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Painless Tooth Extraction and Socket Preservation

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"I've been going to the Smile Cliniq for the past couple of years, and the treatment, care and advice from Chetan and his team has been faultless. Highly recommended." - A.S.
"Yet again I have been blown away by Smile Cliniq. After my filling fell out on Sunday night, I was distraught. But I phoned the Cliniq in the morning and got an appointment for the same morning. Dr Kaher put me at ease, even though I was very anxious, and did an amazing job on my..." - Robyn B
"What a great dental clinic! I was having issues with a tooth and Dr Sarita Kotecha was brilliant. Solved my dental issue quickly and explained everything in a way that made me actually enjoy the appointment (!!). They were able to squeeze me in last minute too. Highly recommend t..." - Saya Jones
"The service was so good at Smile Cliniq by Dr Sarita Kotecha, I recommended my wife to change dentist. We've been looking for a good dentist since moving to London 2 and 1/2 years ago and the quality we had received from our previous dentist was sub-standard. That all changed at ..." - Greg Jones
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Fantastic service, professional and top notch technology. Very hygenic and Dr Chetan Kaher has a very steady and experienced hand. Highly recommend." - Amrita Chauhan
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Friendly and helpful manager. Dentist was also friendly and efficient,Gave me lots of advice about dental care showing video." - Filippa Milioto
"Needed an emergency appointment, I was seen the same day! Great service and friendly staff" - Elena Milioto
"I found the the team at smile very professional and friendly, nothing was too much trouble. Chet presented all the options and my selected course of treatment took place over a year. As it involved one of my front top teeth I had some concerns and Chet was always available to ans..." - Irin Wu
"I have a hereditary tendency to get dental cavities, ensuing painful dental treatments, which left me scared of visiting dentists. Now, in my early thirties, I did everything to avoid dental checks. I also gave up on having cavity-free teeth. Two years ago, I was forced to find a..." - Rukmini
"I have just finished my year long lingual brace treatment with Dr Sarita Kotecha which has been a huge success. I'm so happy with the results! The staff at Smile Cliniq have always been friendly, helpful and welcoming; fitting me in for last minute appointments when necessary and..." - Maayan Bianca
"My wife needed to see a dentist on an emergency basis on a Saturday after a bad fall the evening before. We called on Saturday morning and they were able to take us that afternoon. The quality of care, both technically and inter-personally, could not have been better. If we lived..." - Hal N.

Click here for information on wisdom tooth extraction

Tooth Extraction London

At Smile Cliniq, we believe in preserving the natural tooth structure as much as possible, and avoid having to extract a tooth unless it is unavoidable or has a poor long term prognosis. This is usually when:

  • The tooth has broken extensively, and therefore not enough tooth structure is left to restore the tooth
  • A root canal treatment has failed and the tooth is infected and redoing the root canal is not an option
  • As an alternative solution to root canal treatment for an infected tooth with extensive decay and poor remaining tooth structure.

Tooth extractions at Smile Cliniq are carried out under local anaesthetic to make extractions as painless as possible. We use periotomes and luxators and a gentle extraction technique to preserve as much jaw bone as possible. This is important as this will ensure minimal post operative pain and swelling, and will also help bone retention for future implant work. Bone retention is also important aesthetically as it avoids the “sunken in appearance” that people with dental bone loss have.

Please be aware that it is common to experience some post operative discomfort and swelling and occasional bleeding after extractions, but we use techniques to keep these side effects to a minimum. On rare occasions, nerve damage and sinus involvement is possible but your dentist will warn you if this is a risk in your case.

Socket Preservation

What is socket preservation?

After having a tooth extracted, there will be an empty “socket” where the tooth used to be. If the socket is not kept stimulated, the bone that used to support the tooth starts to resorb and becomes thin and shallow. This can cause a problem when we look at possible treatment options to replace the gap with a partial denture, bridge or dental implant. Socket preservation is the act of minimising bone shrinkage, and therefore preserving the bone’s depth and height to allow for a better outcome for a future denture, bridge or implant.

How does it work?

Once the tooth has been extracted, a bone graft material is inserted inside the socket. At Smile Cliniq dental practice in London, we use NuOss™ bone graft material – A natural, porous bone mineral matrix, produced by the removal of all organic components from bovine (cow) bone. Due to its natural structure, NuOss™ is physically and chemically comparable to the mineralized matrix of human bone.

This bone graft material will harden overtime and become part of the jaw bone structure, ensuring provision of sufficient foundation for placement of future implants, bridges and dentures.

After insertion of the bone graft material, a collagen membrane is placed on top to cover the graft material and allow good healing of the gum tissue. The collagen membrane is sutured into the socket.
Socket preservation after having a tooth extracted has several advantages:

  • Prevents the bone from shrinking therefore maintaining horizontal facial bone structure
  • Less likely for a replacement denture or reline to be needed, as less bone and gum shrinkage
  • Reduced gap formation under the pontic (part of bridge replacing a missing tooth)of a bridge
  • Better bone depth and height and therefore a better prognosis when placing a dental implant and less need for future bone graft
  • Saves 6 months healing time to have immediate bone grafting compared to having bone graft once socket has healed and shrunk.

If you would like to know more about socket preservation, dental implants, dentures or bridges, or painless dentistry, please contact us to book in for a consultation at our dental practices in London.

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Click here for information on wisdom tooth extraction

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Smile Cliniq Limited. A company registered in England and Wales. Company number 08279068.

Registered office: C/O TG Associates 7 Jardine House, Harrovian Business Village, Bessborough Road, Harrow, Middlesex, HA1 3EX

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