Bone Grafting for Dental Implants
Assessment of Quality and Quantity of Your Jawbone
When you visit Midtown Manhattan, NYC office for your initial dental implant consultation, one of the things we will want to do is to assess the quality and quantity of your jawbone through taking a CT scan. The dental implant post is inserted into your jawbone, and it needs a certain amount of bone to hold it securely in place. If there is insufficient bone there is a high risk that the dental implant could fail (see dental implant problems), and it won’t be strong enough to support a replacement tooth. If your CT scan reveals bone deficiencies we will recommend a bone graft for dental implants.
What Is Bone Graft?
A bone graft can be used to build up the height or width of bone in your jaw, and is placed during a small surgical procedure. If you only require a very small amount of bone, it might be possible to insert the graft at the same time as the dental implant. If the amount required is more significant then we will recommend placing the bone graft prior to implant surgery, and leaving the bone graft to heal and fully integrate with your natural bone for between 3-6 months. Although this does lengthen the overall treatment time, taking a cautious approach can help give the best and most long-lasting results.
Bone Grafting as a Routine Procedure in Our Midtown, NYC Office
Even though a bone grafting may sound dramatic, the procedure is routine and is nothing to be concerned about. There are several different types of bone grafts that can be used. These choices include:
- Bone taken from another site in your body
- Donor bone which may be bovine or human
- Artificial or synthetic bone
Using bone taken from another site in your body greatly helps reduce the chances of rejection, but it does mean undergoing an additional procedure to remove the bone. The bone might be taken from your chin, or from another site such as your hip. It is usually taken in the form of a block, that is then grafted onto your jaw and secured in place with tiny titanium screws.
Donor bone is very safe; it is rigorously tested and sterilized to make sure it is free from any infections and disease. All organic material has been removed from donor bone, leaving behind the minerals necessary to help rebuild your own bone. Alternatively we can use synthetic bone materials that contain special proteins to encourage your body to produce new bone without the need for grafts. Synthetic bone is completely safe and provides very reliable results.
Dental Sedation Dentistry (Oral Sedation)
Bone grafts can be placed under a local anesthetic, or we can use deeper dental sedation dentistry (dental oral sedation) to keep you comfortable. Afterwards, we will give you instructions on which foods to eat for the next few days, and how to keep the grafting site clean. We may give you an antibiotic mouthwash and antibiotics, and pain medication if necessary. You should be able to go about your normal life while the graft heals. Once the graft has fused with your natural bone, we will plan your implant surgery. The time in between the graft and dental implant surgery can vary according to the location of the graft, and the density of your bone.
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