In the past, when
dentists pulled teeth, they merely worried about controlling pain and
bleeding, and left it up the body to heal the extraction site on its
own. Now, we know that while this is still appropriate in some cases,
in many cases an unfilled extraction site can lead to serious long
term problems in that part of the mouth.
We now know that
once a tooth is pulled (and left unfilled), the bone at that point
begins to shrink away, a process called "resorption". This process is
not immediate, but takes 24-36 months and sometimes longer. The result
of this resorption is that there is less bone surrounding the adjacent
teeth, which can later increase the risk of losing those teeth also.
The loss of bone can also cause complications with your dental
prosthetic options like bridges, dentures, or implants, which may no
longer have a good base of bone for support.
By filling the bone
space where the tooth roots were with a suitable bone grafting
material, your dentist can avoid these long-term outcomes and help you
maintain optimum dental health despite the loss of your tooth.
Once your doctor
extracts one or more teeth, they will clean loose tissue from the
extraction socket, then gently score the bone below to release bone
growth proteins. The grafting material is inserted into the site and
it is sutured closed. On some occasions an artificial membrane or
other material may be needed to achieve proper closure of the site.