Bone Grafting Procedures for Dental Implants

Bone Grafting

Bone Grafting

It is not strange for the patient to state for a consultation at the oral surgeon’s office and be clued-up at some point in the conversation that he or she may necessitate a “bone graft” in order to exploit the result of dental implant surgery. While this sounds quiet creepy at first, the fact is that bone grafting in the oral cavity nowadays is a practice, expected and painless process.

Bone Grafting

If you are in view of getting dental implants you are by now on the road to refurbishing your smile. As dental implants are surgically positioned and put in into the jawbone. We give confidence you to visit our dental office for an examination and X-rays so that we can answer this question based on your health.

Why do you have bone loss?

There are many grounds why you may have insufficient bone. Some of the common reasons for bone loss and bone volume deterioration comprise:

  • Periodontal (gum) disease– Periodontal (gum) disease break down gum and bone tissue quite rapidly and the teeth turn out to be loose or unstable as a result.
  • Tooth extraction– If you have had teeth extracted, the space remaining sometimes affects the adjacent teeth and the bone will begin to deteriorate.
  • Infection – Infections in the mouth can show the way to jaw bone loss eventually
  • Injury – Impact to the mouth can show the way to the bone loss.

Bone grafting procedures at Advanced Dental Care Centre

We perform all types of dental bone grafting procedures, including:

  • Sinus lift or subantral  graft
  • Guided bone regeneration
  • The autogenous ramus/Block bone graft or chin graft
  • Ridge modification
  • Ridge preservation
  • Socket preservation/socket graft
  • Nerve Repositioning

 

SINUS LIFT OR SUBANTRAL GRAFT

SUBANTRAL GRAFT

The “Sinus Lift” is a bone-grafting procedure that’s essential when the amount of bone found in a patient’s upper jaw (in the region originally occupied by their bicuspid or molar teeth) is not enough to lodge the length of a dental implant.

  • It’s usually executed in advance of implant placement surgery, so to allocate time for bone healing. But with a number of cases, both procedures may be completed at the same time.

When sinus-lift surgery is required.

They comprise damage to the bone because of a earlier surgical procedure (like a difficult tooth extraction) or the outcome of periodontal (gum) disease.

A common problem merely involves the condition where the size and shape of their maxillary sinus is comparatively large in relationship to the size of their upper jaw and for the reason that of this there is not sufficient bone width in which to insert a implant.

What does the sinus lift procedure do?

When this procedure is executed, a segment of the maxillary sinus is packed in with bone (grafting material). The consequence is a thicker sinus floor into which a tooth implant can then be positioned.

How is the sinus lift procedure performed?

The exact technique that a dentist uses can differ. But usually this surgery has been executed as follows:

  • The dentist will make a cut in the patient’s gum tissue on the cheek side of their upper jaw in the area where the placement of the dental implant is considered.
  • Following making the incision, the dentist will flap ba\ck the patient’s gum tissue and rendering the surface of the jawbone that lies beneath.
  • The uncovered bone is cut in a manner where a “trap door” of bone (hinged at the top) is formed. This movable part of bone is then pressed kindly inward and upward into the sinus cavity.
  • The vacant space under the lifted sinus membrane is then filled with bone-grafting material, thus providing the new bone into which a tooth implant can be positioned.
  • Once the bone-graft material has been placed, the gum tissue flap is sutured back in position.
  • In few cases, it can be doable that the dentist will put the dental implant at the same time that the sinus lift is carried out.

What kind of bone-graft materials are used with the sinus lift process?

Quite a few different types of bone-grafting materials can be employed with sinus lift surgery.

  • In a few cases, the patient’s own bone will be used, such as that taken from a new location in their mouth or else from other bones.
  • In other cases, prepared bone (frozen bone, freeze-dried bone), either human or from another species (i.e. bovine), can be obtained from a tissue bank for use.
  • one more option involves the use of synthetically derivative graft material such as hydroxyapatite.

Socket Preservation/Socket Graft

Socket preservation is a method in which graft material is positioned in the socket of an extracted tooth at the time of extraction in turn to lessen the quantity of bone loss which takes place and protect the area in the mouth which supports the root of the tooth.

Socket preservation/socket graft

Following a tooth extraction the jaw bone in the region where the tooth has been taken out generally lessens in thickness. Socket conservation proceeds to put off the reduction in thickness allowing  a dental implant to be placed. In the incident that socket preservation is not conceded out before the position of an implant Ridge Augmentation surgery will be needed.

