The healing of an extraction socket is characterized by a sequence of histologic events in distinct stages
Biological events after tooth extraction
author: Nikos Mardas | publisher: drg. Andreas Tjandra, Sp. Perio, FISID
The healing of an extraction socket is characterized by a sequence of histologic events taking place in four distinct stages: inflammation, fibroplasia, mineralization, and remodeling. This cascade of events in the extraction socket is similar to intramembranous bone formation in other types of osseous defects and begins with the inflammation stage. During this stage, the blood coagulum in the socket matures into granulation tissue. In the second stage, the granulation tissue is replaced by a provisional connective tissue matrix, which, following a mineralization process, becomes woven bone. The newly formed woven bone, following a remodeling process, becomes trabecular bone in the last stage of this healing process.
Serial posts:
- Biological events after tooth extraction
- Day 1 : blood coagulation
- Day 3 : tissue composition in extraction socket
- Day 3 : At the end of this initial healing period
- Day 7: Provisional matrix & osteoclasts
- Day 14 : Woven bone & connective tissue
- Day 30 - 60: Modeling/ remodeling
- Day 120: corticular bone & trabecular bone
- Day 180: large marrow spaces
- Quantitative tissue analysis
- Post molar extraction mandible