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Role of Bone Grafting in Dental Implants

The moment patients hear their dentist or surgical specialists mention “bone grafts”, often you see the backs of patients as they rapidly head for the door. Often times patients are never truly educated on why bone grafts are needed. Not every dental implant case requires bone grafting, but a fair number of them do. Patients must understand that bone provides the foundation for the support of the implant. The bone, depending on the type of restoration desired, must have adequate height, width and positioning for dental implant placement. Additionally, the bone normally has to be at or near the same level as the adjacent bone.

Imagine the bone being the foundation for the construction of a house. It must be solid and level. It isn’t that different in the mouth. After you have an extraction or have a tooth missing for some time, the bone deteriorates (atrophies). The alveolar bone (the bone that houses teeth and their roots) atrophies typically in width greater that in height, but both components are involved. If the bone is too thin, an implant cannot be placed because the body of the implant will not be covered by bone circumferentially. If the bone is not high enough, the implant could be too close to adjacent anatomic structures. Moreover, even if an implant could be placed, but the bone is not at the same level as the adjacent bone, the implant may not be hygienic, it may be very unaesthetic and/or create a periodontal issue for the patient. A general rule of thumb for implants surgeons, is to reconstruct the foundation for the implant back to ideal prior to placing an implant or implants.

There are many types of bone grafts. Normally, when a tooth is removed, banked bone (called an allograft) or a xenograft (bone from another species, typically bovine or cow) is placed into the socket. Additionally a resorbable collagen membrane is placed over the bone to prevent the gum tissue from invading the socket site. Occasionally, in an extraction site without grafting, the gum tissue invades into the socket before bone can heal and some loss of width more so than height occurs. The bone graft to preserve the socket is called an alveolar preservation procedure. Normally after three to four months, the implant can then be placed.

If the bone is too thin and/or too short, autogenous bone grafting is usually needed. Autogenous bone grafting is typically taking bone from one part of the body and transferring to another. For most situations in the mouth, bone can be taken from non-tooth bearing areas (at or above the wisdom tooth site called the ramus), from the front part of the chin, the site where the upper wisdom tooth once was (tuberosity), the malar buttress (where the bottom of the cheek bone meets the upper jaw), or from tori. Tori are naturally occurring bone outcroppings of the upper and/or lower jaws. This anomaly is seen 5 to 10% of the population. The site where the bone is taken is called the harvest site. The donor site, where the bone is to be placed, is prepared to accept the block of bone or particulated bone. Particulated or ground up or scraped bone is placed into a defect or into a titanium mesh or titanium reinforced Gore-Tex (PTFE-Polytetrafloroethylene). If a block of bone is taken, once the donor site is prepared, the block is secured to the site using titanium or stainless steel bone screws. After a period of healing, typically 5-6 months, the mesh, Gore_tex or bone screws are removed and the implant(s) are placed.

Bone of the upper back jaw often does not atrophy horizontally significantly. However, vertical atrophy causes the alveolar bone to shrink upwards and approaches the bottom portion of the maxillary sinus. Then a decision has to be made whether to add bone vertically to the upper jaw (maxilla) or elevate the sinus. The sinus is a hollow cavity of the skull lined by a membrane (Schneiderian membrane). The membrane consists of respiratory epithelium or ciliated columnar epithelium. The cilia are little hairs that beat and clear the sinus of fluid and mucus. When there isn’t enough bone present, the sinus can be elevated and bone placed under the membrane. The procedure consists of an approach to the sinus from either the alveolar ridge (where the tooth was) or from the side (cheek side of the jaw). Access is made into the sinus without tearing the membrane and elevating the membrane off of the bone. The mobilized membrane creates the matrix to contain the bone graft. The bone graft can be an autogenous, an allograft, and/or a xenograph. Depending on the amount of bone present at the time of surgery, the implant can be placed at the same time or in a secondary procedure 5-6 months later.

