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The concept of dental implants has modernized the dentistry field. When teeth are lost due to an infection, severe tooth decay, trauma, or gum disease, implants are the best option to fill the gaps.
Implants are affixed directly to the jawbone, making them a permanent alternative to high-maintenance bridges or dentures. These also absorb your bite pressures, preventing bone loss. Moreover, implants strengthen your bite, allowing you to enjoy the foods you love in a pleasant natural way.
Sometimes, the missing bone needs a bone graft for dental implant, ensuring firm support. Here, we’ll learn in detail about bone grafting and everything about it.
Dental Bone Grafting
Bone grafting is a treatment that enhances the quantity of bone in your jaw to keep your dental implant in the ideal place. There must be enough bone at the implant location to place the dental implant. Resultantly, it helps with the implant's repair and upkeep.
Bone grafting is possible in a number of ways. It depends on the amount of grafting necessity, the anatomy of the region that requires grafting, and your personal preferences.
Minor bone grafting is possible at the time of implant insertion. However, in the case of extensive grafting, dentists do it at least four months before getting dental implants.
Types of Bone Grafting For Dental implant
There are four major types of bone graft for dental implants. These are as follows.
Ridge Augmentation
The supporting jawbone may be thinner than it was if your teeth had been missing for a certain time. For this, ridge augmentation broadens and volumizes the jawbone, making it more secure as a base for implants or other restorative procedures.
Preserving The Socket
Dentists insert ridge preservation graft into the socket, usually right after the tooth extraction. It helps restore the lost tooth's gap and keeps the socket's sidewalls from collapsing.
Sinus Lift
Your upper back teeth are directly above the maxillary sinuses. The sinuses may descend and encroach on the area where the dental roots originally stood if the upper back teeth are absent. In this situation, dentists do not insert the implants as these can pierce the sinus membrane.
Therefore, your oral surgeon needs to perform a sinus lift to solve this issue. He/she lifts the sinus to its correct place. Then, a dental bone transplant is inserted below the sinus, laying the groundwork for future dental implants.
Periodontal Bone Graft
The bone that supports the teeth might deteriorate due to infection from gum disease. As a result, teeth may get loose. To provide support and lessen tooth movement, dentists insert a periodontal bone graft around an existing tooth.
Bone graft for dental implants must fully recover before inserting the real implant. Recovery periods vary since the oral health of every individual is different. It is possible to replace the bone transplant and insert the dental implant at the same time. However, each situation needs a separate diagnosis.
Working Of Bone Graft
Once the bone graft is in place, it creates room for the gum to heal. A dental bone transplant functions as a scaffold on which your own bone tissue develops and repairs.
In rare circumstances, your dentist may combine a dental bone transplant and platelet-rich plasma. PRP is extracted from your own blood sample and helps in tissue regeneration and repair.
Candidate For Dental Bone Graft
A dental bone graft for implants is necessary for those who need lost jawbone dentistry . It applies to a person
- Undergoing a tooth extraction.
- Needs a dental implant strategy for a lost tooth replacement
- Needs jaw rebuilding prior to wearing dentures
- Has bone loss from gum disease in some locations
Before Dental Bone Graft Placement
Before having bone grafting for a dental implant, your dentist needs to conduct an oral examination in order to evaluate the condition of your teeth, gums, and jaw.
Dental X-rays or scans help ascertain the degree of your bone loss. The most important part is that after discussing your treatment choices with you, your dentist designs a specialized treatment strategy to address your needs.
During Dental Bone Graft Surgery
Before starting the procedure, the dentists numb the area around the gum by injecting local anesthesia. In the very next step, they make a small gum incision, making the jawbone apparent.
Then, after sanitizing and cleaning the area around, your dentist applies bone grafting material to the defective region. For further security, he/she wraps the material with a membrane. Lastly, there is the stitching of incisions after relocating the gum tissue.
Risks Of Having Bone Graft For Dental Implant
A bone graft may have some post-operative risks and complications, just like any other surgical procedure. After getting a dental bone graft
- You might have discomfort, edema, and bruising.
- It is quite possible that you can see little pieces of bone erupting from the wound during the first several days. Usually, these fragments resemble sand or salt granules.
