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Bone grafting
Even only one missing tooth may start a bone deterioration process, decreasing its volume and height. Implants have strict requirements to the volume and status of bone tissue. If the required conditions are not met, the risk of failure is rather high. However, implantation is possible after performing bone grafting procedures.
Axioma Dental Clinic offers all kinds of bone grafting taking into account indications and contraindications. The main purpose of this procedure is to restore the volume and height of bone tissue so that an implant can be placed and fixed.
Indications for bone grafting
Indications can be determined after examination: visual oral examination and analysis of data obtained by means of radiography and CT.
Indications for bone grafting:
- Atrophic processes in the bone due to missing teeth or lack of permanent loading.
- Bone density deterioration resulting from osteoporosis or other disorders.
- Aesthetic surgery to maintain a proper gum contour.
- Treating periodontitis and periodontosis.
- Chewing function restoration.
- Restoring the volume and height of bone tissue to allow implant placement.
Types
There are different ways of performing the surgery. The choice of a protocol will depend on the clinical picture, the implantation site and the location of the defect in the dental arch:
- Sinus lift
It is performed only in the posterior region of the upper jaw where the teeth are close to the sinuses. The main purpose of the surgery is to increase the height of bone tissue to place an implant and avoid injury. It may be performed as an open or closed surgery. The first one is traumatic, but it can resolve even the most challenging clinical situations. A closed surgery requires certain conditions and it is less common.
- Guided bone regeneration
A bone tissue substitute is fixed by placing a barrier membrane. A bone tissue scaffold is formed in the membrane placement region. The material stimulates the synthesis of osteoblasts, and the artificial material is eventually replaced by a strong tissue. The main feature of this procedure is stimulating bone growth in terms of its height and width.
- Autogenous bone grafting
Bone tissue is restored by means of donor or patient’s own material. It can be used in upper and lower jaw surgeries, including the posterior area. This procedure allows solving even the most complicated clinical situations. The bone block integration time is 2 months or longer.
Contraindications
They are not many and most commonly coincide with those for using implants in general:
- Pregnancy or a breastfeeding period.
- Blood clotting disorders.
- Head and neck oncology.
- Acute diseases or infections or acute exacerbation of chronic diseases.
- Myocardial infarction or a cerebrovascular accident in the past six months.
- Mental disorders and alcoholism.
- Poor oral status.
- ENT diseases (sinuses) in an acute phase.
Preparing for surgery
It all starts with an examination and inspection of the bone tissue volume. Radiography and CT are the methods used to determine the bone tissue volume and plan further surgical procedures. Having a consultation with an otorhinolaryngologist is necessary when preparing for a sinus lift surgery.
The general state of health is monitored too. For this, general and biochemical blood tests are prescribed. In some cases, depending on concomitant diseases, opinions of other medical specialists may be required.
Dental surgery is preceded by oral debridement and professional hygiene.
Rehabilitation
The rehabilitation period can last for 1 to 3 weeks. Observing the following recommendations can speed up the process and prevent possible complications:
- During the first 24 hours after the surgery, avoid rinsing the mouth cavity.
- After 1 to 3 days, it is advised to irrigate the mouth with an antiseptic solution after meals.
- Avoid exposure to cold.
- Limit the chewing pressure in the operating site.
- Do not take a sauna or a hot bath.
- All food should be eaten lukewarm.
- After the surgery, it is important to follow all hygienic rules.
- After a sinus lift surgery, avoid flights for 2-3 weeks.
- It is advisable to limit intensive physical activity.
Frequently asked questions
What will happen right after the surgery?
Some patients may experience slight painful sensations, swelling or a fever up to 38º С.
What complications may occur?
A sinus surgery is a risk factor that may lead to exacerbation of chronic maxillary sinusitis. However, doctors are aware of the risk and take all preventive measures.
How soon can an implant be placed?
Patients out of bone grafting surgery undergo regular examination where a dental doctor evaluates their tissue status. Integration is monitored by radiography and CT. On average, depending on the surgery, implants may be placed after 2 to 6 months. At Axioma Dental Clinic, we use modern treatment protocols which allow immediate implant placement alongside bone grafting.
Is general anaesthesia used?
The procedure does not take long, so depositing local anaesthesia will suffice. However, you can opt for sedation for a surgery at our clinic to ensure that you have no unpleasant memories. This technique is also called ‘sleep dentistry’.
How soon will pain go away after surgery?
Painful sensations will stay for 1-2 days, but no significant levels of pain should be experienced. A feeling of discomfort can be relieved by using pain medication prescribed by the doctor.
How soon can I eat and drink?
It is allowed to eat after 2 hours, and you can drink immediately after the procedure.
How can I find out about bone graft prices?
You can find out about the price of bone grafting after a consultation with the doctor. Axioma Dental Clinic offers a full range of bone grafting procedures.
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