Bone grafting is a procedure that is used for patients that need to preserve bone height or create new bone height in certain areas of their mouth. Bone may be lost due to gum disease, age, anatomy of the mouth, or lack of healthy teeth. Most of the time, bone grafting is used prior to the placement of dental implants, so that an implant can be placed and supported securely for several years as a means of tooth replacement.
Types of bone grafting used can include:
A successful bone graft will not only place new bone in the desired area, it will also encourage new bone formation around it. This strengthens the bone in the jaw for implant support or delaying damage from gum disease.
How do you know if you’ve suffered from bone loss and need a bone graft? A periodontal examination by your dentist or hygienist can be used to determine areas of bone height that is lost along each tooth. Routine x-rays will also reflect overall bone height, as well as pinpoint areas are localized concern that could jeopardize other teeth.
Your dentist will discuss the different types of bone graft materials that can be used. To find out whether or not a bone graft can help you, contact your dentist today.
Posted on behalf of Dr. Mac Worley, Mountain View Oral Surgery and Dental Implants
When supporting bone is lost due to severe gum disease, it can prevent necessary restorative treatments like the placement of dental implants. Without enough supporting bone, it may be impossible to create a dental prosthesis that replaces missing teeth and fits comfortably in the mouth.
Bone grafts are an effective therapy that helps recreate bone structure in the area of bone loss. This bone can come from the dental patient’s own body, or even from a donor. Once this bone is placed, it should typically fuse with existing bone and become an area of healthy support. Once healing has occurred, the prosthesis such as a dental implant can be placed.
Grafts are performed by placing the donor bone into the site where initial bone loss has occurred. This is done through a surgical procedure that directly accesses the jawbone. They are then re-covered with gingival tissue and sutures are put in place during the healing process. Anesthetics or sedation services are available to help ensure patient comfort throughout their procedure.
Areas where grafts may be needed include extraction sites where a dental implant is to be placed, areas of severe bone loss that compromise the stability of adjacent teeth, or alongside nasal sinus lift treatments. Within just a few short months, the new bone graft is usually completely fused with surrounding bone and is healthy enough to support what other bone tissue can.
If you’ve been told that you can’t have procedures such as dental implants due to a lack of adequate bone levels, ask your dentist about bone grafting. Bone grafting can make you a candidate for many dental treatments and restorative procedures that you may otherwise not have been able to receive.
Posted on behalf of Muccioli Dental
Bone grafting is used when dental patients have bone loss in the upper or lower portions of their mouth. Most bone loss is due to periodontal disease. This disease condition causes the healthy bone around teeth to be destroyed, which causes loose teeth and leaves less healthy bone to support existing teeth or appliances such as dental implants, partial dentures or dentures.
By restoring bone structure in the mouth, the jaws can support teeth and dental implants, extending the life of your smile. The proper amount of bone also improves the aesthetic appearance of your teeth, as advanced bone loss causes an extended amount of the tooth root to show.
There are various forms of bone grafts. The type of graft needed is based on the location and extent of the bone loss, what type of restorative treatments will be performed (such as dental implants), functional needs and appearance. One type of graft surgery is a sinus lift, which is for upper back teeth when a dental implant needs to be placed in that area. Another form of dental bone grafting is a socket preservation graft, which is placed in the socket area after a tooth has been extracted, to prevent associated bone loss.
Placing a bone graft in the mouth allows the graft as well as the natural bone to fuse and regrow bone in an area where there no longer is any. Most grafts associated with dental implants are usually performed up to a few months prior to the implant surgery to allow for full bone regrowth in that area. This allows the dental implant to be placed in a stable site that can support normal chewing forces.
Oral surgery refers to any type of surgical procedure involving the teeth, tongue, lips, mouth glands, oral tissues, and jaw structure. Many types of oral surgeries are performed by regular dentists, however surgical procedures requiring in-depth knowledge of particular oral presentations are performed by specialists, i.e., by endodontists, periodontists, prosthodontists, and oral surgeons. Below are some of the most common oral surgical procedures.
Tooth extraction, also known as exodontia, is the most common type of tooth surgery and involves the surgical removal of a tooth or teeth. Types of teeth extracted include impacted, decayed, damaged, and supernumerary (extra) teeth. Apicectomy, also known as root end surgery, is another type of tooth surgery that is done to remove a decayed root tip and replace it with a biocompatible root filling. Tooth surgeries are usually performed by general dentists or oral surgeons.
Two of the most common gum surgeries are gingivectomy and gum grafting. Gingivectomy is the surgical removal of diseased, infected, and loose gum tissue to eliminate periodontal pockets between the teeth. It is also done as a cosmetic surgery to reshape the gum line for a more aesthetic smile (called gum contouring in this case). Gum grafting is done to replace gum tissue that has been lost due to gum recession or injury. Most gum surgeries are performed by a periodontist (gum specialist).
Jaw bone surgeries
Jaw surgeries, also known as orthognathic surgeries, include bone grafting and dento-facial osteotomies. During bone grafting lost or deteriorated jaw bone is restored with grafted bone tissue. This is usually done to prepare the jaw for the insertion of a dental implant or other prosthetic. Dento-facial osteotomies are invasive surgical procedures done to reposition, widen, or reshape the jaw to correct bite problems or teeth crowding. Jaw bone surgeries are most commonly performed by oral surgeons and periodontists.
Bone grafting is needed in cases where the dental patient does not have enough natural bone structure for tooth replacement treatments or therapies such as dental implants. Bone loss is usually due to periodontal disease, and is evident on dental x-rays. Other factors that may cause bone loss include osteoporosis or extended wear of dentures. In the case of denture wear, failing to remove the dentures at night increases the stress on our natural bone structure, triggering bone resorption over time. This will present itself as loose, ill fitting dentures.
When the bone level in the jaw has receded, there may not be enough structure to support appliances such as dental implants. By performing a bone graft, a piece of bone structure can be placed in the area where more support is needed. This may be the patient’s own bone, synthetic bone, or donor bone. Once placed in the surgical site, the bone is allowed to grow and fuse with the natural bone already in place. Bone grafting allows a more stable environment to support necessary dental treatment for the patient to function normally.
Over time, the bone graft heals and provides a stable, healthy environment to support dental implants. In some cases it does take several months to see the full results of the graft. Once the implant is placed, it is more secure and stable enough to support replacement teeth.
Dental implants are one of the most natural options of tooth replacement available to today’s dental patient. Bone grafting can help make dental implants an option for many patients. If you’ve wondered whether or not you are a candidate for dental implants, call your dentist or oral surgeon for a consultation.
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