An adequate thickness and structure of the jaw bone is essential for implant surgery to be carried out. Socket Preservation is an significant procedure which make certain the structure of the socket is appropriate for implantation. It is also imperative to carry out the process due to any loss in jawbone thickness disturbing the shape of the patient’s facial appearance.

Guided Bone Regeneration  

Devoid of sufficient bone, cosmetic issues, recession of the gums and exposure and loss of the implant may occur. Guided bone regeneration (GBR) is a surgical method where bone is redeveloped by using particulate bone grafting material and a membrane.

GBR uses collagen membranes to hold the growth of new bone inside an area where there is inadequate bone for function, aesthetics or a prosthetic restoration.

GBR helps out the development of hard tissues and is mainly used in the oral cavity to hold up fresh bone growth on an alveolar ridge to permit constancy after the positioning of dental implants. GBR is a dependable procedure, when the dental surgeon has the essential knowledge.

The Autogenous Ramus/Chin Graft or “Block Bone Graft”

Block Bone Graft

There are times when composite materials for example the aforementioned cow bone (BioOss) can only not offer sufficient bulk or effectively put back the amount of bone that is lost after tooth loss. In these cases, it is sometimes needed to lapse to harvesting the patient’s inhabitant bone to aid in a “live bone” replacement of the deficient region. Quite a few possible causes of bone loss make defects major enough to call for this approach. A small number of the most general etiologies comprise:

  • Regions where teeth were extracted with no instant socket graft, tooth re-implantation or implant.
  • An area where a tooth is absent and the nature of the disease linked with the tooth caused wide bone destruction.
  • Areas of the jaw where enduring teeth were congenitally absent and as a result, normal tooth supporting bone fail to grow.
  • Bone gone from dental trauma.

In cases for example this, the most frequently used grafting process is an autogenous graft (harvested from the patient) and is located in the form of a block. Therefore, we have derived the term “autogenous block bone graft.” More frequently than not the block of bone is attained from the lower jaw in the region where the third molars used to exist in. This area is called the mandibular ramus. A substitute location used generally to attain a block of bone is the chin. so, you may find in these cases, your surgeon referring to the require for a “chin” or “ramus” graft.

The procedure involves eradicating a little block of bone (approx. 1 cm square) from both of the two above mentioned sites and moving that bone to the region of bone deficit. The graft is then protected with one or two small screws and overlay with particulate bovine bone and a collagen membrane. The surgical site is firmly clogged and four months is generally given for the graft to combine to the underlying jawbone prior to returning to the region to put an implant. Once the graft is grown-up, the grafted bone will not only accommodate an implant in “live” bone but it will also perform to hold up the soft tissue architecture in a way that is equally cosmetically agreeable and hygienically simple to maintain.

Ridge Preservation

Dental alveolus is the tooth sockets in the jawbone in which the roots of the teeth are located. The ridge of the jawbone where the teeth go into the bone is known as Alveolar Ridge, and the width of this ridge can differ very much from person to person, from 3mm up to 8mm.

In order to put implants in a lean alveolar ridge, the ridge desires to be rip and widened. This sounds terrible, but with a pointed chisel-like hand instrument the external cortex layer of the alveolar ridge can with no trouble be split and broaden by an knowledgeable clinician.

In the majority cases a dental implant can be placed right away after the ridge split, for the reason that the bone grows back into the gap produced and amalgamate with the implant as it would do fairly normally in a straightforward implant placement case.

Ridge Modification:

Malformations   in the upper or lower jaw can leave you with insufficient bone in which to put dental implants. This imperfection may have been caused by periodontal disease, wearing dentures, developmental defects, damage or trauma. Not only does this defect cause problems in inserting the implant, it can also source an unappealing indentation in the jaw line close to the missing teeth that may be hard to clean and retain.

To correct the difficulty, the gum is raised away from the ridge to expose the bony defect. The defect is then packed with bone or bone substitute to upsurge the ridge.

Lastly, the incision is closed and healing is allowable to take place. Depending on your individual needs, the bone generally will be permitted to build up for about four to 12 months previous to implants can be placed. In a number of cases, the implant can be positioned at the same time the ridge is modified.

Ridge modification has been revealed to greatly perk up look and boost your chances for victorious implants that can last for years to come.

