge like a saddle.