A biological alternative to root canal treatment starts with a CBCT scan. Dr. Litano reviews your results and builds a written plan before any tooth comes out.
In short
At Natural Smiles, root canal alternatives include retreatment, extraction, and treatment for cavitation sites, using surgical debridement, ozone, and LPRF made from the patient's blood. Dr. Carlo Litano, DMD reviews the options with a CBCT scan and gives a written plan with cost estimates before treatment starts.
A failed root canal or jawbone infection can add to inflammation a standard exam may miss. In Tampa Bay, the choice is between saving the tooth and biological extraction, which follows stages: extraction, LPRF healing and zirconia implant.
The tooth comes out with the site fully disinfected and prepared for healing.
Platelet-rich fibrin drawn from your own blood supports the site from day one.
A metal-free ceramic implant restores the tooth, same-day in many cases.
Each plan follows four steps: a CBCT scan and assessment, a decision made with Dr. Litano, extraction supported by ozone and LPRF, and restoration with a zirconia implant.
A 3D scan reads the tooth, the root, and the bone around it, surfacing infection standard X-rays walk past.
You review what the scan shows and weigh saving the tooth against biological extraction, with a written plan and cost estimate either way.
When removal is the call, the socket is disinfected with medical-grade ozone and LPRF from your own blood goes in at the same appointment.
A metal-free zirconia implant restores the tooth, placed same-day when bone conditions allow and finished by the in-house lab.
Same-day extraction and implant placement are possible in many cases. The CBCT scan determines the timeline.
Dr. Ulrich Volz developed the first FDA-cleared ceramic dental implant and founded Swiss BioHealth in Kreuzlingen, Switzerland. Dr. Carlo Litano, DMD studied under him directly and uses the Swiss BioHealth protocol at his practice in the Tampa Bay area. Every biological case at Natural Smiles is planned, placed, and finished to the same standard.
Patients drive in from across Florida and fly in from across the U.S. A few in their own words, from 700+ reviews averaging 4.9 stars on Google, Facebook and Healthgrades.
"I drive over an hour each way to see these people but they are the best. Very meticulous and confirm to the idea of first do no harm. A rare thing in modern dentistry."
"Dr. Litano is a saint! I was dreading having to have a tooth pulled and he put my mind to ease. Love how he’s a one stop shop for removal + putting in a non toxic implant! He is very kind & caring too!"
"Thank you, amazing staff at Natural Smiles! You are always so patient and accommodating, giving me all the time and attention my teeth need! Driving from Sarasota is so worth it! Such gratitude for each of you!"
Patients weighing a root canal against extraction and replacement often bring similar questions to their first visit with us.
When a tooth cannot be saved, we offer biological extraction with ozone disinfection and LPRF bone-graft healing, followed by a zirconia implant to restore the tooth.
A CBCT scan reads the site and the bone around it. Treatment typically means removing the failed tooth, cleaning the site with ozone, healing with LPRF, and restoring with a metal-free zirconia implant. Zirconia implants.
A cavitation is a pocket of bone that has broken down at an old extraction or root canal site, often invisible on standard X-rays. Dr. Litano evaluates these areas with 3D CBCT imaging and treats them with surgical cleanout, ozone, and LPRF healing. About cavitation surgery.
In many cases, yes. When bone volume and the extraction site allow it, Dr. Litano places the implant and the in-house lab restores it in one visit.
Costs depend on the treatment plan: the extraction, any grafting, and the restoration. You receive a written estimate after the consultation and 3D scan, before any decisions.
These pages on the Natural Smiles website cover this topic from different angles.
A consultation with a 3D scan gives you a written treatment plan and cost estimate before any decisions. Call (727) 300-0044 or request a visit online.
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