Nerve-Repositioning

Nerve Repositioning

The inferior alveolar nerve, which gives sense to the lower lip and chin, may require to be moved in order to make space for positioning of dental implants to the lower jaw. This process is restricted to the lower jaw and indicated when teeth are absent in the region of the two back molars and/or and 2nd premolar.

Nerve Repositioning

  1. An incision is prepared into the Lower Jaw Bone. The Nerve is cautiously pulled outwards and the Dental Implant is fastened into place. Irradiated Bone is added in the region of the Dental Implant to offer more support for the Dental Implant.
    The irradiated Bone will amalgamate with the patient’s own bone over a period of 2-3 months.
  2. A surgical pad (collotape) is positioned in-between the Dental Implant and the Nerve. This offers support and cushioning on the nerve.
  3. Extra Irradiated Bone is added over the nerve for more sustain.
  4. After a time period of 2-3 months curative period, Natural tooth colored porcelain Dental Crowns (or Bridges) is fixed above the Dental Implant.

 

Smile Design/Cosmetic Dentistry Services at Advanced Dental Care Center, Chandigarh, India

Cosmetic Dentistry

Cosmetic Dentistry

 

Smile Design/ Cosmetic Dentistry is deals with the facade of teeth and the augmentation of one’s smile. This field emphasizes mainly on the artistic part of dentistry rather than the science part. To be a good cosmetic dentist, one needs a good eye, and a clear understanding and knowledge of dental materials and restorative techniques. It needs years of extensive experience to be able to deal with specialized smile makeover cases. More and more people are now aware of these techniques and a great emphasis is placed by everyone upon themselves to look their sizzling best. Shows like EXTREME MAKEOVER have extensively covered this on TV and media.

What is a Cosmetic Dentist?

A cosmetic dentist is a restorative dentist who has in-depth knowledge and understanding of both the art as well as the science of dentistry and has trained himself/herself extensively to be able to create beautiful smiles.

What is the Difference Between Cosmetic and Restorative Dentistry?

 

Difference Between Cosmetic and Restorative Dentistry

 

Although the two subjects have some common characteristics , the aim is different.  The cosmetic dentist not only focuses on recreating the tooth to its functional form, but strives to achieve the most ideal and beautiful aspects of one’s teeth.

What Should I Expect From A Cosmetic Consultation?

Your dentist should ask you in complete details how you feel about your teeth and the smile, what are your primary concerns and what improvements do you expect after the treatment ? He or she should examine you in complete detail and take thorough clinical and radio-graphic records including study models and pictures of your teeth and face.

What Dental Treatments Are Considered Cosmetic

Cosmetic Dentistry treatments include:

  • Teeth Whitening
  • Composite Bonding
  • Porcelain & Composite Veneers
  • Porcelain Porcelain Bridgework
  • Dental Implants
  • Inlays & Tooth-Colored Fillings 
  • Clear Orthodontic Aligners
  • Cosmetic Gum Surgery
  • Tooth Contouring & Reshaping

Cosmetic Dentist

How Do I Choose a Cosmetic Dentist?

Make sure that the dentist you choose has an experience of considerable number of years and adequate expertise to deal with your case. You should ask your dentist to  show you the pictures of their treated cases as how they looked before the treatment and after the treatment.  Your dentist should also be abreast with the latest advances in the art and science of dentistry.

IMPLANT DENTISTRY– EVERYTHING YOU NEED TO KNOW ABOUT DENTAL IMPLANTS

dental implants

Dental Impalnts

 

Implant dentistry is a boon for restoration of missing teeth. It overcomes many disadvantages of other conventional methods of restoration i.e.

  • With removable prosthesis
  • With fixed prosthesis

 

IMPLANTATION is defined as an insertion of any object or material, which is allopathic in nature either partially or completely into the body for therapeutic, experimental, diagnostic, or prosthetic purposes.

ADVANTAGES OF DENTAL IMPLANTS-

  • To overcome the drawbacks of removable prosthesis
  • Bone maintenance of height and width
  • Ideally aesthetic tooth positioning
  • Improved psychological health
  • Increased stability in chewing
  • Increased retention
  • Eliminates the need to involve adjacent teeth

 

USES:-

  • Individual teeth are replaced with implants where it’s difficult to distinguish the real teeth from prosthetic teeth.
  • Movement in lower denture can be decreased by implants with ball and socket retention.
  • Bridge can be supported by two or more implants.

In orthodontics small diameter dental implants referred as temporary anchorage device can assist in tooth movement.

