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Tooth Removal

Having a Tooth Removed – What's Next?

Gum disease, endodontic problems, or an accident: there are many reasons why we have to have a tooth removed. And depending on your age, any existing medical conditions, infections, etc., the surrounding tissues, such as the jawbone and gum tissue, might be in good condition or may have started to degrade.

Whatever the reason for your tooth extraction - be it removal of a loose tooth, losing a tooth in an accident or having the tooth extracted because of endodontic problems – we understand it can be a traumatic experience. In case you must deal with this, we are here to help you choosing the option that best suits your goals and budget. 

Would you like a dental implant or alternatives to dental implants such as a fixed or removable dental bridge? Do you want to go for the safest treatment, the fastest treatment or the most aesthetically pleasing one? Read on to find out more.

What happens after tooth removal?

After a tooth has been removed, there is always bone loss afterwards. This is a natural process caused by the teeth pullout itself: if there is a hole in the jawbone, surrounding bone resorbs, and only parts of the empty tooth extraction socket will fill with new bone again. As time goes on, in a socket with no tooth the ridge will shrink.

Although it is natural, your dentist will take measures to deal with this volume loss and ensure the success of your dental implant or your fixed or removable dental bridge.

How can a lost tooth be replaced?

Depending on your medical condition and wishes, the dental implants can be inserted immediately after the tooth is removed, or a few months after the tooth is removed.

However, no matter when you and your dentist decide to get the new, there’s one thing that’s incredibly important: it needs a stable foundation in your jawbone. Only then, the implant will remain stable for the years to come. Therefore, your dentist will often decide to create new bone around the dental implant.

We’ve summarized the different treatment options in implant surgery below:

Immediate Replacement: placing an implant immediately after a tooth has been pulled out requires advanced surgical skills. When a tooth is removed, the hole left by the tooth is bigger than the implant. So, the space around the implant is filled with a bone filler to stabilize the implant and avoid bone loss. Over time, the bone graft integrates itself into the jawbone. It’s worth noting that this option is not advised in all cases, especially if you have thin or damaged bone walls, or thin gum tissue.

Delayed Replacement: dentists often prefer to wait a little while before they place an implant. This allows the empty socket to heal. When the time comes to place the implant, they can rule out any further bone volume loss. The already lost bone can be compensated with a surgical bone augmentation in which they add a bone filler material and a protective membrane. This procedure is called guided bone regeneration and is very common.

No replacement but preventing bone loss: a bone filler material can be inserted into the empty socket after the tooth has been removed. This approach is used to maintain the volume and bone of the ridge to avoid invasive re-building of lost bone later on until the patient decides to replace the lost tooth with an implant or bridge restoration.