Often times patients are more concerned with the harvest site or the taking of the bone graft rather than the placement of the graft. Are there other options besides using the patient’s own bone? Yes, there are other alternatives to consider. One option is an allograft block. It is a block of bone taken from a human cadaver and treated to remove all disease and protein that cause rejection. However in most cases, the amount of resorption is unpredictable. What that means, is it is hard to determine how much of the bone graft will actually stay behind. Additionally, some times the bone can incorporate but never get fully turned over by your body. Typically when allografts are placed, they are resorbed by your body and replaced by your natural bone within the matrix of the graft placed. Your skeleton is not static and constantly rids itself of old bone and turns over new bone. This process happens to about 0.7% of your skeleton everyday. The area that has the most turnover is the mouth where the teeth and periodontal ligament meet the bone. With these allograft blocks and with xenografts, some of the graft material occasionally never gets turned over and can have a poor blood supply. Implants placed into this bone can suffer bone loss and failure. The other option is human recombinant bone morphogenic protein. Commonly called BMP, this protein actually signals the body to put bone where the protein is placed. For sinus lifts, a collagen membrane is soaked in BMP and placed into the sinus. After 6 months or so, implants can then be placed. Success rates are relative on par with autogenous bone grafts. Patients often elect this procedure when they wish to avoid bone harvesting. The only negative is the cost of the protein which can be a few thousand dollars by itself.

When there isn’t enough bone that can be obtained from the mouth, the bone must be harvested from elsewhere. Typically for dental implant procedures, bone can be obtained from the anterior (front part of the hip), the tibia (big bone of the lower leg), or the skull. The hip and the tibia are typically used. Some of these procedures can be done in the office, but some require hospitalization. Other options to bone grafting can be distraction osteogenesis. The is where a cut in the bone is made and freed up from the mandible or maxilla but still left attached to the tissue one side. Therefore the freed up piece of bone still has a blood supply. The freed up part of the bone, called the transport bone, is attached to a device with screws and the other end of the device is attached to part of the bone where the freed piece came from. Slowly over time, the device is activated and slowly spreads apart. If done properly, as the bone segments are moved apart, bone fills in gap and “new” bone is grown. The difficulties with the procedure is controlling the direction of the transported bone segment, the patient tolerating the device for several weeks and the transported bone is occasionally too thin for implants and requires further grafting.

In the lower jaw, if there is not enough height, one other option beside bone grafting is nerve lateralization. If the bone is wide enough, what typically limits vertical placement of implants is the position of the inferior alveolar nerve canal. This is an intrabony canal that houses the nerve that supplies feeling to the lower teeth and to the lip and chin. It is the nerve that makes your lip and chin feel fat after the dentist numbs your lower arch for treatment. To gain height for implants, the nerve canal can be unroofed from the side and moved away, the implants placed and then the nerve redraped. Obviously there is some risk of nerve damage in this procedure and is usually a secondary consideration to bone grafting.

When patients understand why bone grafts are needed, the case acceptance rates improves dramatically. Patients must have a firm understanding of the procedure and reasoning behind procedures to reduce their reluctance to proceed. Understanding that creating the ideal foundation for implants improves dental implant success, longevity, function and greatly reduces post-implant complications, motivates patients not to compromise their dental implant treatment plan. Therefore, dentist and specialist must take their time to explain not only the procedure but the reasoning behind bone grafting for dental implants.



Source by W. B. Bohannan DDS, M.D.

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What is the Purpose of Bone Grafting?

For patients that are seeking out dental implants, they may go to the dentist and hear that they are going to have to have to undergo bone grafting before they are able to have their dental implants placed. The obvious questions that follow involve what bone grafting is and the purpose of bone grafting.

What Is Grafting?

Bone Grafting is the procedure of adding bone to an area of the mouth where it is missing. It can be used in any area of the mouth where it is needed. When adding it to a patient’s mouth, the dentist will use one of three types of bone: autogenous, allograft, or alloplasts. Autogenous bone belongs to the patient receiving it. Allograft bone refers to a donor and alloplasts are synthetic substitutes. The dentist may use a combination of the above as well.

In conjunction with the bone, the dentist may add PRP, a healing agent that comes from your blood and is accessed through the IV. The area will be closed off with either artificial collagen or donor membrane.

Why Is It Performed?

