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Oral Surgery -> Bone Graft

 

Bone grafting procedures are usually necessary if there is not enough bone available to place dental implants or if any vital anatomy is in the way.

Today, bone grafting procedures have become almost an integral part of implant reconstruction. In many instances, a potential implant site in the upper or lower jaw does not offer enough bone volume or quantity to accommodate a Rootform Implant of proper size or in the proper place. This is usually a result of bone resorption that has taken place since one or more teeth (if not all) were lost. Bone Grafting procedures usually try to re-establish bone dimension, which was lost due to resorption.

Many years ago the lack of bone posed a considerable problem and sometimes implant placement was impossible because of that. Today, however, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width (and for Rootform Implants we always try to go for as long and wide as possible), it also gives us a chance to restore the esthetic appearance and functionality better.

Although your surgeon often knows in advance when a graft will be necessary, at times this is only discovered when the implant site is opened during surgery and he is prepared to replace the necessary bone. Patients report that the procedure causes little discomfort. The implants placed show equal success rates as those done without bone grafting. Please call us if you'd like to find out if you are a candidate for bone grafting in Montreal, Quebec.

Where does the bone graft material come from?

The simplest source that gives best results is the patient’s own bone material collected while the implant site is being prepared. When larger amounts of bone are required they can be removed from the inside of the mouth, third molar region or chin, the lateral knee or from the hip.

Alternatively “bone in a bottle”, prepared by a special process from cadavers is commonly used. This method is very safe and effective. Because of the concern for disease transmission, other sources of bone substitutes have also been developed including; processed bone from animal sources (such as cows) and synthetic materials.

Patients should be reassured that they will be consulted in all cases regarding the source of bone to be used for their specific situation.

Type of Bone Grafting Materials

With respect to the Bone Graft material used, we have to differentiate between several choices. All materials can be categorized into five different categories:

  • Autograft or autogenous bone graft
  • Allograft or allogenic bone graft
  • Xenograft or xenogenic bone graft
  • Alloplast or alloplastic bone graft
  • Growth Factors

Each of the bone graft materials is usually developed with a specific purpose or advantage in mind. Your surgeon will make a decision with respect to the bonegraft material, based on your individual needs and the latest research in that field.

 

Healing Period After Bone Grafting

The healing period required after a bone graft ranges between three and nine months, depending on the individual case. The implant can be placed once the graft is completely healed. In some cases, implant placement and bone grafting can be done at the same time.

 

Click here to view some of the case studies from our clinic.

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