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Oral Surgery/Extraction & Bone Graft

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Question
Hello, Dr Joel Teig:

Do extraction sockets normally regenerate and fill in with new bone without bone grafting?

Sincerely,
JL
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Answer
J - A properly extracted tooth, without excess trauma used to extract the tooth, will have sockets that heal properly.  The socket will fill with blood and that blood begins to convert to bone within 10-14 days. If, however, the extraction was done improperly or with trauma, the blood in the socket will not fill the socket.  The blood there begins to break down and the bone in the socket is exposed and inflamed.  

Bone grafting should be used with a patient with poor healing or in a patient who had bone loss from the extraction or pre-existing infection that had caused loss of bone.

Oral Surgery

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA- University of Connecticut DMD-University of Pennsylvania School of Dental Medicine Oral and Maxillofacial Surgical Residency - Roosevelt Hospital, NYC

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