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Bone Grafting & Sinus Lifting

Bone grafting restores lost jaw bone density using materials like autogenous, allograft, xenograft, or alloplast.

Bone Grafting is a procedure that restores bone density and volume to parts of the jaw where it has been lost. There are three options for bone transplant material: autogenous (from own body), allograft (from another human's body), and animal tissue bank (xenograft). Bone transplant material may be synthetic in some cases (alloplast).

Procedure Pre:

Your dentist will do an oral exam to determine the condition of your teeth, gums, and jaw. Dental X-rays or scans clearly show bone loss in the jawbone. After that, you and your dentist will talk about your treatment choices and develop a customized treatment plan tailored to your specific needs.

During

First, your dentist will administer a local anesthetic to numb the region. An incision in your gums is the next step. Pushing back the gums allows for a clearer view of the jawbone. After washing and sanitizing the area, your dentist will put bone grafting material to the deficiency to heal it. A membrane is often placed over the bone transplant to provide further protection. The gum tissue is then realigned, and the cut is closed with stitches.

Post

You may have discomfort, inflammation, and bruising after a dental bone graft. Fortunately, these are only temporary adverse effects. Pain medications are effective in treating the symptoms. Additionally, your dentist may prescribe you antibiotics. Like a grain of salt or sand, Bone pieces will begin to emerge from the wound in the first few days. Call your dentist to make sure you're recovering as predicted, even though this usually is not a problem.

Who needs a bone graft?

In most cases of jaw bone loss, dental bone transplants are necessary.

  • Having a tooth removed may need this treatment.
  •  Plan to replace a lost tooth with an implant.
  • Before acquiring dentures, jaw reconstruction is crucial.
  • Suffer from gum (periodontal) disease that causes bone loss.

Bone Grafting is a dental procedure where a bone is artificially grafted (attached) to a bone in the jaw, which is either broken, damaged, or needs supplementary support. Several other reasons for bone grafting include:

  • gum infections,
  • loss of one or more teeth in adults,
  • when a person intends to go for dental implant procedures.

The grafted bone can be taken from any part of the human body, preferably the hip bone or tibia bone, and then the dentist incises and fits the separated bone into the jawbone. Synthetic bones are also prepared for grafting purposes. Once the procedure is done, the grafted bone simply holds the missing gaps together and allows the body to heal and tissues to regenerate. The process for bone grafting is pretty simple; the doctor sedates the patient through anesthesia after which a cut is made into the gums and the tissues moved aside to make the jawbone visible. Then, after careful disinfection, the separated bone is attached to the slit. In some cases, the bone is covered with an additional membrane sheet to ensure protection. The gum tissues are then stitched with the bone in place. The overall operation is not much painful if the attached bone is artificially created. With being given anesthesia throughout the surgery, the patient does not feel much. However, if the bone is taken from the patient’s body, the procedure might become painful as the patient has to go through surgeries in two parts, the jaw and the hip. The side effects of this dental surgery might vary from person to person. Some people do not feel the after-effects at all while others suffer from acute to chronic symptoms depending upon the nature of bone grafting. However, the most generic outcomes are:

  • Discomfort
  • Swelling
  • Bruising
  • Pain in jawbone
  • Bone particles splintering

To deal with these symptoms, the dentist might prescribe antibiotics and painkillers. The recovery from these signs can be as little as a week or as long as a fortnight. Though the tissues and jawbone might take months before recovering. If the post-treatment ailment prolongs and the symptoms become worse over time, then that is probably an indication of a failed surgery. The probability ratio of failure is minimal, but since it is a medical treatment, the results can go both ways. Unbearable pain, continuous breaking up of attached bone, opening up of stitches, no healing, etc. are the indicators of the operation being flopped. In a nutshell, bone grafting is a surgical treatment aimed at attaching a bone from elsewhere to the jawbone either to provide extra support to the weak jawbone or to eliminate the risks associated with an unhealthy jawbone. Like all other surgeries, bone grafting carries its ratio of risk and reward and strictly varies from person to person how the procedure turns out. Bone development in the upper jaw, such as a sinus or a ridge augmentation, may be required during dental surgery (also known as oral-maxillofacial surgeries). In the upper jaw, a bone graft may promote bone development that will allow for dental implants to be placed. For those who have lost teeth, these implants can be used to replace them. 

