Sunday, January 10, 2010

Dental Implants & Bone Grafting

Latest Dental News: Dental Implants & Bone Grafting

Many dental patients suffer from discomfort, sore spots and even gaps when using bridges or dentures. Dental implants are a permanent solution for permanent tooth loss. A dental team made of an oral surgeon, periodontist and general practitioner dentist will decide on the best course of action for the patient’s individual needs. The patient’s overall health and dental history is reviewed and several diagnostic tests are taken to determine if the patient has adequate bone density to hold the implants.

If the team finds it necessary to build up the bone before the implant surgery, the patient will undergo a bone grafting procedure first. Bone grafting is a common procedure for patients suffering from periodontal disease and for dental implant candidates.

Bone Grafting Sources
Replacing missing bone or adding to existing bone is essential for an implant patient with inadequate bone density. There are several material sources available for the bone grafting procedure. The best source is from the implant patient. Material is collected from other areas within the mouth through a suction apparatus during the drilling process for the implants. Sometimes, bones are taken from outside of the mouth such as the hip. If the surgery involves removing material from the hip, the procedure will be done in a hospital by an orthopedic surgeon.

Another common source is from cadavers. The bone is retrieved from a bone bank that has tested it thoroughly to be sure its disease-free. The procedure is very safe and very effective for patients suffering from bone loss. If natural bone isn’t the right fit, other optional materials include synthetic bone, animal bones, coral and biocompatible polymers.

Bone Grafting Procedures
There are several different bone grafting procedures:

• Sinus Grafting – the donor bone is inserted into the floor of the sinus membrane, which is the roof of the upper jaw. This procedure strengthens the egg shell thin wall of bone left behind after upper teeth are removed

• Block Bone Grafting – a block of bone is removed from one area of the patient and screwed into the area where the implants are to be placed. It takes four to six months for the new bone to integrate with the jaw bone

• Guided Tissue Regeneration – when a dentist creates a surgical hole, the soft gum tissue grows quickly over the hole blocking the bone. A membrane barrier is placed over the surgical hole to prevent unwanted gum growth. The membrane is removed later or absorbed by the body

• Bone Expansion – the walls of the bone is stretched or widened to accommodate the implant

• Socket Preservation Grafting – a donor bone is inserted into the tooth socket after tooth removal and takes four to six months to completely heal.

Source: Bone Grafting for Implants

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