Bone grafting is often closely associated with dental restorations such as bridgework and dental implants. In the majority of cases, the success of a restoration procedure can hinge on the height, depth, and width of the jawbone at the implant site. When the jawbone has receded or sustained significant damage, the implant(s) cannot be supported on this unstable foundation and bone grafting is usually recommended for the ensuing restoration.
Key Factors that Affect Jawbone Volume
- Periodontal Disease – Periodontal disease can affect and permanently damage the jawbone that supports the teeth. Affected areas progressively worsen until the teeth become unstable.
- Tooth Extraction – Studies have shown that patients who have experienced a tooth extraction subsequently lose 40-60% of the bone surrounding the extraction site during the following three years. Loss of bone results in what is called a “bone defect.”
- Injuries and Infections – Dental injuries and other physical injuries resulting from a blow to the jaw can cause the bone to recede. Infections can also cause the jawbone to recede in a similar way.
Reasons for Bone Grafts
Bone grafting is a highly successful procedure in most cases. It is also a preferable alternative to having missing or diseased teeth. Bone grafting can increase the height or width of the jawbone and fill in voids and defects in the bone.
There are essentially two basic ways in which bone grafting can positively impact the health and stability of the teeth:
Jaw Stabilization – Bone grafting stabilizes and helps restore the jaw foundation for restorative or implant surgery. Deformities can also be corrected and the restructuring of the bone can provide added support.
Preservation – Bone grafting can be used to limit or prevent bone recession following a tooth extraction, periodontal disease, or other invasive processes.
Initially, Dr. Knochel will thoroughly examine the affected area in order to assess the general condition of the teeth and gums. If periodontal disease is present or the adjacent teeth are in poor condition, these factors will be fully addressed before the bone grafting procedure can begin. The dentist will also recommend that you have a current full set of digital X-rays in order to assess the precise depth and width of the existing bone. A CAT scan or digital tomography may be recommended to determine the bone condition and to evaluate surrounding nerve and bone anatomy.
What does bone grafting involve?
There are several types of bone grafts. Your dentist will determine the best type for your particular condition.
Allograft Bone Graft – Human Cadaver is commonly used in this type of graft.
Xenograft – Bovine or Swine bone is used in this type of graft.
The bone grafting procedure can take three to eight months to heal. This bone will fuse with the existing bone and the migration of cells will cause firm adhesion and cell growth. Supplementing the jaw with bone will result in greater bone mass to help support and anchor the implant(s).
During the surgery Dr. Knochel will numb surgical sites using local anesthetic. A small incision will be made to prepare the site for the new bone and it will be anchored into place. On occasion, a synthetic membrane may be used to cover the new bone. This membrane prevents soft tissue and bacterial invasions, and encourages new bone growth. Dr. Knochel will prescribe medications to help manage infection, discomfort, and swelling.
Please call our office at 520-747-7944 for more information about bone grafting in Tucson, Arizona.