- Who may need Bone Grafting?

Any person who has had a tooth extracted might require a bone graft before receiving a dental implant. Even if you come in the day after losing a tooth, you can still have a dental implant. However, there is a possibility that the socket is infected or that the missing tooth is too small to accept an immediate replacement.  Of course, no one gets an implant the day they lose their teeth. In certain cases, it's because of financial constraints. It can be a logistical issue at times. Bone loss happens every day that a tooth is missing, regardless of the cause.

- Why do you need bone grafting?

For various reasons, preserving and restoring facial bone integrity is necessary. To have the best outcomes from dental operations like dental implant insertion, the bone must be as similar to its natural size and location as feasible. The skin and muscles that give us our outer look are supported by the jaw and other facial bones. Our faces might seem older than they are if the underlying bone structure isn't there to sustain them.

- How does bone grafting help you?

A region of bone in the jaw known as the alveolar ridge anchors teeth in place. The alveolar ridge bone protects teeth by encircling their roots and allowing them to function normally, like chewing. The jaw cannot sustain natural teeth or dental implants if the alveolar ridge bone is inadequate. Bone loss in the jaw can occur for a variety of causes. If you've had a tooth knocked out, and the bone around it has been gone, or if you have gum disease, these are two possibilities. Your jaws may not have enough bone to sustain your natural teeth or the effective implantation of dental implants, whatever the reason. Dental bone graft surgery may be recommended if you have lost alveolar ridge bone and need to generate new bone for dental implants. The most common reasons for undergoing a dental bone grafting procedure are tooth loss, gum disease, or trauma. After tooth extraction, bone grafting may restore lost density to the jawbone.

- Is bone grafting a painful procedure?

Absolutely not! All of us here at the office do them every single day. Patients are often sedated for the process, which is an outpatient procedure. There should be no discomfort as the graft heals, and you'll be all set for your dental implants once the graft is complete. Fomostof people, a bone transplant is merely the initial step before they can fully enjoy their gorgeous new replacement teeth.

Sinus Lifting:

Having insufficient jaw bone to support dental implants may necessitate sinus lift surgery. Sinus augmentation and sinus transplants are other terms for this operation. Periodontists or oral surgeons undertake this operation. A dental expert can do sinus lift surgery in a variety of methods. In some cases, getting a dental implant requires a sinus lift and bone grafting as a first step. If you’re considering having your sinuses lifted, you have various options. Bone graft type and the doctor’s future dental implant placement plan play a role in which strategy is best for you and your situation. The procedure proceeds in the following manner: 

  • Before the operation, you and your doctor will discuss the best course of action for you.
  • The dentist might give you oral or IV anesthetics to make you comfortable, and a dentist will numb the region with local anesthesia.
  • To gain access to the jawbone, your surgeon will create incisions in the rear of your gum tissue.
  • Your surgeon will make a tiny incision in the bone, taking care to avoid cutting into the sinus membranes.
  • Your surgeon will raise the membrane in the sinus cavity by lifting the sliced bone piece.
  • Bone graft materials will be injected into the freshly raised region by your surgeon. Synthetic bone material can be used as an alternative to using your bones for deducing graft material.
  • Your surgeon will stitch up the incisions in your gums.
  • After the operation, your doctor will provide you with recuperation instructions.

Research shows that having sinus lift surgery significantly increases the likelihood of having successful implants that will continue to function normally over several years. This surgery is relatively painless for the vast majority of individuals. Before the implant treatment, a specialist should thoroughly examine your jawbone health and discuss their sinus lift suggestions, procedures, and probable bone grafting materials.

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