ADA Accessibility Information


(916) 683-1335
Laguna View Family Dental

Bone Grafting
Elk Grove, CA

Dentist reviewing x-ray for bone grafting procedure prior to dental implantsTooth loss is a serious issue that affects every aspect of your life. Dental implants have quickly become the most popular choice when it comes to replacing those missing teeth, restoring the functions of your mouth, the aesthetics of your smile, and your quality of life. This unique treatment uses small titanium posts to support ceramic crowns. The posts are surgically implanted into your jaw, where your bone fuses to them in a process called osseointegration.

Once you have fully healed, the posts are strong, stable, and secure. Not only do dental implants look, feel, and function just like your natural teeth, they also stop bone loss in your jaw and prevent new bone loss from occurring. However, to be considered a candidate for dental implants, you first need to have sufficient bone mass remaining in your jaw to support them. If you currently do not have the necessary bone mass, Laguna View Family Dental can help make implants possible with bone grafting.

What Happens to the Jawbone After Tooth Loss?

Tooth loss causes several significant issues. While many of them are noticeable immediately, another side effect occurs gradually below the surface of your gum tissue. Your teeth play an integral role in the health of your jawbone. Every time you chew, the roots of your teeth stimulate the bone. This stimulation sends a message to your body that triggers it to send essential nutrients to the jaw and surrounding areas.

When you lose teeth, whether it is just one or you have lost several, the amount of stimulation your jawbone receives decreases. This creates a weaker message that causes your body to send fewer nutrients. As a result, the bone begins to weaken over time. It gradually resorbs and begins to change shape. When this happens, your healthy teeth begin to shift out of alignment, altering your bite. A poorly aligned bite can then lead to issues such as bruxism, or the grinding and clenching of your teeth, and temporomandibular joint disorder.

Missing Bone Mass and Dental Implants

While dental implants are a highly popular treatment with a 98% success rate, you do need to have sufficient bone mass in your jaw. The posts that are implanted into the jaw rely on the bone for osseointegration. This is the process in which your bone fuses to the posts, stabilizing them and essentially turning them into a part of the jaw. When they are stable, they provide secure support for your replacement teeth. However, if you do not have sufficient bone mass in your jaw, osseointegration becomes more difficult. Your bone may not fuse properly to the posts, or it may not fuse at all. These issues can lead to loose implants or even total implant failure.

Bone Grafting

A bone graft is a surgical procedure that is meant to restore mass to weakened areas of bone. Grafting can be done anywhere, including in your jaw. With a bone graft, bone tissue is transplanted into the areas of your jaw where bone mass was lost. Bone grafting restores the structural integrity of your jawbone. This aids in making successful treatment with dental implants possible. In addition to restoring the strength to your jawbone, bone grafting also restores the shape of your face, which can knock years off of your appearance.

A Brief History of Bone Grafting

Bone grafting is often thought to be a modern treatment, but it has a pretty long history. The procedure has been documented back as far as the 1600s, shortly after the invention of the microscope. Shortly after its invention, a Dutch physician by the name of Jacob van Meekeren performed the first successful bone graft. He performed the procedure on a soldier who had sustained a skull injury. Because there was no understanding regarding materials for bone grafting, van Meekeren performed the bone graft using a piece of bone from a dog.

Unfortunately, this led to the excommunication of the soldier by his church, who believed him to be part dog ever since his procedure. Upset, the soldier returned to van Meekeren, asking him to remove the graft material. When van Meekeren went to take it out, he discovered that he could not because the graft had integrated into the skull of the soldier.

Bone grafting continued to develop over the next 150 years. In 1821 Germany, the first autogenous bone graft was performed. During World Wars I and II, bone grafting was a common procedure because soldiers who were seriously injured needed more advanced treatments and procedures. Bone grafting is still a common procedure today in the medical field. It is also common in the field of dentistry now, restoring missing bone mass for patients seeking tooth replacement treatment with dental implants.

Different Types of Bone Grafts

There are several different types of bone grafts. The type of bone graft that you receive depends upon your specific situation. We go over your options with you during your initial consultation to find the solution that will provide you with the best possible results.

•  Autogenous bone grafting, or autograft. Autografts are a type of bone graft that utilizes bone from your own body. Typically, the bone is harvested from your hip or tibia. It may also be taken from your chin or other area deemed appropriate. One of the biggest benefits of an autograft is that since we are using your bone, there is no risk of immune rejection or disease transmission. The bone is also considered living when it is harvested. This means that the graft material and your jawbone can fuse. The biggest drawback to this particular graft procedure is that more surgical sites are required. Not only do we need to make incisions in your jaws, but we also need to make incisions and harvest the bone as well.
•  Allogenic bone grafting, or allografts. An allograft is a type of bone graft that utilizes compatible bone mass from a tissue bank. The bone is harvested from a cadaver. Before being stored in the tissue bank, the donated bone is thoroughly cleaned and screened for disease and other issues. These processes are performed to reduce the risk of immune rejection as well as disease transmission. Unlike autografts, an allograft is not living bone. This means that the donor bone simply fills a void in your jaw, providing a framework for your jawbone. The biggest advantage of allogenic grafting is that only requires the surgical sites in your mouth. Without additional surgical sites, the risk of infection is reduced.
•  Xenogenic bone grafting. A xenogenic graft is one that utilizes bone from another species, typically either a cow or a pig. The bone is processed at very high temperatures to reduce the risk of rejection and disease transmission. Like an allograft, a xenogenic graft is non-living tissue, meaning that it fills a void and provides a framework. Additionally, these types of grafts only require one surgical site.
•  Bone-grafting substitutes. There are also several different types of bone graft substitutes that may be used. Demineralized bone matrix, or DBM, is processed from allogenic grafts. This type of substitute is available as chips, powder, a putty, or an injectable gel. Bone morphogenic proteins are proteins that are naturally produced by the body. These particular proteins promote and regulate bone formation and bone healing.

