Bone GraftingMajor and Minor bone graftingOver a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants. Today, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and esthetic appearance. Major Bone GraftingOver a period of time, the jawbone associated with missing teeth atrophies or is re absorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants. We now have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and esthetic appearance. The bone graft procedures are referred to as: Socket PreservationOnce tooth is extracted artificial bone is placed in the socket to help preserve the bone and gum tissue for implant placement. Sinus Lift ProcedureThis procedure involves elevating the sinus membrane and placing a bone graft onto the sinus floor, allowing implants to be placed in the back part of the upper jaw. Ridge ExpansionIn severe cases, the ridge has been reabsorbed and a bone graft is placed to increase ridge height and/or width. Nerve- RepositioningThe inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for placement of dental implants to the lower jaw. These procedures may be performed separately or together, depending upon the individual's condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region (ramus) or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient’s own bone for repairs or addition, we generally get the best results. These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. See implant / bone graft post-op instructions.
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