dental x-ray

What is bone grafts for dental?

Bonegrafting is done to add on, rebuild and regenerates bone that has been lost. At BIDH oral surgery clinic, bone grafting is most commonly done for when there is not enough bone to place place dental implants or to fill deep pocket in gum.

If teeth have been lost due to trauma, decay or injury and is not replaced, bone loss often occurs over time. The bone around the jaw begins to deteriorate and in turn can affect overall jaw bone appearance.

Bonegrafts may be transplanted from a healthy bone tissue site or may be synthetic added.

Experienced Oral surgeons

BIDH’s oral surgery clinic has one of the leading team of surgeons in Thailand. Our oral surgeons are American or German board certified who have have done numerous bone construction and grafting procedure.

Why bonegrafts for dental treatment?

  1. Bonegrafts add bone in jaw bone that is insufficient to hold dental implants in place.
  2. Sometime gum diseaes can caues loose teeth and deep pocket, bonegrafts may be done to fill and provide more volume to jaw bone.

Today, bone grafting have become almost an integral part of dental implant reconstruction especially for full jaw cases. In many instances, a potential implant site may not have sufficient bone volume or quantity to accommodate the longer implants at in the proper area. Bone grafting procedures target to re-establish bone dimension loss from resorption.

For dental implants to be successfully lodged into jaw bone, the implant post has to bond with the bone to create a stable foundation for the false prothese it carries. If there is no bone to work with, placing an implant becomes risky or impossible. With the ability to grow bone where it is needed, implant can now be placed for most case indications. It can also improve the soft tissue esthetic appearance.

Types of bonegrafts

The two most common types of bone grafts are:

  1. Allografts : human donor bone taken a cadaver that has been cleaned and sterilized. Allograft bone has no living cells so that the risk of rejection is minimal and there is no additional surgery needed to acquire the bone.
  2. Autograft : bone that come from another area of your body such jaw, hips, pelvis or wrist. For dentistry, autografts are also known as block bonegrafts and is done only for major boneloss cases.
  3. XenoGraft : bone from a donor of a different species that has been processed and sterilized.
  4. Alloplast : synthetic bone that made be made from calcium phosphate or ceramics.

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.

Bonegrafting
Bonegrafts
Tooth implant clinic Bangkok

Causes of bone loss

This deficiency of natural bones can be caused by:

  • Development defects
  • Gum disease leading to deep pocket
  • Face injury or trauma
  • Space left after teeth extraction that i not replaced over the long run

Alveolar bone in our jaw normally supports and holds your teeth. If there is no tooth, these alveolar bone starts to become lost. Your jawbone exercises and works daily when you chew, the lack of everyday build up causes jawbone to be lost.

“Bonegrafts are now a normal part of implant process. It is a predictable procedure.”

Bone Grafts Questions

What types of bonegrafting procedures are there? How is it done?

There are several types of bone grafting procedure. The selected grafting procedure and timeline is determined on the required size and volume of the bone grafts as well as required bone graft area or location.

1. Socket grafts

The most common type of bone graft procedure is called a socket graft used to prevent the atrophy of the alveolar bone before it occurs. Socket bonegrafts may be done during tooth removal or for immediate implants. These grafts usually minimize post-operative pain from the implant surgery.

Socket grafts are a simple and routine bonegraft procedure used within implant treatments.

2. Lateral ridge preservation graft

Preservation bonegrafts of the lateral ridge increases the width of the jawbone. The adds volume to accommodate the dental implant post. Lateral ridge preservations grafts typically use allografts (human donor bones).

3. Block bone graft

The block bone graft is required when a big size or volume of bone replacement is required. Your oral surgeon may harvest a small block of bone from the back of the jaw or from other parts of your body to fill the loss jawbone.

The healing time for larger bonegraft procedure such as the lateral ridge and block grafts takes a longer healing period of around 4 to 6 months before dental implant treatment may be started.

4. Sinus lift

A sinus lift procedure is done only in upper jaw that does not have sufficient stable bone to hold the implant post. The upper jaw, the sinus membrane is lifted and bone graft material is built up. Sinus lift grafts may require up to 8 to 12 months before prosthese are loaded on.

What happens after bonegrafts?
  1. After teeth removal, please do not spit
  2. If drinking liquids, do no use a straw
  3. Avoid or quit smoking. Studies have shown that smoking slows the healing and growth of bone as well has reduces the rate of success.
  4. Your may feel pain, swelling or some bleeding.

