Bone grafting, normally a minor surgical procedure done in the dental office, is used to build up new bone in the area of your jaw that used to hold teeth. A small incision is made in your gum to expose the bone beneath it, and then grafting material is added.
Most bone augmentation procedures involve the use of bone grafts. Grafting techniques involve adding bone to the jaw. Grafts can be used to provide a firm base to place an implant or implants.
Typical time for bone integration of a dental implant is 4-6 months, depending on the bone quality. FOLLOW UP APPOINTMENTS: Dr. Farbod will monitor the healing at 1 week, 2 weeks, 1 month and 4-6 months after surgery (times may vary with each individual case).
A bone graft is a choice for repairing bones almost anywhere in your body. Your surgeon might take bone from your hips, legs, or ribs to perform the graft. Sometimes, surgeons also use bone tissue donated from cadavers to perform bone grafting. Most of your skeleton consists of bone matrix.
Because bone grafting is performed while the patient is under anesthesia, there is virtually no pain during the procedure. After completion, there may be swelling, bruising, bleeding, and mild discomfort once the anesthesia wears off.
Typically, placement of a bone graft does not require being put to sleep; it can be done easily with local anesthesia. Many dental providers can offer sedation for your comfort, including nitrous oxide, oral sedation and IV sedation. If your case is more involved, general anesthesia may be recommended.
Patients who are having bone grafts or other supplemental procedures done may experience a bit more discomfort than the average simple implant patient, and some surgical techniques lead to more discomfort than others.
Since bone is what anchors and fuses to the surface of dental implants, a person needs to have enough of it (bone) before their dental implants can be installed. Otherwise, the implant would protrude through the soft tissues or rupture a nasal sinus cavity.
How Much Bone Is Needed Around a Dental Implant? As a general guideline, at least 1 mm of bone is required around a dental implant. More space is required when the implant is next to a tooth or another implant. If there is not enough bone to completely envelope the implant, a bone graft will be required.
The Three Dental Implant Surgery Phases
Placement of the implant. Attaching the abutment. Fitting the crown.
Unlike a crown placed on top of a tooth, there is no space where any food can get trapped under a dental implant.
Dry socket with bone graft
Dry socket can also happen with a bone graft. However, it's less likely than with a regular extraction because the wound is well-covered after the graft to ensure the bone has time to integrate into your jaw.
Most of the swelling will normally resolve within the first 7 to 10 days. Ice packs are used for the first 24 to 48 hours. Plastic bags filled with crushed ice and wrapped in a towel or a commercial ice bag are convenient forms of application. Apply for 20 minutes each hour while awake (on 20 minutes/off 40 minutes).
Good candidates for dental implants are people who are missing a tooth or multiple teeth and have sufficient bone density in the area of the tooth gap. They should be in good overall health and able to tolerate oral surgery without experiencing severe health issues following the procedure.
If no bone exists, it's impossible to place an implant. Every dental implant needs just as much bone to support it as you would for a natural tooth. This is why bone grafting is so essential after tooth loss!
Early Implant Placement
It usually takes place two or three months following an extraction. The waiting period allows your gums to heal. If you have an oral infection, that will also need to be cleared up before your implant placement.
The gum will start to heal after about three days. Complete recovery will be after one to two weeks. Another pre-implant restoration procedure is bone grafting. Some patients need this if there is significant jawbone loss.
Infection risk is high. Implant surgeries with sinus floor lifts, autogenous block bone grafts, and the same procedures as category 2 and 3 but on medically compromised patients. The suggested regime is as category three, but postoperative antibiotics are recommended for 5 days.
It may take several months for the transplanted bone to grow enough new bone to support a dental implant. In some cases, you may need only minor bone grafting, which can be done at the same time as the implant surgery. The condition of your jawbone determines how you proceed.
Stitches. Stitches that have been placed are usually dissolvable and will fall out on their own within the first 4 days, possibly longer. It is not unusual for one or more to loosen and fall out before dissolving, especially in moving areas of your mouth, such as the tongue or cheek areas.
After 48 hours, it is usually safe to resume your normal diet but try to avoid chewing on the surgical site for as long as possible.
It is normal for a small amount of the graft material to fall out of the incision site, but by following postoperative instructions, a patient can prevent total graft displacement.
A periodontist may suggest other treatment options or surgery depending on your oral health. By treating it early, you can reduce the risk of adverse health effects. In any case, it's never too late to seek a diagnosis for gum grafting treatment with our Waldorf MD Periodontist.