TYPES OF DENTAL IMPLANTS:-

  • ENDOSTEAL IMPLANTS- dental implants are placed in the jawbone. Typically made of titanium and shaped like a small screw, they are most common used implants.

 

TYPES OF DENTAL IMPLANTS

 

  • SUBPERIOSTEAL IMPLANTS- These implants are placed under gum but on or above the jawbone. This type of implants may be used in-patient who do not have enough healthy natural jaw bone and cannot or do not want to undergo bone augmentation procedures to rebuilt the bone.

Highly precise 3D digital imaging and implant surgical planning softwares have made the implant procedures faster and highly predictable.

DENTAL IMPLANT PLACEMENT TECHNIQUES:-

Depending on the health of your jawbone and your specific needs, your implant dentist can suggest you either of the following implant techniques:

  • TWO STAGE DENTAL IMPLANT PROCEDURE- In this procedure dental implant is placed in jaw at 1st sitting and then advised to wait for 3-4 months. After 3-4 months, second stage implant loading procedure is started. In this stage, the prosthetic part i.e. crown is attached to the dental implant after suitable impression making and lab procedures.
  • IMMEDIATE LOAD DENTAL IMPLANT PROCEDURE– This technique is also called as same day implants or teeth in a day. This procedure allows the placement of temporary tooth/teeth during the same appointment as your dental implant placement.

 

Dental Implant Placement Techniques

 

  • MINI DENTAL IMPLANTS- Also called small narrow diameter implants. These implants are narrower than most commonly used implants. These are used primarily to stabilize lower denture and to give support for temporary fixing of teeth before final prosthesis in full mouth cases.
  • ALL- ON- 4 IMPLANTS- is an alternative to placing a top or bottom set of replacement teeth called full arch. Four dental implants are placed in available bone avoiding need for bone grafting. Special multiunit abutments are used.
  • ZYGOMATIC IMPLANTS- These are extremely long implants used in special situations. These are placed in the back of the maxillary bone.

Nowadays, different types of implants are available in the market based on the material such as:

  • METALLIC
  • CERAMIC AND CERAMIC COATED
  • POLYMER
  • CARBON COMPOND

 

COST OF DENTAL IMPLANTS- Cost varies from case to case depending upon the implant system being used and the individual needs of the patient. If a patient requires additional procedures such as bone grafting, ridge split, sinus lift, bone expansion etc, the cost of implant placement procedures may increase. Cost also depends on the brand of implant system being used.

CARE OF DENTAL IMPLANTS:-

  • Brush after eating and before bedtime around the implant.
  • Floss at least once to twice a day.
  • Use of oral irrigation devises such as WATERPIK to flush out loose debris from around the implants.
  • See your dentist for regular checkups.

Types of Implant Supported Fixed Teeth

dental implant surgery

Dental Implant

Dental implant is an easy term for an ‘endosseous implant’ which implies implanting a surgical component as an interface between the bone of the jaw and the dental prosthesis like bridge, crown or denture. This procedure of dental implant is categorized as artificial replacement and hence it is a form of cosmetic dentistry. For any missing tooth, it is worthwhile to consider undergoing dental implant treatment.

What are the main types of dental implants?

There are various types of dental implants, however the two main types are:

How should one choose from the available Implant Supported Fixed Teeth Options?

With so many varieties of implant supported teeth available, it is challenging and confusing to choose one which fulfills your purpose. Let’s focus on four main categories of which first two are fixed options and the other two are removable ones.

Fixed Full-arch Implant

Fixed Full-arch implant supported Bridges

This may consist of 6 to 8 implants which are fixed through a dental bridge. There can be a maximum of 6 implants on the top and six implants on the bottom. The final prosthesis can either be in the form of fixed bridge or a hybrid denture. The benefit of going with this type of implant procedure is that if you lose any implant in the years to come, you have an option to have the tooth reinstated. Another part which contributes to your beauty when using this category of implant is that you are able to eat and chew whatever we want.

All on 4 Implant supported Dentures

This type of implant supported denture stands on the support of 4 implants and hence the name. Another common name for this type of implant is hybrid denture. It is also called as TEETH-IN-A-DAY Procedure. It is a very good option to consider since the dentures are fixed, i.e. they stay in at all times. This option is very good in cases where there is significant bone loss especially in the upper jaw and the patient wants to avoid major bone grafting and sinus lift procedures.

