The Biological Oral Surgery technique can be divided in three integrated steps: 1) complete, careful removal of the tooth, periodontal ligament and dead or infected bone, 2) proper disinfection of the extraction socket and surrounding bone with ozone, especially in the case of infected or root-canal treated teeth and cavitations, and 3) introduction of a biological graft to promote proper bone healing. The biological graft is a mixture of L-PRF™ and an osteobiologic graft of bioactive calcium-potassium-sodium-phosphate graft called Cerasorb®.
The combination of L-PRF™ and Cerasorb® biomimetic bone substitute is designed for optimal bone grafting: stimulating the body’s natural healing process to speed up the release of growth factors for physiologic bone regeneration – without the problems associated with autograft or potential safety risks of the human allograft. Our patients experience shorter recovery times with less post-operative pain and swelling and faster healing of both hard and soft tissues around the surgical site.
Biological Oral Surgery Protocol
- Pretreatment exam with CBCT imaging, health history, and evaluation of nutritional status, especially Vitamin D, C, and Zinc. Additional nutritional supplementation is usually recommended for 1-2 weeks prior to surgery and 6-12 weeks after.
- A diseased, fractured, or infected tooth is removed with atraumatic minimally-invasive techniques to preserve the surrounding bone. This is especially important if a Zirconia dental implant is planned to replace the tooth in the near future.
- Infected tissue and bone are removed from the extraction socket or surgical site. The periodontal ligament is also thoroughly removed to promote proper bone healing.
- Ozonated sterile water and ozone gas are used to completely disinfect the socket and prepare it for the biologic graft. Homeopathic remedies can be injected or placed in the socket for additional healing.
- L-PRF fibrin blood clot and bone substitute are mixed and placed in the socket, carefully covered, and sutured in place.
- Instructions are given for home care of extraction or surgery site following the procedure.
- Ozonated olive oil or a silver gel are applied at home several times a day for post-surgical healing. Homeopathics, like Arnica montana, is used for pain and inflammation control.
- Injection, ear and/or nasal ozone treatments can be provided to promote further healing over the next several weeks.
- Sutures are carefully removed after 2-4 weeks and nutritional supplements are continued for up to 6 months to optimize bone and tissue healing.
- Healing of the surgical site is reevaluated in 4-6 months with 3D CBCT imaging. Zirconia dental implant treatment planning and guided implant surgery can proceed after bone and gum healing are complete.