Dental bone implant
Dental bone implant or bone graft is the treatment we use to increase the size of the jaw or jaw so that dental implants can be placed on patients with lfew bone or insufficient bone to perform a treatment of maximum dental aesthetics.
In any case, it is important to take advantage when you have a good bone base. Having an ideal bone height, width and quality shortens treatment time, decreases discomfort and improves the success rate of dental implant treatment.
It is common for some IMOI patients to be afraid or anxious when told they need to perform a bone graft to place the dental implant, because they think it is not a simple procedure and may have significant pain. The reality is that they only have a few discomforts that are controlled without problems with medication. Access this section to learn how to overcome the fear of the dentist with IMOI techniques
Where do you get bone grafting?
The bone to be implanted can be taken from the same patient (from the jaw, skull or iliac crest) or a human or animal donor bone graft may be used.
In IMOI we prefer to use the bone of the same patient whenever possible to achieve the best possible results. In cases where we need a lot of bone volume for grafting or the patient does not want it we prefer the human donor bone as it offers us total safety and optimal results.
Bone grafting or implantation can be of several types but the most common are:
- Particulate dental bone graft or guided bone surgery.
- Block bone graft.
- Maxillary sinus lift.
How do I have a dental bone implant?
The surgeon makes an incision over the area where the bone implant is to be made, lifting the gum and separating it.
The bone graft or implant of the type chosen is then placed and attached to the maxilla with a screw or plate to prevent it from moving. All of that area is covered with a special membrane that ensures that the dental bone implant is not lost.
The gum is sewn to prevent saliva from infecting the entire area where work has been worked. After these interventions it is common for the area to become slightly inflamed and there are some discomforts. Although there is no need to rest at all or follow great care if physical exercise is limited during the first two weeks to limit inflammation of the intervened area.
How long does the bone graft or implant take to be used?
The integration time of the dental bone graft or implant depends on the type of bone being used and the size of the defect being treated. With the patient’s own bone or with the donor bone we use in IMOI the integration is almost complete at three months and is complete at four months.
If artificial bone or xenologous bone (cow, pig, horse, etc.) is used the time may be somewhat longer and up to 6 months.
Are grafts or bone implants always necessary to place dental implants?
No, dentlal bone grafts or implants are not necessary for all implant surgeries. In fact the vast majority of times we place dental implants without cutting the gum or placing grafts or bone implants. There are cases where if they are essential to have where to settle the implant or for aesthetic reasons. The most important cases are the following:
- Maintaining the bone height of the alveolar crest after removing a tooth.
- Fill bone defects in the area where we are going to place the titanium dental implant.
- In maxillary sinus lift treatments to achieve bone height enough to place titanium dental implants in later areas.
This is why all patients are given free on the first visit, a complete diagnosis and a dental CT to know the extent of the problem and advise you with the best alternative. In this way we will be able to inform you of all the treatment and the closed price of it. Book your visit today.
Why is it important to perform bone grafts or implants in dental implant treatments?
Many dentists who treat with dental implants do not perform bone grafting or implantation. Placing a dental implant in a place with insufficient bone rarely goes well and usually the result is compromised. A dental implant in the back of the mouth, with little bone or compromised bone, can be considered a success. A dental implant in the anterior part of the mouth with little bone or a compromised bone is always a failure, long teeth, large and much larger than neighboring teeth.
Rarely can these situations be resolved without the removal of the dental implant. Removing the dental implant is a very traumatic procedure for the bone, which leads to the loss of a lot of bone and leaves it in a worse than the initial situation.
Fortunately, these situations can be avoided with appropriate planning and technique. The key is to find a surgeon specializing in dental implants, with the right specialization and experience in complex treatments.
At IMOI in Barcelona and Ibiza patients will be attended from the first moment by professionals, doctors, dentists and surgeons in implantology and dental aesthetics. Access this section to see the porfesinal picture of our clinics
Growth factors, such as platelet-rich plasma (PRP) or bone morphogenic proteins are two examples of materials commonly used to improve bone healing. Although there are many dentists who use them it is not proven that their usefulness increases the cost of treatment significantly.
Is there a rejection in the dental bone graft or implant?
No, there is definitely no rejection in the graft or bone implant. It is a treatment in which most of the time the same patient’s bone is used, therefore there is no material more compatible with one than your own. In the case where donor bone or other origins are used there can be no rejection since no cells or cells from one donor are used to implant to another, only mineral structure is used which the body uses to create new bone.
When is particulate dental bone graft or guided bone surgery used?
Particulate bone grafting for dental implantation is indicated to maintain the bone crest of the maxilla after removing a tooth and to fill bone defects. After dental extraction, if we do not place any graft material or bone implant and expect the area to heal naturally, the bone size decreases the height and bone width due to alveolar bone remodeling.
By placing the bone graft we can prevent reabsorption and stabilize the alveolar bone around the extracted tooth, preserving the same bone height as there was before the tooth extraction.
In the upper jaw it is very important to plan dental implants correctly. In some patients it is essential to make a bone graft or implant so that the implant is not lost or a tooth with an unsightly appearance is not left.
When do we perform a block bone graft on IMOI?
Many patients have a large loss of bone in the jaws that cannot be solved only by grafting or implanting bone powder. In these cases it is essential to recover the thickness and height, both of the upper jaw and the jaw to be able to place the dental implants and teeth, thus returning to the patient the shape of their lips and face.
We use small sheets of bone known as blocks. We can get them from the same patient, from a human donor or from an animal. In IMOI we prefer the bone of the same patient since it is the one that offers us the greatest chances of success. In case it is not possible we use human donor bone from a Tissue Bank. The bone is attached to the maxillary bone with two small screws and coated with a special membrane that prevents the bone we have just grafted from reabsorbing too quickly.
The intervention never lasts longer than 60 minutes and it is advisable to do it under conscious sedation. After this treatment there may be slight discomfort such as swelling of the area or some small bruising but in no case pain.
When is maxillary sine elevation used?
Many patients have lost the molars of the upper jaw for years and when ordering a dental implant treatment their dentist tells them that they do not have enough bone and that they cannot treat them with implants.
Most of the time it is because the maxillary sinus, an aerial cavity of the skull, has grown and there is not enough maxillary bone crest height. In these patients we do a small intervention called maxillary sinus elevation. This intervention lasts just over 20 minutes and in it we make a small window in the maxillary bone of less than 1 cm. Through that window we fill the maxillary sinus with graft or bone implant and in the vast majority of occasions we place the dental implants at the same time.
This way all the treatment that needs surgery is done in one go. In IMOI we recommend performing this treatment under conscious sedation since the patient is completely relaxed and also improves the conditions in which the intervention is done.
After this treatment we recommend being one day at rest to prevent it from inflating and we recommend not flying for two weeks to prevent the lower atmospheric pressure at high altitude from allowing the graft or bone implant to spread throughout the maxillary sinus.
On all of our patients’ first visits we perform a dental CT and a complete review free of charge. In this section you will see all the free services of your first visit to IMOI.
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