Bone grafting is performed for two reasons: to create enough bone for dental implants or to fill out deterioration under the gums. Bone creation is often needed when a patient has been without teeth for a while or for another reason has lost bone in the area where the implant will be placed. The dental implant will need the bone in order to hold it in place. If the bone grafting is to fill out the bone alone, the reason is generally cosmetic or for gum contour reasons.

Time Frame

Many times the dental implant can be placed at the same time the bone grafting surgery is performed. However, this will often depend on the facility that your implants and grafting are being conducted in and the size of the area that has to be grafted.

When grafting is done before the implant is placed, healing time for the bone to heal prior to having the implant placed can be from 4 to 6 months.



Source by Dr. Lee Fitzgerald

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What to Expect From an Oral Surgeon

An oral surgeon is a specialized provider of dental care. His or her job is to help you to restore health to your mouth or to make other changes that improve the look, function or deformity present. Take into consideration seeing these professionals when your dentist recommends it or when you feel you need to make significant changes that your typical dental care provider does not make. It is not always possible to choose the proper when to seed these providers. In some cases, you just need to.

Initial Meeting

During your initial consultation with the oral surgeon, he or she will perform an exam to find out what is happening within your mouth. In addition, any previous information from your standard dentist is also reviewed. The goal here is to learn what the problem is, what the extent of the problem is and what can be done to improve it. In most situations, these providers will work with you through non-surgical steps whenever possible to make the changes needed. In other words, do not expect to have surgery during that first meeting or at all.

When Non-Surgical Options Do Not Work

In some situations, surgical procedures are the only way you can improve your overall health and get through the problem. This is when these professionals will offer you options. The invasiveness of the procedure will depend on what needs to be done. In some cases, you will only need a local anesthetic. In other situations, you will need to be under general anesthesia. If you do need to have this type of procedure, the doctor will tell you exactly what to expect prior to having it.

Get Your Needs Met

Just like hiring a dentist or any other provider of a service to you, it is critical to choose someone you have faith in to do a great job. That often means learning about the provider’s experience and training in the type of surgery you need. It also means understanding what your options are and knowing if the provider is listening to any concerns you have. You should be well aware of any risks or potential complications going into this procedure.

An oral surgeon can help you to overcome the problems you are dealing with in some situations. To find out if he or she can help you, schedule an initial consultation to talk about your condition. Find out what your options are. Find out what you can do to avoid surgery or if you are dealing with a condition that requires you to take this type of more invasive step. For many, surgery is the best move to make to get to a better level of overall health.



Source by Andrea Avery

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Dental Implant Procedure and Recovery

Many dental patients are concerned when they hear the words dental implants. These restorative devices should not be so intimidating. Prosthodontists use them to support dental health and preserve people’s abilities to chew, talk and otherwise enjoy life.

What Are Dental Implants?

History tells us that people have been using dental implants for thousands of years. Ancient Egyptians and Mayans apparently used bone and wood to create false teeth. George Washington used wooden teeth.

Thankfully, science has advanced so that we do not have to depend on these materials any more. Dental implants are typically made from titanium today. They are surgically inserted in the jaw to take the place of teeth and their roots. Additionally, implants do much more than simply sit in place of dental structures. They support the surrounding teeth as well. Implanted into the jaw, they support various other dental prosthetic devices, such as crowns, bridges and dentures.

Dental Implant Procedure

Dental patients may notice that there is a lot of preparation before an implant procedure. The oral surgeon must identify the exact location, form and structure of the jaw and mouth. For example, depending on the future location of the implant, he may need to identify the proximity of the sinus cavity or the inferior alveolar nerve canal in the jaw. Aside from the usual dental X-rays, CT scans of the area may be required as well. It is important to know the exact shape of the jaw and amount of bone that can support the implants in order to avoid complications but also to prepare an implant that will fit exactly in place.

Once the planning has been finished, the oral surgeon can begin the actual procedure. It is necessary to make some sort of incision into the gums over the place where the implant will be inserted.

The implant is set in place without any other permanent adornment. It must be given time to let natural bone grow over it and set it in place firmly. Then, a prosthodontist can place crowns or other prostheses over the implant.

Recovery from Dental Implant

There is a great deal of debate over the proper amount of recovery time required to let the implant heal properly before placing a prosthesis on it. The general practice is to allow anywhere from two to four months for healing before adding the stress of a prosthesis, or four to six months if bone grafting is involved.

