Grafting & Platelet Rich Fibrin (PRF)
Treating Cavitation areas (similar protocol followed for removal of infected or root canal treated teeth that require biological removal)
Once properly diagnosed, treatment for a cavitation commonly involves the surgical clearance of the osteonecrotic area where the dead bone is removed thoroughly. Laser and ozone treatments can be used as adjuncts. Once applied, these methods help to create a clean and sterile environment that promotes healing at the site and, ultimately, throughout the body. Most importantly, using the patient’s “own healing tissue” via the use of PRF extremely effective, beneficial and safe because it is made from patients’ very own blood thus making it 100% natural.
Our recommended protocol minimum of 2-4 weeks prior to the surgery date:
- Anti-Inflammatory Diet is recommended minimum 2 weeks prior to surgery (the basics: gluten-free, diary-free, grain-free, sugar-free, meat-free, organic, unprocessed, highly alkalizing diet – full diet provided to our patients) and continued for a minimum of 2 weeks post surgery.
- Ozone therapy at an integrated clinic near the individual before and after the surgery – including Ozone Injections + Ozone Insufflation (Nose & Ears)
- Testing of vitamin D levels, and supplementation (with vitamin k) if deficient, delaying of surgery if required to ensure optimal levels are reached.
- Surgery of ALL implicated cavitation sites and removal of infected teeth in one sitting where possible except in patients who are too weak and surgeries need to be broken up (suboptimal option).
- IV Infusion Therapy During Surgery (using High Dose Vitamin C + Glutathione + Other Vitamins/Minerals) which enhance the healing process and reduce chance of any infections.
- Start Antibiotics Orally After Surgery Ends for 7-10 Days.
- Biophotomodulation with Infrared Therapy Post Surgery, five different devices available depending on overall systemic health – see www.luxvita.co.za
- Significantly Reduced WIFI and Bluetooth Exposure Post Surgery
9-12 Months post-surgery, a CBCT will be taken to assess healthy bone formation in the healed surgical sites. Patients are asked to complete a repeat of the health evaluation questionnaire they first filled in, so that any changes in their health, they’ve experienced since the surgery – either positive or negative, can be documented.
What happens surgically during cavitation surgery or the removal of an infected tooth?
The surgery begins with getting the patient sedated, comfortable, and numb with a local anaesthetic in each surgical cavitation area. Blood is drawn from the patient and placed into the PRF centrifuge machine.
In the case of an infected or root canal treated tooth, the tooth is removed gently, ensuring that the infected periodontal ligament is fully removed out too. The surrounding infected bone is cleared out.
Similarly with each surgical cavitation site, an incision will be made, and the dead/infected bone and abnormal moosh is removed until the solid, healthy bone is felt around the periphery of the lesion and clean healthy blood exudes from the surgical site.
After the surgical site is bleeding well and healthy bone is reached, the site is irrigated with ozonated water, followed by sealed ozone gas (which is highly bactericidal).
The centrifuge procedure results in the production of a thin, compressed layer of Fibrin, is rich in platelets, growth factors, cytokines that are all derived from the patient’s own blood platelets and leukocytes. This results promotes more efficient cell migration and proliferation, while offering a framework for healthy bone to form, for vascularization to be activated, so ensuring faster healing, especially during the first seven (7) days after placement.
Sutures are then placed, and the patient relaxes before heading home to rest.
Anti-inflammatories are typically adequate to control any pain 1-2 days after the surgery. Pain medication is not usually necessary after the second day of surgery.
Antibiotics are required for at least 7 days after the surgery to ensure reduced inflammation and protect against potential microscopic dislodged bacterial residue in the tissues.
Salt water gentle mouth washing is recommended until the site is healed. Oil pulling using organic coconut oil can be used to keep the gums healthy overall.
Using of a biophotomodulation device for 20 minutes per day from the day of the surgery, radically helps reduce inflammation and speed up the healing process. Its positive effect on mitochondria, helps individuals to overcome the effects of any sedative or anaesthetic given during surgery.
Patients usually return around 14 days after surgery to check the state of the clearance site and to remove the sutures. If patients are from across country or abroad, they can have their local dentist or a medical gp or nurse remove the sutures for them.
Biological bone grafting post Biological tooth removal or clearing of osteonecrotic areas for Implants
Dental grafting material choices that are the most natural for the body are usually a mix of Platelet Rich Fibrin “PRF” and bone (patients’ own bone scrapings from surgical sites) from the patient, referred to as “autologous” grafting – there is virtually no risk for allergic reaction or rejection because it uses the patient’s own blood..
Advanced PRF (A-PRF) forms a clot, creating a thicker, gel-like substance. With the A-PRF, the RCF (relative centrifugal force) is low: 200 G force for 8 minutes— this ensures more white cells which, increases both vascularization and release of growth factors. The role of the fibrin is very specific, it’s a recipient of growth factors and this recipient will allow very specific release of growth factors, very slowly and continuously over a time period of more than one week. In addition, it forms the scaffold onto which regeneration of bone and tissue can occur.
PRF is also An excellent grafting material for sinus lift bone grafts, onlay block bone grafts, bone and ridge expansion, extractions, nerve repositioning and most surgical dental procedures where you want to optimise healing.
Other Bone Grafting Materials
Traditional Non-Autologous Bone Grafting Materials use different materials to create a matrix to rebuild a dental patients’ oral and/or facial bone structure.
They include:
Autograft: Recipient’s Own Bone
Autograft is obtaining of bone from the patient’s own body, either the hip, palate or tuberosities.
Pros: it come’s from the patient’s own body.
Cons: second surgical site and patient discomfort in terms of harvesting of a graft from another part of the patient’s body. It’s also a painful, complex and costly procedure for the patient.
Allograft: Bone from another Human Being
Allograft is obtaining of bone graft materials from human cadavers.
Cons: the bone graft materials may be rejected by the recipient’s immune system or the risk of disease cross transmission.
Xenograft: Bone from animal, usually porcine (pig bone) or bovine(cow’s bone) origins.
Cons: may be rejected by the recipient’s immune system or pose concerns of potential disease transmission.
Alloplast: Synthetic grafting materials
Cons: they have limitations in terms of biocompatibility, resorption timing, local tissue reaction, & bone regeneration.
If you suspect that your wisdom teeth were not cleared properly or that you may have a cavitation area or an infected root treated tooth, you would like to remove biologically, refer to our accredited practitioner list: https://saabp.co.za/biological-practitioners/ for biological dentists who can assist you; or contact us via email: admin@saabp.co.za or call us on 0027 21 438 1710
