Unfortunately, there comes a time when the extraction of a tooth becomes necessary.

Many teeth need to be extracted because they are infected and causing an abscess. This infection must be dealt with in order to reduce the risk of the infection growing or spreading throughout the rest of the body. Dr. Butler trained under and follows the Hal Huggins protocol for tooth removal. An important part of the extraction process is the complete removal of the periodontal ligament and the lining of the tooth socket bone. The purpose of this removal is to prevent a piece of tissue from causing incomplete healing of the bone and leaving a hole (aka. "cavitation").  In addition, Dr. Butler utilizes dental ozone to treat the site and reduce the risk of dry socket and minimize the need for post-operative antibiotics and their side-effects. Once the site has been completely cleaned it is ready for bone (if needed) and platelet rich plasma or fibrinogen.

Dr. Butler has also trained in Switzerland to learn the Swiss Bio Health Technique.  This involves using the healing properties and materials from the patients own body to encourage self healing.  Platelet Rich Fibrinogen (PRF): these are plasma components extracted from the patients blood which are rich in growth factors and fibrin.  During the extraction process, granules of the patients own bone can be harvested, mixed with the PRF, and placed at the  extraction site.  The patient is also placed on a supplement protocol to enhance healing. In most all cases, the results we have seen from this technique are amazing. This technique can be done in conjunction with implant placement in many cases. This can reduce the healing time and need for additional surgery.

Fibrin-rich platelets (PRF) in dentistry.

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Platelet rich fibrin (PRF) is a fibrin matrix in which platelet cytokines, growth factors, and cells are trapped and may be released after a certain time and that can serve as a resorbable membrane. Choukroun and his associates were amongst the pioneers for using PRF protocol in oral and maxillofacial surgery to improve bone healing in implant dentistry. Autologous PRF is considered to be a healing biomaterial, and presently, studies have shown its application in various disciplines of dentistry.  J Conserv Dent. 2013 Jul-Aug; 16(4): 284–293. doi:  [10.4103/0972-0707.114344] PMCID: PMC3740636 PMID: 23956527