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Dental Extractions & Oral Surgery

Extractions & Preservation
San Antonio, TX 

Why would I need a dental extraction?

A dental extraction may be recommended when a tooth has extensive decay or fracture or generally has a poor prognosis. Sometimes an extraction may be recommended if there is not enough space for the tooth/significant crowding or malocclusion where the position of one tooth is compromising the health and stability of the adjacent teeth or surrounding gum and bones.  We are here to make you as comfortable as possible before, during and after dental extractions. If you would like to have dental sedation options during your visit please let us know.

Socket preservation

After a dental extraction, the surrounding bone that is left behind shrinks over time.  This may result in a deformity in the alveolar ridge, and can cause teeth to shift and complicate future treatment should you decide on a dental implant later on.  Very often at the time of extraction, a bone graft can be placed into the extraction site to help as a scaffolding for your natural bone to fill in at a fuller level than without ridge preservation.  This will help maintain more bone over time than if an empty hole or socket was left unfilled.  This is called ridge preservation (or socket preservation) which can be done at the same time as an extraction.  Do all these teeth need this?  The simple answer is most do, but it depends on many factors. Most of the time the gums and bone will benefit from this treatment and you will have less discomfort after surgery. Only your dentist can let you know the best options, so give us a call today at Dominion Dental Spa, San Antonio, TX to make an informed decision.   


L-PRF therapy-Faster healing-100% natural

For the past several years, Dr. Perry Bushong has been offering L-PRF therapy as an option to speed healing for patients after surgical procedures.  L-PRF or leukocyte-platelet-rich fibrin is used in dentistry during oral surgery or periodontal procedures to rapidly increase healing and usually results in less down time for the patient.  Most surgeons who use PRF would agree that the patient's healing at one week after surgery with L-PRF resembles patients who have healed for 3-4 weeks. 

What is PRF? Centrifuge for Advanced Healing and Growth

A sample of your blood is drawn, at our dental office and it is centrifuged into several layers. The layer that contains platelets, leukocytes, monocytes (a type of stem cell) and fibrin is collected and used during dental surgery.  This layer often contains 6-8 times more platelets and leukocytes (compared to whole blood) and very few red blood cells which results in a "super" clot with elevated concentrations of regenerative cells and growth factors that are capable of rapidly stimulating healing.  The healing that occurs in 1 week with L-PRF is typically the healing that occurs in 3-4 weeks.  

Is PRF the same as PRP?
PRF and PRP are different part of the layers of blood after it has been spinned in a centrifuge.

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