Atraumatic Tooth Extraction
Atraumatic Tooth Extraction in Basel
In brief: atraumatic tooth extraction with vertical extraction techniques
Modern extraction techniques aim to remove a tooth with as little trauma as reasonably possible. Vertical extraction systems such as Benex® can be useful in selected cases because force is applied mainly along the long axis of the tooth rather than by extensive levering against the socket walls.
In our Basel practice, atraumatic extraction techniques are used when they can help preserve the socket walls and soft-tissue architecture, particularly when implant placement or an aesthetic reconstruction is being considered afterwards.
Why use an atraumatic extraction technique?
After tooth extraction, the alveolar ridge undergoes natural remodelling and can lose substantial width and height during the first months. The amount varies considerably with socket anatomy, facial-bone thickness, trauma, infection and individual healing.
A vertical extraction technique is designed to reduce unnecessary levering forces on the socket walls. It cannot prevent the normal biological remodelling that occurs after tooth loss.
Potential Benefits and Treatment Goals
Tissue-preserving approach: in suitable cases, extraction may be possible without raising a flap and with less surgical trauma; normal post-extraction bone remodelling still occurs.
helpful when later implant placement or socket preservation is planned.
Potentially less surgical trauma: tissue-preserving extraction may reduce postoperative discomfort in suitable cases, although symptoms vary between patients.
Soft-tissue preservation: maintaining the socket walls and gingival architecture is particularly important in aesthetically demanding sites.
May facilitate immediate implant placement in selected cases when infection, socket anatomy, bone walls and primary implant stability are favourable.
Particularly useful for selected fractured or non-restorable teeth.
The Benex system uses a controlled vertical traction principle to mobilise and remove suitable roots while minimising lateral levering against the alveolar walls.
Treatment Process
assessment of root morphology and surrounding bone using clinical examination and appropriate imaging.
removal of restorative material where necessary and placement of a central traction anchor if sufficient root structure is available.
controlled axial traction is applied with a mechanical extraction device while protecting the socket walls.
graft material and/or platelet-rich fibrin may be used when clinically indicated to support ridge preservation and soft-tissue healing.
closure or an open-healing approach is selected according to the socket condition and subsequent treatment plan, such as immediate implant placement.
Scientific Context
Ridge remodelling after extraction: systematic reviews show substantial horizontal and vertical dimensional changes during the first months, with the greatest changes generally occurring early in healing.
Tan WL et al. (2012). Clin Oral Implants Res 23(Suppl 5): 1–11. PMID: 22211303
Atraumatic extraction techniques are intended to reduce surgical trauma and preserve socket structures. Evidence does not support a guarantee that any specific extraction device will prevent post-extraction bone remodelling.
Singh H. et al. (2020). J Clin Exp Dent 12(8): e755–e762. PMID: 32874969
Platelet-rich fibrin has been studied as an adjunct to soft-tissue and bone healing, although indications and effect size vary between procedures.
Miron RJ. et al. (2020). Clin Oral Investig 24(8): 2541–2552. PMID: 32100109
Immediate implants placed in carefully selected fresh extraction sockets can show high survival rates comparable with delayed protocols, but aesthetic and soft-tissue outcomes depend strongly on anatomy, implant position and case selection.
Chen ST. & Buser D. (2014). Clin Oral Implants Res 25(2): 121–128. PMID: 23682970
Costs and Individual Treatment Planning
(Depending on the tooth, surgical complexity and any additional procedures; an individual estimate is provided in advance.)
Treatment | Indicative Range |
Atraumatic extraction using the Benex system, single tooth | 250 – 350 |
CBCT / 3D planning if required | 200 – 400 |
Immediate implant placement, if indicated | according to treatment requirements |
Frequently asked questions
How quickly does the area heal?
Soft-tissue closure typically progresses over the first one to two weeks, while bone healing and remodelling continue for several months.
Can I receive an implant afterwards?
Immediate implant placement is possible in selected cases when the socket anatomy, infection control and achievable primary stability are favourable.
Can Benex be used for every tooth?
Vertical extraction systems are particularly useful for selected single-rooted or suitably shaped teeth. Multi-rooted teeth may require sectioning or another surgical approach.
Summary
Atraumatic extraction aims to preserve bone and soft tissue as far as possible and can support subsequent implant or restorative treatment. The technique is selected according to tooth anatomy and the clinical situation.
If a tooth needs to be removed and future implant or aesthetic treatment is planned, we can assess whether Benex or another tissue-preserving extraction technique is suitable for the individual tooth.
Diagnostics and Planning
For implant treatment, planning starts with the intended final restoration and works backwards. Bone volume, soft tissue, implant position, bite, cleanability and long-term maintenance are assessed together; three-dimensional imaging is used only when it provides additional information relevant to the clinical question.
Limitations, Risks and Alternatives
Implants and augmentation procedures are not equally suitable in every situation. Possible biological and technical complications include inflammation, loss of bone or soft tissue, failure of osseointegration and the need for repairs to the restoration. Smoking, a history of periodontal disease, medical conditions and oral hygiene can influence the risk.
Atraumatic tooth extraction in Basel: experience and clinical context
Implant treatment at Fachzahnarztpraxis Dr. Gasser in Basel is planned from a restorative perspective. Dr Thomas Gasser is a specialist in reconstructive dentistry (SSRD), completed the MAS in Oral Implantology at the University of Zurich and is, among other professional affiliations, a member of the ITI. Complex situations are planned in an interdisciplinary manner when appropriate.More about Dr Thomas Gasser’s training and qualifications.
Related Topics on Our Website
Depending on the individual situation, Dental Implants,Zygomatic implants or Guided Implant Surgery may also be relevant.You can find further dental services in Basel in our treatment overview.
Literature and Scientific Context
PubMed PMID 22814758 – Alveolar ridge preservation. A systematic review
PubMed PMID 30057608 – Ridge Preservation Procedures after Tooth Extractions: A Systematic Review
The selected literature provides scientific context. Which findings are relevant to a specific treatment depends on the diagnosis, the starting situation, individual risks and the treatment goals agreed together.
Other treatments
