Ischemic Bone Disease is chronically infected holes left in jawbones after tooth extraction. This occurs when the lining of the socket has not been properly removed.
There is a layer of connective tissue between the tooth and the jawbone called the periodontal ligament. The normal procedure after tooth extraction is to scrape away the soft infected tissues at the end of the root. However, most dentists do not routinely remove the ligament and part of the bony socket, which may retain bacteria and toxins.
If this ligament is not removed and it does not break down in the healing process, the top layer of the socket heals over with a thin layer of bone and new gum tissue. Because the body doesn’t recognize that the tooth is gone (since the ligament is still present), the socket will not fill in with healthy solid bone. The resulting hole in the bone is very unnatural; the ligament, and whatever bacteria and toxins may be residing therein can become a severe stress to the immune system.
To prevent the formation of Ischemic Bone Disease, after extracting a tooth, at the Julian Center for Comprehensive Dentistry, we perform extra surgical procedures to remove the periodontal ligament and infected bone. These extra steps not only help prevent Ischemic Bone Disease, but they also help the healing proceed much more rapidly and comfortably.
We also use a special surgical procedure to treat existing Ischemic Bone Disease. This involves cleaning out the socket of residual ligament and infected tissue as well as stimulating bleeding into the socket to promote the normal healing process.
The procedure involves the use of natural disinfectants to kill off any residual microorganisms (bacteria, viruses, fungus) as well as treating the area with a low-level laser. This will stimulate the healing process by increasing the blood flow and reducing inflammation.