In very selected cases, a temporary prosthesis can be inserted on the same day of implant placement, possible if certain clinical criteria are meant.

Implants generally have a high success rate, although this is dependent on the type of procedure needed and the skill of the surgeon making the dental implant. So choosing the right dental surgeon to carry out the procedure is very important.



Source by Rose T Teo

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The Dreaded Dental Surgery – Wisdom Tooth Removal

Removal of wisdom teeth is one of the most feared dental procedures. Everyone has heard a horror story about dry socket or infections that occurred after the removal of wisdom teeth. What many people don’t realize is that wisdom tooth removal can be simple and pain free if done early enough. Most dentists will monitor the growth and placement of these teeth during the teen years. They will recommend removal when the time is right based on the patient’s age and the development of the teeth. It is important to stay on track with regular dental checkups to make sure these teeth are removed at the optimal time.

Wisdom teeth usually erupt between the ages of 17 and 24. There are normally four teeth that come in, two on top and two on bottom. Some people never get all four teeth in a condition called hypodontia. Wisdom teeth are known as third molars because they are in the back of the mouth behind the second molars. Dentists usually recommend removal of these teeth early on to avoid major dental complications that can arise as time goes by. The older a patient is, the more difficult removal can be because the teeth are more firmly attached to the jaw. What should be a simple dental procedure gets much more complicated the longer it is neglected.

Removal of wisdom teeth is suggested due to the lack of space on the jaw for this extra tooth. Typically the jaw is not large enough for these extra teeth and as a result, the rest of the teeth will end up being very crowded. Many times the tooth will grow in sideways or at an angle due to the limited space and curvature of the jaw. When this happens, the tooth is considered to be impacted and complications can arise. Impacted wisdom teeth can damage the teeth next to them and require extra dental procedures to fix the adjacent teeth. Infections can also arise as food can get trapped between the crowded teeth or under the gums where it is harder to floss.

It is up to the patient to decide if he is ready to have his wisdom teeth removed, however, most dentists will encourage removal while it is still a simple dental procedure. Complications can arise if wisdom teeth are not removed at the suggested time. The older the patient, the higher the risk of nerve damage following the procedure. As a result, paresthesia, or numbness of the chin, lips, or tongue can occur. Paresthesia can last from several days to several months. This condition is rare in teenagers and as high as 10% in people older than 35. Cysts and tumors can also develop if given enough time. Not to mention that the healing process will be much quicker and easier on younger patients.

While wisdom tooth extraction can be a simple and pain free dental experience, there are risks of complications regardless of the patient’s age. Dry Socket is the most common complication. In dry socket, the blood clot has become dislodged from the hole where the tooth was. This condition is extremely painful and is not easily alleviated with pain medications. Patients are encouraged not to smoke or drink out of straws to avoid dry socket. Abscess, swelling, soreness and excessive bleeding are also other potential complications. The dentist can evaluate any problems experienced and either recommend additional dental treatments or prescribe antibiotics or painkillers.



Source by Michael Russell

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The Side Effects of an Wisdom Tooth Removal

Most Oral Surgery procedures such as dental extractions are traumatic to some degree. It involves the application of force to an area of the human body and often the use of surgical drills. For most individuals the side effects are predictable and the results are as desired. However there are many unwanted side effects which must be dealt with as they arise.

The side effects of Oral Surgery procedures can be unpleasant and include predictable effects such as pain and swelling of the affected area which will take from one week and ten days to resolve.

Other common but unpredictable side effects include dry socket is an intense pain after an extraction which is not relieved by painkillers and typically lasts about 2 weeks, but may last much longer. There is no treatment. It will resolve in time and heal normally once the pain has passed.

Ulceration of the skin of your mouth may occur after the removal of wisdom teeth or other procedure. The ulceration is often quiet painful and will resolve in approximately 10 days. There are many causes of the ulceration including biting your self while numb, trauma from the procedure, stress etc. Difflam Mouth Wash is helpful at easing the pain of ulceration.

