Bone Grafting for Dental Implants
Bone grafting in Melville, New Hype Park, Jericho, Flushing and New York City
Major & Minor Bone Grafting
by skilled oral surgeons at All County Oral Surgery
Missing teeth over a period of time can cause your jaw bone to atrophy, or resorb. This often results in poor quality and quantity of bone suitable for the placement of dental implants as well as long term shifting of remaining teeth and changes to facial structure. Most patients, in these situations, are not candidates for dental implants. Our Melville, Jericho, New Hyde Park and Flushing oral surgeon’s can help fix any oral or maxillofacial concerns.
Fortunately, today we have the ability to grow bone where it is needed. This not only gives us the opportunity to place implants of proper length and width, but it also gives us a chance to restore functionality and aesthetic appearance.
What is bone grafting?
Bone grafting is a technique that is used to fix problems associated with the bone or joints. It involves transplanting bone tissue and is required when a patient does not have a sufficient amount of healthy natural bones to support a procedure. In the field of dentistry, it is most commonly completed so that there is enough bone to support dental implants. Deficiency of natural bones can be caused by: Developmental Defects, Gum Disease, Facial Injury or Trauma or an empty space where teeth were removed.
Bone grafting is essential in repairing the bone to contain adequate structure. The bone can be used from somewhere else in the body, such as the tibia, hip or jaw, or it can be taken from a cadaver or animal source. Special membranes are also used to encourage bone regeneration and bone grafts, and the most successful regeneration efforts will occur when using live bone from the body.
Bone grafting can also be performed in order to repair jaw defects. These may have resulted from congenital defects, tumor surgery, or some type of traumatic injury. The largest defects are typically corrected using the patient’s own bone, and the procedures are generally performed in an operating room and may require an overnight hospital stay.
Types of bone grafts
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Autogenous bone grafts, also known as autografts, are made from your own bone, taken from somewhere else in the body. The bone is typically harvested from the chin, jaw, lower leg bone, hip, or the skull. Autogenous bone grafts are advantageous in that the graft material is your own live bone, meaning it contains living cellular elements that enhances bone growth, also eliminating the risk of your body rejecting the graft material since it comes from you.
However, one downside to the autograft is that it requires a second procedure to harvest bone from elsewhere in the body. Depending on your condition, a second procedure may not be recommended.
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Allogenic bone, or allograft, is dead bone harvested from a cadaver, then processed using a freeze-dry method to extract the water via a vacuum. Unlike autogenous bone, allogeneic bone cannot produce new bone on its own. Rather, it serves as a framework, or scaffold, over which bone from the surrounding bony walls can grow to fill the defect or void.
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Xenogenic bone is derived from non-living bone of another species, usually a cow. The bone is processed at very high temperatures to avoid the potential for immune rejection and contamination. Like allogeneic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void.
Both allogeneic and xenogeneic bone grafting have an advantage of not requiring a second procedure to harvest your own bone, as with autografts. However, because these options lack autograft’s bone-forming properties, bone regeneration may take longer than with autografts, and have a less predictable outcome.
Bone graft substitutes
As a substitute to using real bone many synthetic materials are available as safe and proven alternatives
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This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected through a syringe.
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Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of substances. Some combinations may include: collagen/ceramic composite, which closely resembles the composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or a collagen/ceramic/autograft composite.
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Bone morphogenetic proteins (BMPs) are proteins naturally produced in the body that promote and regulate bone formation and healing.
Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits. Our dentists will determine which type of bone graft material best suited to your particular needs.
Additional Information