How is a Bone Graft Procedure Performed?

Bone grafting involves a surgical procedure. A local anesthetic is administered to the surgical site, or sites if bone is being taken from your own body, ensuring that you do not feel any pain. Sedation may also be provided to help you remain calm and relaxed during your procedure. Your sedation options are discussed at your initial consultation, and we can recommend the option that will provide you with the best results.

The procedure starts with incisions in the gums to expose the jawbone below. We then take the bone graft material and place it in the affected areas of the jaw and secured into place. In the event of an autograft, incisions are made at the donor site, the donor bone is removed, and then the bone is placed into the recipient site. Once the graft is complete, the surgical sites are sutured closed. After you have healed from your bone graft, then the process of getting dental implants can begin.

Other Bone Grafting Procedures

There are also specific types of procedures that involve the use of a bone graft as well.

•  Socket grafting. Following tooth extraction, you are left with an empty socket. Left empty, the bone can begin to collapse in, which causes your adjacent teeth to begin shifting out of alignment and throws off your bite. A socket graft is generally performed immediately following tooth extraction. It is done to fill in the empty socket, effectively preserving the shape of your jaw.
•  Ridge augmentation. A ridge augmentation is generally performed when you have experienced significant bone loss in your jaw after you have lost teeth. Losing a substantial amount of bone mass changes your bite, and it can also affect your facial appearance. With the loss of bone mass, your facial features lose support, which can then lead to loose, sagging skin, sunken lips and cheeks, and wrinkles. With ridge augmentation, we can restore height, width, and mass to your jawbone, restoring the shape and the strength of your ridge.
•  Sinus lift. Your head has several sinus cavities. The maxillary sinus cavities are located behind your cheeks, just above the upper jaw. Some of your tooth roots reach back toward the sinus cavities. If these teeth are lost, and loss of bone mass occurs, the amount of bone separating the jaw from the sinus cavities thins. Attempting to place dental implants here can result in the cavities being pierced. Should this occur, you are then at risk for chronic sinus infections and other issues. A sinus lift is designed to protect the sinus cavities while also restoring strength to your jawbone. After incisions are made in the gums and the jaw, the floors of the sinus cavities are lifted, and the bone graft material is placed underneath. In addition to protecting your sinus cavities, a sinus lift also helps to provide your new implants with the bone mass they need for successful osseointegration.

The Benefits of Bone Grafting

Bone grafting provides several benefits, including:

•  Making dental implants possible. With a bone graft, the height, width, and mass are restored to the jaw. This provides the posts of dental implants with the support they need for success.
•  An improved smile. Bone grafts not only restore the shape and size of your jawbone, but they also restore the size and shape of your gums. This aids in restoring the appearance of your smile, which can go a long way in improving your confidence.
•  Preservation of your jawbone. Immediately following tooth extraction, socket preservation helps to protect the shape and size of your jawbone. By preserving the socket, we help to prevent the shifting of your adjacent teeth, helping to maintain a proper bite.
•  Your overall appearance improves. By restoring the size and shape of your jawbone, a bone graft also helps to restore the appearance of your face. Support for your facial features is restored, which leads to a fuller looking face. This helps to eliminate sunken features, lift sagging skin, and get rid of wrinkles.

Are There Any Risks Associated with Bone Grafting?

While hundreds of years of research and development are behind bone grafting, there are still some risks that are associated with the procedure. Risks of bone grafting include:

•  Infections. An infection can occur as a result of the procedure or as a result of poor care during healing. If an infection does occur, it compromises not only your oral health but the success of the graft as well.
•  Nerve injuries. Injuries to the nerves in your jaw can occur as a result of surgery.
•  Exposure of the bone graft. If you suffer gum recession after your bone graft is placed, the recessed tissue can lead to the exposure of the graft, which can then lead to failure.
•  Graft failure. In some cases, a bone graft can fail, whether it be right after surgery or as a result of excessive bone resorption. There are several factors that can contribute to graft failure, including such things as infections, poor materials, poor surgical procedure, or health reasons.

If you have suffered tooth loss and are interested in dental implants, but you currently do not have the necessary bone mass left in your jaw, a bone graft may be the solution for you. Call Laguna View Family Dental at (916) 683-1335 to schedule your consultation today.

Schedule An Appointment

Are you ready to schedule an appointment? Do you have questions? We are happy to help and are looking forward to talking to you! Call us today at (916) 683-1335 or fill out our easy-to-use request an appointment form.

Copyright © 2016-2019 Laguna View Family Dental and WEO MEDIA. All rights reserved.  Sitemap | Links
Laguna View Family Dental, 7915 Laguna Blvd #120, Elk Grove, CA, 95758 - Tags: bone graft Elk Grove CA \ dental implants Elk Grove CA \ restorative dentist Elk Grove CA \ (916) 683-1335 \ \ 11/21/2019