Numbness of the skin of the lips, cheek, and tongue is a well recognized and unpredictable side effect of nearly any Oral Surgery procedures but it is especially associated with the removal of lower wisdom teeth and other surgical procedures at the back of your lower jaw and with surgical procedures on your lips. The numb feeling or altered sensation is usually temporary. The numb feeling may be permanent, however this is rare. There is no treatment to correct a numb feeling or altered sensation after surgery.

Fracture of associated teeth. Teeth with large fillings are weak. If a weak tooth is very close to a surgical site the tooth may break or the filling may fall out. This is an unfortunate, relatively common and unpredictable side effect which is a result of past decay which has weakened your tooth. Normally the broken tooth is left alone. When you have recovered from the extraction you return to your dentist to have the tooth fixed.

Loose Teeth. Teeth beside an extraction site or other surgical site will often be loose at the completion of a procedure. This is very common and is usually because there is less bone holding your teeth than before. In most instances the teeth will firm up in several weeks if left alone and no pressure applied to them.

Oral-Antral fistula. Your upper jaw contains a hollow cavity and the cavity is called a sinus. This sinus is connected to your nose. The creation of a hole from your mouth into a sinus of your top jaw is relatively common. This allows fluid from your mouth to come out of your nose when you drink and must be surgically closed.

Teeth displaced into the Sinus. Your top back teeth may be displaced into the sinus cavity of your top jaw. If the tooth causes no symptoms it may be left where it is. If it becomes painful or infected it must be removed.

Swallowing or Inhaling fragments of teeth. Thank-fully a rare event. The extraction of teeth involves applying considerable pressure. It is not always possible to predict the effect of applying this pressure. When a tooth breaks into multiple pieces, the fragments must be removed from your mouth. Sudden or unexpected movement from a patient can result in you swallowing a tooth or piece of a tooth. If this happens you must have a chest x-ray to make sure you have not inhaled the tooth into your lungs. Swallowed teeth will pass through you. Inhaled teeth must be removed from your lungs.

A Broken Jaw. A fracture of your jaw bone either completely or incompletely is a rare event which does occur. It is unpredictable and often only discovered several weeks after it has happened. The nature of the fracture will determine the treatment you need.

Persistent Pain. A very rare but recognized result of any procedure is persistent pain in the area of your mouth where you had surgery which will not respond to painkillers, antibiotics or other conventional treatment. The pain may persistent for such a long time as to be considered permanent. There is no cure for such a pain. There are many rare, unpredictable side effects which will occasionally happen. The traumatic nature of wisdom teeth removal and dental extractions in general makes it impossible to predict every possible side effect. Your surgeon will make every effort to avoid unwanted side effects and to aid your recovery when they do occur. If you ever have any concerns after surgery be sure to contact your surgeon.



Source by Dermot Murnane

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Tooth Extraction – Why Is It Necessary?

Overview

Tooth extraction can be defined as the removal of a tooth from its socket in the bone.

Your dentist always aims to save your tooth; however there could be circumstances wherein your tooth has to be extracted.

In the early days of human history many of the illnesses were attributed to tooth infections. Since there was no antibiotics in those days tooth extraction was performed for curing the illness.

Different tools were being used for extracting tooth at various points of time. The first one was invented by Guy de Chauliac in the fourteenth century and this was known as the dental pelican. This was the main tool that was being used until 18th century wherein dental key replaced dental pelican as an extraction tool. Dental key is replaced by modern forceps in 20th century and this is the main tool used at present for tooth extraction. Dental extractions vary widely and to facilitate different types of extractions a wide variety of instruments are being used.

Reasons for extracting tooth

Normally, whenever there is a tooth breakage or tooth damage due to tooth decay the dentist try and repair the tooth by various means such as filling, fixing a crown etc. However, there are times at which the tooth damage is so much that it cannot be repaired and under such circumstances he has no choice other than extracting the tooth. This is the common reason for tooth extraction.

In addition many illnesses and drugs necessitate tooth extraction because they weaken the immune system and cause infection of the tooth. These are – cancer drugs, dental caries, gum diseases, extra teeth, fractured tooth, organ transplant, orthodontic treatment, radiation treatment and wisdom teeth.

Types of extraction

There are two types of tooth extractions – simple and surgical.