Implant supported Over denture

Implant supported Over denture

The implant supported over denture consists of 4 or more dental implants and yet it comes with a removable prosthesis which attaches itself to the dental implants in a particular manner. It may be through a metal bar which is fixed to offer support to the denture. The variations which can be considered include use of custom metal support bar or telescope, the number of implants that are to be done, the state of bones and amount of bones available, the material used in making cosmetic teeth, and their esthetics. All these variations have a direct influence on the cost of treatment.

This is a highly cost effective option and is no lesser than the previous implant supported dentures and bridges. The only limiting factor is that it requires removal at night and thorough cleaning. Yet it is advantageous since it gives you option to eat your food comfortably, keep your gums clean, save on money and yet maintain the same looks all throughout the day.

Implant supported single or multiple teeth

Single or multiple missing teeth can also be replace with Dental Implants. The biggest advantage is that you do not have to get your adjacent teeth grinded for fixing the bridge. Only the tooth or teeth that are missing can be replaced with dental implants without harming the adjacent present natural teeth in the mouth.

Get the most of your teeth with cosmetic dentistry solutions of dental implants.

Teeth in a day

Teeth in a day? It’s about getting the dental implant done and have them fixed completely in a day. This means that it takes a single visit to your dentist in having the use of dental implant technology done to your teeth. All this is possible with the advancements that the dental implant treatment has witnessed over the recent years. With the latest advancement in technology, it possible to get the dental implant fixed in a day’s time. Such ultimate modern technology has been brought to the city of Chandigarh by chandigarhdentistry.com.

Teeth in a day

‘Teeth in a day’ Concept:

Teeth in a day is a captivating term which also concludes to “Teeth in One Visit”, “Dental Implants in One Day”, “Teeth in an Hour”, “All-on-Four” etc. The meaning of the term refers to the dental implant procedure in which the patient undergoes dental surgery for implants and has the needed replacement done in one single visit and it all gets completed on the same day. In this procedure, as few as only four dental implants are used to support up to twelve teeth in an arch, which can be either upper or lower. Since the whole treatment is given in a single sitting and the four implants support multiple teeth, the cost of treatment reduces greatly.

Who can be benefited?

In case of a person who is tired of wearing the dentures which seemingly are never fitting and are committed to create a feeling of discomfort all the time, teeth in a day sound like a perfect solution which saves you from visiting your dentist numerous times. It also sets you free from living the life of compromising on your uncomfortable dentures or giving up eating foods that you love for the reason that you cannot chew them properly.

With the advancement of techniques employed in dental implant treatments, it is possible to avail these treatments even in cases where you do not have enough bone which can support dental implants.

dental implants

How it works?

The dental implant requires a clear understanding of the patients’ situation and strategic planning of the locations on the arch where the dental implants will need to be placed. These treatments are customized in accordance with the specific situation and the number of implants may vary from four to six. There are some cases where the number of implants may need to be increased even further depending on the need for optimum support.

To make the dental implant work for you, the following steps need to be kept in consideration.

Consultation:

After taking the decision that you wish to go ahead with the dental implant treatment, the first and foremost is to seek consultation for dental expert who will suggest you the course of treatment which will work for you. Once the action plan has been worked out for you, it gives you a fair idea about the tentative cost involved in taking the treatment.

Examination by a Prosthodontist:

For proceeding with the dental implant, it is required to seek an appointment with a prosthodontist who, then, finalizes the treatment plan for you. These prosthodontists are specialist in dental restorations. They are the ones responsible for your temporary and final teeth. Towards the completion of this sitting with the doctor, you are already having the schedule for getting the procedure done.

Prosthodontist

Undergoing the Procedure:

On the day of dental implant procedure, the surgery is done and the dental implants are kept in place along with a temporary set of teeth. This complete procedure is done on the same day. It may even include extraction of any teeth which may be necessary in that situation and can be simultaneously done on both the arches. This leaves the patient with a feeling of having natural teeth.

Recovery Check Up:

Although the clinical treatment is taken care of in a single visit, there is a time for recovery which needs to kept in consideration while undergoing the dental implant procedure. During this recovery period of few weeks to few months, you might be advised to stay on soft food diet to ensure proper healing. This recovery period also requires visits for check up to ensure that the healing is happening the way it is expected. Usually these check up visits are not charged extra, but you should check with your dental surgeon about it.

Receiving Permanent Teeth:

In this final step, after the healing is complete, the temporary teeth are replaced with permanent teeth leaving you free to eat whatever you wish to.