Extractions with Ozone, Laser and PRF

Extraction with Ozone,Laser and PRF

When a tooth needs to be removed, it should be done correctly in order to prevent ischemic Osteonecrosis( cavitation). This is an area of dead jaw bone that can cause systemic harm throughout our bodies and impede healing.  At Family Holistic Dentistry we use a biological protocol for extractions.

This protocol includes:

NuCalm is used during the procedure to promote relaxation and healing. It activates the patients parasympathetic nervous system.


P.A.L.T laser topical anesthesia is applied in addition to topical anesthesia in order to minimize the pain caused by a needle. Dr Burke does her best to provide painless anesthesia.

Local anesthesia: In our office we have local anesthetics with and without epinephrine. We use it according to the case and patient’s needs. We can discuss the best option before the procedure.

Luxation is done with luxators to keep the walls of the bone intact as much as possible.

Odontosection: Odontosection means cutting the tooth into smaller parts. Sometimes it is mandatory for easier extraction with less trauma. We use burs and laser to accomplish this.

Alveoplasty: Sometimes bone needs to be removed to make the extraction easier. This is be done with burs and laser.

Extraction of the tooth is done with luxators, elevators and forceps depending on the case.

Socket cleaning: A good cleaning is done with curetes , round burs with slow speed hand piece and laser in order to be sure that the granulation tissue and the periodontal ligament is out.

Disinfection of the socket is done with ozonated water and gas. We use the sweeps mode on our laser to additionally clean and disinfect. The laser helps promote healing and bone formation.


Platelet-rich fibrin (PRF): Family holistic dentistry has an in house PRF centrifuge. Our office will draw your own blood and place it in a our centrifuge where it is spun. The process separates out portions of the blood into platelets which are used to stop bleeding, white blood cells which fight infection and growth factors which promote healing. These cells of our own blood so biocompatibility is guaranteed. After the socket is clean, the PFR is placed into the socket mixed with a biocompatible bone graft for socket preservation. This process promotes faster healing and increased blood flow to the area.

Clot Formation with laser: We use our laser to promote clot formation so bleeding will stop before the patient leaves the office.

Suture: We have absorbable and non-absorbable sutures which will be chosen at the time of the appointment based on the case. If the non-absorbable is used, the patient will need to come back to the office a week later for removal.

Post-instructions: verbal and written instructions are given to each patient. Results are much better when patients follow post op instructions.

Prescription: Antibiotics, analgesics, rinses, etc would be prescribed according to patient’s needs.

Benefits of PRF, Laser and Ozone Treatment in Tooth Extraction Sites:

  • Faster bone healing

  • Less pain after tooth extractions

  • Decreased swelling during healing

  • Decreased chance of dry socket and bone infection

  • Increased early blood supply to tooth extraction socket

The most common post-extraction complications are pain, discomfort, swelling and development of dry socket. Dry socket develops when the blood clot dislodges from the tooth extraction socket soon after extraction of the tooth. Clot displacement is associated with lysis of fibrin and delayed wound healing. The Laser and  PRF with ozone reduces the chance of dry socket and can decrease discomfort and promote healing.

Some scientific literature on PRF: 

Influence of Leukocyte- and Platelet-Rich Fibrin (L-PRF) in the Healing of Simple Postextraction Sockets: A Split-Mouth Study

Clinical effects of platelet-rich fibrin (PRF) following surgical extraction of lower third molar

Efficacy of platelet rich fibrin in the reduction of the pain and swelling after impacted third molar surgery: Randomized multicenter split-mouth clinical trial

Role of Platelet rich fibrin in wound healing: A critical review