When a tooth comes out at Natural Smiles, the socket does not stay empty. Dr. Carlo Litano, DMD treats it the same day with ozone therapy. Then he fills it with LPRF, platelet rich fibrin from the patient’s blood. Healing gets tracked with imaging. Natural Smiles is a biological dentistry practice in St. Petersburg, Florida. Dr. Litano has practiced biological dentistry for more than 20 years.

How a tooth comes out matters

When a tooth cannot be saved, how it comes out matters as much as the decision itself. Natural Smiles treats holistic extractions as part of a single plan. The plan covers the tooth, the socket and what comes after.

An extraction site left dirty can turn into a cavitation, and a cavitation is a pocket of dead bone that drives inflammation for years. A biological extraction closes that loop the same day. Ozone disinfects the socket, LPRF fills it, and imaging tracks the healing.

What happens to the socket at extraction

Dr. Litano disinfects the socket with a medical grade ozone flush before anything closes over it. The socket gets fully debrided, and surgery follows a plan made from CBCT imaging. Most extractions happen without antibiotics.

LPRF comes from a blood draw taken during the same visit. This LPRF supports the socket from the first day, supports bone regeneration, and lowers the risk of an empty socket. Imaging tracks the healing afterward.

Why an unfilled socket loses bone

The bone around a tooth changes once the tooth comes out, and an unfilled socket resorbs along with the ridge bone an implant needs.

Socket preservation fills and protects the site at extraction, in the same appointment. There is no return trip, and the step takes about ten extra minutes. The preserved socket gets disinfected with ozone, filled with LPRF support, and closed over a stable site. The fill supports the walls of the socket while bone regenerates, and ridge width gets maintained. Imaging tracks the site afterward.

When an implant goes in the same visit

In many cases, extraction and zirconia ceramic implants finish in a single appointment. Same day placement fills the socket with the implant itself, so preservation does not happen then.

Socket preservation covers the cases where placement waits. A preserved site often takes an implant later without a second grafting surgery. CBCT confirms readiness. Implant timing stays flexible, on the patient’s timeline, with placement set by the plan.

How healing is followed

Imaging tracks the socket after extraction, after socket preservation, and after an implant. Extraction, socket preservation and replacement make up a single plan, and a written plan comes first before the zirconia replacement path gets set from that plan.

What to do next

Cost follows the site and what the plan pairs with it, such as socket preservation, grafting or an implant. A written estimate comes before any work begins.

A consultation with a 3D scan gives a written treatment plan and cost estimate before any decisions get made.