  • Simple extractions – these are performed on teeth that are externally visible in the mouth and can easily be done by general dentists. The dentist gives a local anesthetic injection before he extracts the tooth.
  • Surgical extractions – these are performed on teeth that are not possible to be accessed easily; this could happen if the teeth are broken under the gum line or partial eruption of the teeth. In such a case the surgeon has to cut and pull back the gums thereby providing access to removing the bone or a piece of the tooth. Surgical extractions require a specialist oral surgeon.

Pre-extraction considerations

Prior to extraction of your teeth your oral surgeon or dentist will find out about your medical and dental histories; also he might take X-ray of the affected area. He also might prescribe antibiotics if you have infected tooth, weak immune system or any medical problems.

Post-extraction considerations

  • For simple extractions your dentist might prescribe OTC anti-inflammatory drug like ibuprofen.
  • For surgical extractions your dentist might prescribe pain medications for a few days and switch over to NSAID.
  • Once your tooth is extracted your dentist will make you bite a gauze piece for facilitating clotting and you must not disturb this clot on the wound.
  • You have to use ice packs to contain the swelling after surgery. Use warm compresses when your jaw becomes stiff.
  • Most of the stitches will disappear within one or two weeks. Warm salt water rinsing might dissolve the stitches. Left over stitches will be removed by your dentist.
  • Avoid smoking or spitting after the surgery because this could remove the clot out of the tooth hole thereby increasing the bleeding and resulting in dry socket.

Risk factors

The risk factors due to tooth extraction are – infection, extended bleeding, swelling, dry socket, nerve injury, tooth damage, incomplete extraction, fractured jaw, and hole in the sinus, sore jaw muscles or joint and numbness in the lower lip.



Source by Padmanabhan Vaidyanathan

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What is the Average Cost of Dental Implants?

Are you thinking about getting dental implants? You are not alone. Every year, many people choose to get surgical dental implants to replace teeth that have been subject to decay or have been knocked out through injury. The benefits of having that tooth, or teeth, to fill a gap in your smile can be enormous-especially to your self confidence.

You may be asking yourself- what about the cost of implants? Below, we give you an overview of just how much implants in Los Angeles cost, and also, what can affect the bottom line. Our goal is to make your decision-making process as painless as possible.

Dental implants are basically synthetic tooth implants that are surgically implanted into the root of your previous tooth root to look and function like a real tooth. Implants in this era have replaced the need for impractical and inconvenient dentures that so many people have been forced to use, prior to the availability of implants. Implants can be introduced into your smile as one tooth or a full mouth of teeth, but are only administered after the jaw bone is fully grown- implants are designed for those with permanent adult teeth. Moreover, depending on your pre-existing conditions and other relevant health factors, you may be unable to get dental implants- consult a trusted physician before getting the procedure done.

So, what do implants cost? The average cost for implants range between $1,000 to $5,000 per tooth- and in many cases, insurance will cover at least part of this amount. Below, are some factors that can help you better pinpoint where your total implants costs will wind up in this range:

1. How Many Teeth Need To Be Implanted: Of course, this is one of the most important factors that will determine the cost- just how many implants do you need. Do you need only a couple, or a full mouth? This can affect the procedural cost immensely. Getting a full mouth of implants may take several visits.

2. Dentist: Depending on who you choose to administer your implants in Los Angeles will also affect the costs as every dentist charges on a different scale.

3. Implantation Type: There are actually different kinds of implantation involved with implants, and this can affect your overall costs. A brief consultation with your implant specialist will determine which implantation is best for your situation.

4. Material Used: Moreover, different quality materials are used for dental implants and depending on the grade of the material, this will also affect cost. The higher the quality of the materials, typically the higher the cost.

5. Insurance: Of course, it is always a good idea to check with your insurance carrier to see if they will cover some or all of your dental implants- in some cases, they will certainly help with the cost of dental implants.

6. Many implant dentists may also have their own financing program. Call them and ask about the kinds of programs they may have available.



Source by Maximilian Buddenbrock

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Bone Grafting and Dental Implants

Your first port of call will be to question your dental implantologist further about their reasons for wanting to do a bone graft. Your second port of call is to read all the information you can about bone grafting and dental implants.

