Studio City Dental Group

Reasons for bone grafting

There are a wide variety of reasons why bone grafting may be the best option for restoring the jaw bone.

Dental implants

Implants are the preferred replacement method for missing teeth because they restore full functionality to the mouth; however, implants need to be firmly anchored to the jawbone to be effective. If the jawbone lacks the necessary quality or quantity of bone, bone grafting can strengthen and thicken the implant site.

Sinus lift

Ridges in the bone can occur due to trauma, injury, birth defects, or severe periodontal disease. The bone graft is used to fill in the ridge and make the jawbone a uniform shape.

Ridge augmentation

This is the implantation of bovine (cow) bone. A xenograft is perfectly safe and has been used successfully; ample bone can be obtained, and a secondary donor site is not necessary.

Nerve repositioning

If the inferior alveolar nerve requires movement to allow for the placement of implants, a bone grafting procedure may be required. The inferior alveolar nerve allows feeling and sensation in the lower chin and lip.

Types of Bone Grafts

A bone graft may be required to create a stable base for dental implant placement, to halt the progression of gum disease, or to make the smile appear more aesthetically pleasing.

The bone grafting procedure is an excellent way to replace lost bone tissue and encourage natural bone growth. Bone grafting is a versatile and predictable procedure which fulfills a wide variety of functions.

There are several types of dental bone grafts

Autogenous bone graft

In this type of graft the bone is removed from elsewhere in the body and implanted in the mouth. Common donor sites for bone grafting include the iliac section of the pelvis, the chin and the posterior third molar areas of the jaw. If large amounts of bone need to be harvested, the hip or the shin bone (tibia) is generally used.

Allograft

Synthetic bone (manmade) can be created in the laboratory and used in the bone grafting procedure. Bone can also be obtained from a bone bank (cadaver bone).

Xenograft

This is the implantation of bovine (cow) bone. A xenograft is perfectly safe and has been used successfully; ample bone can be obtained, and a secondary donor site is not necessary.

What does bone grafting treatment involve?

Bone grafting is a fairly simple procedure that can be performed under local anesthetic; however, if large amounts of bone area need to be grafted, general anesthetic may be required.

Initially, the grafting material needs to either be harvested or prepared for insertion. A small incision is made in the gum tissue and then gently separated from the bone. The bone grafting material is then placed at the affected site. The bone regeneration process may be aided by

The gum is sutured in place and a follow-up appointment will need to be made within 10 days to assess progress. Bone grafting is a highly successful treatment and a good base for further periodontal restorations.

Gum/bone tissue regeneration – A thin barrier (membrane) is placed below the gum line over the grafting material. This barrier creates enough space for healthy tissue to grow and separates the faster growing gum tissue from the slower growing fibers. This means that bone cells can migrate to the protected area and grow naturally.

Tissue stimulating proteins – Enamel matrix proteins occur during natural tooth development. Emdogain is a matrix protein product which is usually placed on the affected site before the gum is sutured. It mediates the formation of accellular cementum on the tooth which provides a foundation to allow periodontal attachment to occur. Tissue stimulating proteins help create lost support in areas affected by periodontal defects.

Platelet-rich growth factors – A high platelet concentration liquid can be used to create a blood clot at the site of a wound. It has recently been discovered that PRGF also stimulates bone growth – meaning a denser graft in a shorter time period.

Testimonials

“Absolutely great dentist office. They always have the latest technology and up to date equipment. Friendly staff. We've been going there for past 15+ years. Dr. Mandell, you are fantastic dentist and great person. Thank you for great job and taking care of us.” - Farshad J

“Dr. Gidan is amazing! and his staff is also excellent. we are treating warmly,and the service is very quick. highly recommended!” - Jordan K

“This is a wonderful dental practice. I've been there for over forty years!” - Ron G

“Great dental office , very helpful , professional dentists , great office staff . Good hours ...” - Barbara K

“Wonderful, caring people of the highest caliber in every aspect of modern dentistry.” - Wendy T

“Dr Gidan is awesome! We moved but still drive over 30 miles one-way (and deal with the 101 and the 405 traffic) to see him bc he is the only peds dentist we trust.” - T G

Bone Grafting