Augmentation, Bone Substitute Placement, and Fascia

This episode takes listeners behind the scenes of a real biological surgery day at DUO Smile. Hana shares the story of a patient who traveled from the UK for treatment and explains why regenerative dentistry is about far more than simply placing implants.

The episode explores hidden inflammation, bone loss, sinus congestion, and why preparing the body before surgery is one of the most important parts of healing.

A key message from this episode:
Healing starts long before the surgery itself.

Why Biological Implant Dentistry Is Different

At DUO Smile, the focus is not only on replacing teeth, but on supporting the body's natural healing ability.

This includes:

• preparing the body before treatment

• supporting immune function

• minimizing toxic burden

• using biocompatible materials

• regenerating healthy bone

The goal is true healing, not simply mechanical repair.

Why Zirconia Implants?

Hana explains why DUO Smile exclusively uses zirconia implants instead of titanium.

Zirconia implants are:

• metal-free

• highly biocompatible

• designed to reduce immune system stress

• supportive of biological healing approaches

The clinic uses Swiss Dental Solutions zirconia implants, including systems with ceramic implant screws.

Immediate Implants Are Not Always Possible

Many people believe implants can always be placed immediately after extraction.

But biological dentistry works differently.

During surgery, hidden infection and severe inflammation may be discovered only after the tooth is removed.

If the area is not healthy enough:

• immediate implantation is postponed

• the bone must first regenerate

• the body must heal properly

This protects long-term success.

As Hana explains:
"The real surgery starts after the tooth is removed."

Hidden Inflammation and Bone Loss

The patient in this episode experienced:

• severe inflammation around upper molars

• hidden bone destruction

• chronic sinus congestion

• tooth resorption beneath crowns

Interestingly, much of this was not visible on traditional 2D X-rays.

Only 3D imaging revealed:

• tilted roots

• extensive inflammation

• sinus involvement

• unhealthy bone structure

This is why advanced diagnostics are essential in biological dentistry.

The Link Between Orthodontics and Long-Term Stress

The episode also explores how previous orthodontic treatment may contribute to long-term strain on teeth and bone.

After premolar extractions and braces:

• teeth may become tilted unnaturally

• bite forces change

• pressure distribution shifts

Over time, this can contribute to:

• inflammation

• bone stress

• tooth resorption

• instability

Safe Amalgam Removal Before Surgery

Before extraction, old amalgam fillings were safely removed using SMART protocols.

This is important because:

• drilling through amalgam releases mercury vapor

• surgery exposes raw tissues

• toxins should not contaminate healing areas

Biological dentistry prioritizes reducing toxic exposure wherever possible.

Bone Augmentation and Natural Regeneration

Because immediate implants could not be placed, the area required augmentation.

Instead of animal-derived grafts, DUO Smile uses regenerative materials designed to support natural healing.

The protocol included:

• ozone therapy

• biological cleaning of infected tissue

• plasma from the patient's own blood

• hydroxyapatite and beta calcium triphosphate material

• regenerative membranes

The goal is to create healthy new bone before future implant placement.

Healing time:

• approximately 6–8 months

Why Preparation Before Surgery Matters

One of the biggest themes in this episode is preparation.

Healing requires:

• minerals

• vitamins

• energy

• immune support

Patients are guided through:

• vitamin D testing

• nutritional support

• supplementation

• intravenous infusions

• recovery protocols

Surgery is not treated as an isolated event.

The whole body must be supported.

Fascia and Nervous System Healing

Hana also discusses fascia therapy and its connection to healing.

Fascia is the connective tissue network throughout the body.

When affected by:

• infection

• dehydration

• inflammation

• scar tissue

the entire nervous system may become dysregulated.

Supportive techniques such as:

• fascia maneuvers

• hydration

• nervous system regulation

• movement therapies

can significantly improve healing and recovery.

Cooling and Recovery Support

After surgery, patients receive:

• cooling masks

• healing instructions

• nutritional guidance

• long-term supplementation support

Cooling therapy is emphasized as an important part of reducing inflammation and supporting recovery.

Key Takeaways

• Biological dentistry focuses on healing, not just replacing teeth

• Hidden infection is often discovered during surgery

• 3D scans reveal issues missed on standard X-rays

• The body must be prepared before surgery

• Chronic sinus issues may be linked to dental inflammation

• Bone regeneration takes time and patience

• Fascia and nervous system health influence healing

• Long-term success depends on supporting the whole body

Ready to Reflect?

Could chronic inflammation be affecting more than just the teeth?

Is your body receiving enough support to heal properly?

Are symptoms like fatigue, sinus congestion, or tension connected to hidden inflammation?

Healing is not only about removing disease.
It is about creating the right environment for regeneration.

Listen to Episode 62 now:
www.duosmile.cz/podcast

Explore our approach:
www.duosmile.cz/en

Instagram: @duo_smile
Facebook: Duo-Smile Dental Care