- You can experience discomfort walking for two to four weeks if bone from your hip is removed (major bone grafting).
- For one to two weeks, you can have jaw swelling.
- A bone transplant may cause an infection.
- There is occasionally insufficient healthy bone to perform dental implant surgery. If this occurs, you could require further bone transplant surgery.
- For certain persons, especially smokers, the chances of failure are greater.
- If the dental implant is placed into grafted rather than native bone, there is also a chance of failure.
These are common side effects, and they will go away in a few days.
However, painkillers can help with symptom management, or your dentist can prescribe antibiotics you need to take according to the recommendation. In case of any complications, you must contact your dentist.
Recovery From Bone Graft For Dental Implant
Recovery timeframes vary depending on the type of graft, the location of the graft, and your body's ability to recover.
Although after bone grafting, you can get to your routine work within two weeks, yet in some cases, the complete healing may take up to nine months or even longer.
Therefore, your dentist will keep track of your recovery after completing the bone transplant procedure. He/she will inform you when your new bone is sturdy enough to support the implant if you are waiting to have dental implant surgery.
Denture Vs. Implants
Caring for dental implants is similar to the dental hygiene practices that apply to natural teeth. It entails using a soft-bristle brush at least twice daily, flossing, and visiting the dentist on a regular basis.
Contrarily, the longer-term viability of dentures needs higher regular maintenance. For instance, you shouldn't put them on at night and soak them in water or a cleaning agent.
Moreover, you must take off and brush your dentures after eating. You might also need to brush out any remaining adhesive particles from your gums.
On the other hand, the dental crowns on dental implants may need to be replaced if the originals crack or break because they are permanent fixtures.
According to research and surveys, dental implants are often a safe and reliable way to replace lost teeth, but they can also come with a number of risks, including the possibility of infection and mechanical issues. In between 5 and 10 percent of cases, dental implants fail.
Alternatives to Bone Grafting Except Dentures
Except for dentures, there are three most common alternatives to bone grafting, including
Angled Implants
In some cases, dentists avoid using simple bone grafting and prefer angled implants as an alternative. After years of usage, these special implants demonstrate comparable survival and success rates to conventional implants. However, these are rarely a viable choice when significant bone grafting is necessary.
Zygomatic and pterygoid implants
For some patients, instead of bone graft for dental implant, dental surgeons insert Zygomatic and pterygoid implants behind the upper jaw, in the cheek, and in facial bones. They are lengthy and angled so that they may work like fixed bridges or detachable dentures.
Compared to traditional dental implant installation, the insertion of Zygomatic and pterygoid implants is more difficult.
Fixed Bridges
In this process, the next tooth or teeth are either filed down or immediately glued on through adhesive resin-bonded bridges. The length of the gap, the level of tooth structure on the neighboring teeth that are still there, the bite, and the condition of the dental nerve all affect the type of bridge. Typically, a bridge can only replace one or two teeth.
Comparatively, conventional bridges can enhance the risk of injuring the nerve in the filed tooth, which might lead to root canal therapy or tooth extraction in 5 to 19% of cases.
What You Must Know!
A bone graft for dental implant is the best choice if you desire to get an artificial tooth in place of the missing one. However, you must consult your dentist for a proper examination and diagnosis of your oral health before you go under the procedure.
It is also important to prepare yourself mentally, and you should be aware that recovery and healing may prolong up to 9 months. Also, proper care and following dentists’ recommendations are imperative for recovery.
For periodontal dentistry instruments or general dental surgical tools, dental practitioners should visit GerDentUSA Inc.—the reliable manufacturer and supplier of cutting-edge dentistry tools.
FAQs
What is the duration of the bone grafting procedures?
Depending on how fretful the tooth is, the bone graft and membrane operation, which includes extraction, may take up to 45 minutes. The procedure does not last for more than an hour.
Does a bone graft in the mouth hurt?
Dental bone transplant reactions may vary from person to person. Pain might occasionally occur; however, the little discomfort is treatable with over-the-counter or prescription drugs.
Is there a possibility of rejection for bone grafting?
No, dental bone grafting uses a patient's own bone, so the rejection is not conceivable.