What is a bone graft?

A bone graft is also known as bone augmentation, which is the process bone type materials are added to your own bone, in order to make your bone larger. In the case of dental implants, the bone that is to have bone grafting done on is your jawbone. Bone augmentation uses one of four types of materials:

1. bone from another part of your own body, such as your chin or hip bone

2. bone from a cadaver, which has been freeze dried and sterilised

3. bone from an animal, such as a cow, which has also been sterilised

4. a man-made type substance, such as bone morphogenetic protein, which stimulates some cells in your body to turn into bone cells

Why do I need a graft?

Your dental implantologist will have recommended that you have a graft in order to ensure that your dental implant has the most chance at being successful. This is because your jawbone may be too short or too narrow for a dental implant to be inserted. A graft will make your jawbone taller and or wider so that an implant will fit.

What happens during bone grafting?

The procedure of grafting will depend on which type of bone or material is being attached to your jawbone. If the bone is from your chin, then maybe only one surgical procedure is required. If it is from your hip bone, then a hospital visit and a general anaesthetic would be needed. Most commonly a piece of bone is taken from your chin, where a local anaesthetic is given and a cut is made inside your mouth below your lower teeth. Then a piece of bone is removed and the area stitched up. The bone is then inserted through a cut which exposes your jawbone and the bone piece is fixed in the area that it is needed with titanium screws to the jawbone. Six to nine months are needed to heal this area before the implant can be placed. This will ensure that the jawbone is strong enough to hold the implant, as well as strong enough for the implant to be used by you!

Do grafts actually work? Grafts have a very high success rate, especially if you use your own bone. When you have a graft, it is not like having an organ transplant – there is no chance of rejection. However some grafts do fail, requiring another graft to complete the implant. Some patients who smoke, drink or have some medical conditions are more likely to have a failed bone graft.



Source by Bruno Miguel Silva

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Aging and Dental Health

Oral health is a critical factor in your overall health. How your teeth age depends on how well you have cared for them over the years. Many people are aware of making proper lifestyle choices including proper nutrition, regular exercise, and sufficient sleep for their overall physical health. But many people should also be aware that a healthy mouth is the window to a healthy body. The importance of our lifestyle choices including proper oral hygiene becomes even more important as we age. It is essential that older adults focus on the prevention of cavities and gum disease as they continue to age.

According to the Coalition for the Oral Health for the Aging, the importance of proper oral health for the country will become even more important over the next 20 years. The following statistics make clear the importance of oral health for our aging population:

  • The proportion of U.S. population over the age of 65 in 2000 was 12%. In 2030 it will be 20%.
  • More aging adults are keeping their natural teeth. There has been a decrease of 41% in 1986 to 21% in 2004 of older adults with no natural teeth.
  • Older adults with periodontal disease face a 25% higher risk of death from aspiration pneumonia.
  • Older adults take numerous medications which adversely affect their oral health. Many medications cause dry mouth which contributes to poor oral hygiene.
  • Access to proper oral health care is limited. Only 38% of nursing home residents receive a dental exam.

Proper dental care and the promotion of oral hygiene are critical for the overall health of seniors. Older adults need to continue to brush and floss twice daily whether they have real or replacement teeth. A healthy diet that limits sugars, carbohydrates, and alcohol intake is crucial for proper nutrition and a healthy mouth. Tobacco use is very dangerous and is a major risk factor for oral cancers. Seniors should continue to see their dentist every six months.

Unlike today’s under-50 population, many older adults grew up without fluoride in their water and are therefore more susceptible to tooth decay and gum disease. Gum disease can progress slowly over time and is very common in older adults. Heart disease, respiratory disorders, and strokes are all linked to gum disease. The primary cause of gum disease is plaque and bacterial buildup that comes from food left between teeth, smoking, poorly aligned teeth, dentures, or bridges, and a bad diet. Signs of gum disease include bleeding gums when you brush, tender and swollen gums, persistent bad breath, and any change in your bite.

Knowing the importance of and the connection between oral health and your overall physical health is half the battle. Remain committed to proper oral hygiene and regular dental exams as you age; you and your family will be happier and healthier.



Source by Donald Feit