Biological Oral Surgery

Biological dentistry focuses on a comprehensive evaluation, accurate diagnosis, and the use of the safest, most biocompatible materials and techniques for optimal clinical outcomes and the long-term well-being of the patient. This is especially important when it comes to oral surgery and extraction of impacted teeth, infected teeth, and failed root canal-treated teeth. Special care is necessary to remove a tooth as minimally invasive and atraumatic as possible. It is vital to remove the periodontal ligament, which is the connective tissue attaching the tooth to the alveolar bone of the jaw, in order to promote proper healing and reduce the risk of ostoenecrotic lesions, also known as cavitations.  

Biological Oral Surgery integrates 3D cone beam imaging, dental ozone, Bio-PRF Platelet Therapy, and biomimetic bone grafting to promote healing and bone regrowth.  At Insight Integrative Dentistry, we have been using 3D Cone Beam CT imaging technology for over a decade.  Our office was one of the first dental offices in Montana to integrate this technology.  These three-dimensional x-ray images allow us to precisely evaluate the anatomy of the tooth and surrounding bone, sinuses, and major blood vessels as well as determine the degree of inflammation or infection around root-canal treated teeth. Accurate 3D CBCT imaging is necessary to help avoid surgical complications. Two-dimensional x-rays are insufficient for wisdom tooth removal, extractions of root-canal treated teeth, cavitation surgery, and dental implant surgery.

Vatech’s Green X is an advanced 4-in-1 digital x-ray imaging system that incorporates Pano, Ceph (optional), CBCT, and Model Scan.
It provides high-quality images with lower radiation by combining image processing. This will improve your diagnostic accuracy and lead to increased treatment planning and patient satisfaction.

GREEN SCAN TIME

Due to its scan time, the Green X minimizes motion artifact and enables faster workflow. It produces superb diagnostic images, which will be a source of pride for any dental practice. Focusing on the highest quality of patient care, Vatech strives to improve the health and safety of your patients

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 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®.

Bio-PRF and Biological Grafting

L-PRF™ stands for Leukocyte-Platelet Rich Fibrin. Leukocytes are white blood cells – one of the key parts of our immune system responsible for fighting infections. Platelets are special blood cells that help form clots, attract other healing cells, and produce growth factors. Fibrin is another component of the blood that works with platelets to help stabilize blood clots. Bio-PRF™ is basically a bioactive “band-aid” that utilizes your body’s own natural healing factors found within your own blood to improve healing and bone growth.
Bio-PRF™ is created by taking a small blood sample and using the IntraSpin™ centrifuge to separate and concentrate the bioactive clot of white blood cells, platelets, fibrin, and bone growth factors.  Bio-PRF™ is 100% you – it doesn’t contain any chemicals or synthetic, animal, or other human ingredients. The Bio-PRF™ can be placed directly in the surgical site or combined with bone graft material or other biomaterials customized to your needs to immediately promote healing.

The combination of  Bio-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

  1. 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.
  2. 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.
  3. 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.
  4. 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. 
  5. L-PRF fibrin blood clot and bone substitute are mixed and placed in the socket, carefully covered, and sutured in place.
  6. Instructions are given for home care of extraction or surgery site following the procedure.
  7. 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.
  8. Injection, ear and/or nasal ozone treatments can be provided to promote further healing over the next several weeks. 
  9. Sutures are carefully removed after 2-4 weeks and nutritional supplements are continued for up to 6 months to optimize bone and tissue healing.
  10. 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.

Request an Appointment

If you have been searching for a caring and experienced Biological and Holistic dentist, or have questions about our practice, we invite you to request your personal consultation with one of our doctors today. Please click below to request an appointment.

Testimonials

“I am so happy I started working with Dr. Amy & Dr.Todd Insight Interactive Dental Practice. Their amazing team goes above & beyond to provide exceptional service, with years of experience and expertise in advanced clinical training to provide a holistic health center treatment. Their staff provides unique personal attention to each patient is always aware of comfort. I highly recommend Insight Dental for a tremendous dental experience. Shout out to Sally for being a fabulous Dental Assistant and making me smile today!”

Nicolle C

Dr Amy spent over an hour with me on my first visit and I felt very heard and respected. For the first time in my life I enjoyed talking with a dentist and trusted her right away. Not only did I feel honored but left sure of her approach and expertise. I’ve never liked a dentist enough to recommend-I feel no hesitation recommending Dr Amy.

Vaughn K

“Every experience with Drs Kinney has been great! I appreciate their bluntness about dental health and their attention to detail to ensure I get what I need and have healthy teeth.

Angela S

“Very caring, friendly staff who really take extra care to make sure you are safe and comfortable. For those with allergies or health issues, this is the place to go!

Ted A

“we love the wholistic approach at Dr. Kinney’s office, we come all the way from Missoula for this great care.

Missy M

“I had a bite problem caused by another dentist. I had a lot of pain in my jaw and bad head aches. Dr Todd fixed my bite and also remove some very old mercury fillings. since the work was completed 7 or 8 years ago, I haven’t had any problems. They are highly competent and I would recommend all their dental care–cleaning, fillings, crowns etc.

Anon

“complete and informative – answered my questions and gave good advice on keeping my teeth healthy

Catherine S

“As always, Dr. Todd delivers personal and detailed care.

Shawn B

“Dr Todd was very knowledgeable and meticulous. He explained every step of the way, and made sure I felt involved in what choices were made about my care plan. You can tell they hold themselves to a high moral code of care, not taking any shortcuts, and trying to help you save money wherever possible. Bonus, mercury free, and flouride free options!

Nicole T

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    Biological Oral Surgery

     

     

    Biological dentistry focuses on a comprehensive evaluation, accurate diagnosis, and the use of the safest, most biocompatible materials and techniques for optimal clinical outcomes and the long-term well-being of the patient. This is especially important when it comes to oral surgery and extraction of impacted teeth, infected teeth, and failed root canal-treated teeth.

    Read More...

    Biological Oral Surgery integrates 3D cone beam imaging, dental ozone, Bio-PRF Platelet Therapy, and biomimetic bone grafting to promote healing and bone regrowth.  At Insight Integrative Dentistry, we have been using 3D Cone Beam CT imaging technology for over a decade.  Our office was one of the first dental offices in Montana to integrate this technology.

    Vatech’s Green X is an advanced 4-in-1 digital x-ray imaging system that incorporates Pano, Ceph (optional), CBCT, and Model Scan.
    It provides high-quality images with lower radiation by combining image processing. This will improve your diagnostic accuracy and lead to increased treatment planning and patient satisfaction.

    Read More...
    GREEN SCAN TIME

    Due to its scan time, the Green X minimizes motion artifact and enables faster workflow. It produces superb diagnostic images, which will be a source of pride for any dental practice. Focusing on the highest quality of patient care, Vatech strives to improve the health and safety of your patients

    Read More...
    Bio-PRF and Biological Grafting

    L-PRF™ stands for Leukocyte-Platelet Rich Fibrin. Leukocytes are white blood cells – one of the key parts of our immune system responsible for fighting infections. Platelets are special blood cells that help form clots, attract other healing cells, and produce growth factors. 

    Read More...
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