Bone Augmentation for Dental Implants
Teeth are interesting living structures. In addition to tolerating an incredible amount of force when biting and chewing, the teeth also act as energy conductors of sorts. When you bite and chew, the energy created transfers down through the teeth into the jawbone. This energy triggers the jawbone to continually rebuild its cells, keeping the bone healthy and strong.
When a tooth or teeth are lost, the jawbone beneath them no longer receives that energy and it begins to deteriorate. If this process progresses, this can compromise future placement of dental implants due to lack of the necessary amount of bone mass. In these situations, Dr. Moskowitz uses bone augmentation to build the jawbone back up to a degree where it can accept an implant.
What is Bone Augmentation?
Bone augmentation, also known as bone grafting, sounds like a dreadful procedure, but it is pretty straightforward. Baltimore Dentist, Dr. Moskowitz uses FDA regulated, sterile bone granules for the augmentation. They come in sterilized freeze dried bottle and are rehydrated in the office with sterile saline and then simply placed into the tooth socket or area being built up.This acts as a scaffold to allow your bone to grow into the bone graft. it is the covered by a sheet of protective dissolvable collagen to allow your bone to grow into the bone graft before your gums tissue does(since the gums heals in so quickly).Over the course of several months, the bone granules integrate with the surrounding bone, adding mass and height to the jawbone. Now the area has enough bone mass to support a dental implant.
Bone Augmentation Patient Testimonial
“As always the experience at Baltimore Periodontics was truly top notch, excellent service and very professional.. Friendly atmosphere, attention is always given to detail and questions are welcome. Total explanations are provided by Dr Moskowitz, Constance, and all other staff members. Follow up calls are pleased which is truly a genuine act of real concern.”
How Is Bone Augmentation Done?
How Dr. Moskowitz performs bone augmentation depends to a degree on the amount of bone loss. If a tooth has just been removed, the tooth socket may be immediately packed with a small amount of bone grafting material, a protective collagen membrane is placed over the granules, and the incision closed. This procedure won’t add any time to your minor recovery after extraction.
In cases where the tooth or teeth have been missing for a year or more, there is likely to be more bone loss. In these cases, a more involved bone graft will be necessary. To do this, Dr. Moskowitz opens the gums in the area of the missing tooth or teeth with a small incision. He then prepares the bone surface and uses bone grafting materials to build up the area. He may include a special protein gel with growth factors to ensure the graft is successful.Again, a special membrane is placed over the graft and the incision closed.
in severe cases
In cases of severe bone loss, the procedure is the same as above, but a block of bone may be needed. It is a FDA regulated human donor graft. It may be anchored into place using specialized bone screws or plates. Bone granules and the protein gel with growth factors are added to enhance the graft. These cases with severe bone loss can be complicated on the upper jaw, as the maxillary sinuses may be involved.
Why Is bone grafting necessary?
The above-mentioned bone grafting methods may seem involved and even a bit scary. But the reality is they are necessary if the patient wants to have the missing teeth replaced with dental implants. Not replacing the missing teeth will simply lead to more and more bone loss, and can eventually lead to the jawbone collapsing inward. At this point, without significant bone augmentation, not only are implants out of the question, but the patient likely will no longer be able to wear dentures either.
Bone augmentation allows the patient to regain a normal smile through use of dental implants supporting single teeth, bridges, partial dentures or full dentures.
Bone Graft Surgery Patient Testimonial
“I’ve been a patient of Dr.Moskowitz for many years. I moved out of the area and continue to go to him. His work is excellent. I am always extremely satisfied. I have had 4 bone grafts.” – Florence W.
Recovery after bone augmentation
The degree of augmentation directly affects your recovery. If the bone granules were placed into the socket when the tooth was extracted your recovery will be no different than from a standard tooth extraction. It should be quite easy.
For more involved augmentation, you will have several sutures across the incision. It’s important to not pull back your lips or cheeks to examine the area, as this places undue pressure on the sutures and will cause them to widen and potentially expose the bone. You may also have a periodontal pack placed over the surgical site. This pack is bluish purple in color and serves to help to protect the surgical site. This bandage, usually place for 7-10 days.
will there be pain following surgery?
There will be pain and swelling. This will correspond to the size of your incision and the degree of grafting. It will peak at about 2-3 days and then decrease day by day.
How long will recovery take?
Full recovery of the bone will take up to four to six months. At that point, your jawbone will have enough mass to accept a dental implant.
Side Effects of Bone Grafting
After the bone augmentation surgery, there will be some discomfort and swelling, as there is with any surgery. The pain and swelling will correspond to the size of your incision and the degree of grafting. It will decrease day by day.
Is Bone Grafting Painful?
The pain is typically minor and is comparable to the pain of tooth extraction. If you are still feeling pain apply ice to help numb the pain and bring down the swelling.
Schedule A Consultation
To learn more about bone augmentation and reconstruction, contact us at (410) 744-6088 to schedule a consultation. Baltimore Periodontics Lasers & Dental Implants serves Baltimore, Catonsville, and surrounding areas in Maryland.