Instructions: Preservation of the hole after tooth extraction. Additional manipulation

When a tooth is removed after revision of the hole, additional surgical manipulation is performed. Reticulofibrous cells located near the tooth holes are bone cells that are not fully mature and can manifest their potential in various ways. They are located just 5 places in the body: the seams of the skull, the bones of the skull are mobile throughout life; the corners of the mandible, which is associated with the location of the next temporomandibular joint; labyrinth of the inner ear, the place of attachment of tendons and ligaments, tooth holes. Also, this tissue is formed during an oncological process and during distant fusion of bone fragments that do not have tight contact. Therefore, we should take into account the following nuances: when a tooth is removed, it makes sense to release these reticulofibrous cells, respectively, in the area of ​​the operation to trigger their activity and potential. We use a small-diameter drill bit from 0.8 to 1.2 mm, optimally 1 mm. The angle of entry of the drill is 30-45 degrees, as far as the bone edge of the tooth hole allows. The goal is to make pinholes inside the tooth, retreating 1 / 2-1 / 3 from the edge of the hole. The hole of the tooth should also always be stitched to form a volume of soft tissue in this area for the subsequent installation of implants.