Take any given antibiotics to prevent infection. Follow post care instructions as given by your oral surgeon. Do not do strenuous exercise and activities for the first fnew days to allow your wound area to clot and heal. If the pain, bleeding or swelling increases or if you have a fever, trouble breathing or swallowing, please do call to inform our bangkok oral surgery clinic.

It can takes about 3 to 6 months or more for bone grafts to fuse with natural bones inside of your mouth. You will need to wait for the bone graft to fuse with the natural bones before dental implants are started.

Are bone grafts painful?

For the majority of patients, simple synthetic base bonegrafts are done (if required) during the first stage implant post placement. Most patients do not feel pain as anesthesia will be given during the surgical procedure. The bonegraft procedure is considered a normal integral part of implant post surgery. You should not feel pain as the graft heals.

If you are doing a major block bonegraft whereby bone is taken from other parts of your body, you may require more healing time.

What are some possible complications of bonegrafts?

All forms for surgery will normally involve risks bleeding, infection, and reactions to anesthesia. As with all oral surgery, having bonegrafting can also carry risks  such as pain, swelling and nerve injury. In some exception cases from multi-factors, the bonegraft may not be accepted or may reabsorp.

At BIDH oral surgery clinic, our oral surgeons are experienced and has seen numerous complex and major reconstruction cases. The majority of bonegraft cases are always successfully with sufficient healing time, care and monitoring. The next phases of implant treatment will normally not proceed if bone volume or condition is detected as insufficient. For this reason and for successful implant treatment, it is important that you choose a qualified and experienced oral surgeon.

What is the cost of bonegrafts?

The cost of bonegrafts vary with bone grafting required and materials used within your procedure. Aside from the actual bonegrafting surgery, there may be some related material costs associated to bone grafts:

  • bone material costs (by bottle or grammes in weight)
  • healing membrane (by size and piece)

Surgical bonegraft procedures are:

  • sinus lift surgery
  • bonegraft surgery
  • alevoplasty whereby bone is shaped and preserved

Learn more about BIDH dental fees.

Summary

Bonegrafts in dental are used to add bone volume to your jaw bone and is typically done prior to or with dental implant surgery. The supplement bone helps to hold the implant post for a false to be built at a later stage after healing.

There are various types of bonegrafting material including allografts, autograft, xenograft, alloplast. The selected bone material may be based on the type of bonegrafts you require – socket grafts, lateral ridge preservation graft, block bone graft, sinus lift. And also based on the size and volume of bonegraft required.

Having bonegrafts done today is increasingly easy with good success rate. You are able to opt for pain-free dentistry if worried about oral surgical procedures.

Safe and Pain-free Oral Surgery

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Mild Sedation (Local Anaesthesia)

IV dental sedation

Moderate Sedation (IV semi-conscious)

Surgery dental clinic

General Anesthesia (Sleep dentistry)

Worry-free bonegrafts

Consult on having bone graft surgery under sleep dentistry or sedation.

why choose BIDH Oral surgery clinic?

  1. Each of our oral surgeon has more than 10 years of experience in their field of speciality
  2. Our oral surgery clinic consists of a team of highly-qualfied dentists – many are American board or German board accredited. This means that your oral surgeon has obtained their specialization degree overseas in USA or Germany and is able to practice in those countries.
  3. As our team of oral surgeon and implantologists are professors, lecturers at their universities that oversees other thailand dentists, your oral surgery case is diagnoses and treated by top experts that has treated major and advance complex cases.
  4. Being lecturers and overseas trained, your dental expert adopts and uses the latest techniques and advance techniques based on clinical studies. Your treatment is therefore also more precise, less invasive and made safer with new technologies.
thailand oral surgeons
  1. Our oral surgery clinic within BIDH dental hospital uses international standards and evidence based protocols. We abide by hospital-based guidelies on sterilization, infection prevention and control.
  2. Our team of dentists, nurses and doctor anesthesiologist are licensed and verified medical providers. This assures that your treatment is diagnoses and properly treated by trained, skilled and professional medical staff.
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Pain free dentistry
  • At BIDH dental surgery clinic, we are one of the few dental clinics in Thailand that offers sedation services or sleep dentistry for oral treatments.
  • We are one of the FIRST specialists dental hospital in Thailand that focuses ONLY on dentistry. Our core function, network and dental labs are integrated catering for dentistry. As a dedicated dental service provider, we are well positioned and offer safe sedation services following hospital standards.
  • Sedation services at BIDH is administered by experienced and licensed anesthesiologist using ASA standards. This assures you on patient safety.
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