Oral Surgery and Bone Grafts
Our Oral Surgery procedures include: wisdom teeth surgery, dental extraction, dental implants, bone grafting, exposure of impacted teeth, frenectomy, apicoectomy, intravenous general anesthesia, and intravenous conscious sedation.
While some of these problems -- like improper teeth alignment -- can be corrected with braces and other orthodontic appliances, more serious problems require oral surgery. Thank you for choosing our office, Fine Quality Dental, for your oral surgery needs.
Wisdom teeth, otherwise known as third molars, are the last set of teeth to develop and to erupt within the mouth. Impacted wisdom teeth can result in swelling, pain, and infection of the gum tissue surrounding the wisdom teeth. In addition, impacted wisdom teeth can cause permanent damage to nearby teeth, gums, and bone and can sometimes lead to the formation of cysts or tumors that can destroy sections of the jaw. Therefore, dentists recommend people with impacted wisdom teeth have them surgically removed. It's not just wisdom teeth that sometimes become impacted and need to be removed. Other teeth, such as the canines and the bicuspids can become impacted and can cause the same types of problems described with impacted wisdom teeth.
One of the most frequent questions we are asked is "Do I need to have my wisdom teeth removed and if I do, why". Although many individuals may benefit from the removal of their wisdom teeth, others may not derive significant benefits. There are many conditions associated with wisdom teeth that would be an indication for their removal. As a general rule patients will benefit from the early removal of "high risk" wisdom teeth, rather than wait until the teeth become symptomatic or cause damage to adjacent teeth. The pressure from the erupting wisdom teeth may move other teeth and disrupt the alignment of teeth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed.
Dental Implants are small titanium cylinders that are surgically placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In other words, dental implants are tooth root substitutes that are surgically anchored in place in the jawbone and act to stabilize the artificial teeth to which they are attached. Suitable candidates for dental implants need to have an adequate bone level and density, must not be prone to infection, and must be willing to maintain good oral hygiene practices. Dental implants help preserve facial structure, preventing bone deterioration that occurs when teeth are missing and prevents damaging adjacent teeth. Dental x-rays, panoramic or complete x-rays of your jaws will be taken to evaluate your jawbone and to determine if it will accommodate dental implants and/or if you are a candidate for a bone graft. Please click here for a more in depth explanation of dental implants and their outstanding benefits.
Dental bone grafting is a procedure that is used to "build" bone so that dental implants can be placed. A dental bone graft procedure is performed to reverse the bone loss or destruction caused by periodontal disease, trauma, or ill fitting removable dentures. Some people wanting implants may be missing several teeth and need several implants, as well as a dental bone graft. Bone grafting techniques are designed to rebuild bone structure with minimal surgical intervention and optimal patient comfort.
Types of bone graft
Autografts – this is one of the most successful bone grafting techniques. Bone is taken (harvested) from the body of the patient (usually from the hip or the mouth) and this is then grafted onto your jaw bone. As harvested bone comes directly from the body of the patient, autografts tend to be the most successful form of bone graft as the harvested bone is compatible with the jaw bone.
Xenografts – these use bone that is harvested from animals, usually cows. This bone is processed to make it sterile and totally biocompatible. Animal bone behaves like filler and eventually a patient’s body will replace this with natural bone.
Allografts - these grafts are taken from human bone donors in the same way that organs are taken from donors in the event of their death. Bone which is harvested in this way will be put through various tests and sterilization techniques to ensure that it is safe to be used as a graft. After the donor bone is placed in the jaw bone it will eventually be converted into natural bone and the jaw bone will be rebuilt.
Membranes are used to stabilize the bone graft, as well as displace gum tissue from invading the healing dental bone graft. Gum tissue grows at a much faster rate than bone, therefore, the use of membranes prevent gum tissue from growing in and displacing the dental bone graft before it matures. It involves placing special materials over the dental bone graft site to promote the growth and migration of cells into healthy bone. Please note that it is not uncommon to use "screws" and "tacks" to secure membranes and dental bone graft at an implant site. After the dental bone grafting procedure is complete, antibiotics, pain medication and an antibacterial mouthwash are given to the patient.
The dental bone graft process will take from 6 to 12 months to heal before dental implants can be placed at the site area. The rate of success for dental bone grafts as it relates to performing dental implant surgery is very high. However, there is always a chance that the dental bone graft will fail, even in cases where the person’s own bone was used. The failure of a dental bone graft usually is because of an infection or because the grafted bone was unstable and loosened from the jaw. If a dental bone graft fails, it is removed and a second graft can be placed once the area has had a chance to heal. Dentists don't know with certainty why some bone grafts fail, but they do know that people who smoke and have certain medical conditions possess a higher risk of graft failure than others.
Dental implants and bone grafting procedures provide the most natural solution for missing teeth; Bone grafting procedures and the placement of dental implants enjoy an impressive success rate of over 90%.
Here are some of the benefits of dental implants in combination with bone grafting:
• Prevents Additional Bone Loss: Progressive loss of bone and jawbone shrinkage is eliminated because dental implants imitate the natural roots of the teeth and maintain jawbone structuring; No damages are caused to existing healthy teeth in order to utilize bone grafting and dental implant techniques.
• Speech quality is enhanced when compared to that of patients with dentures;
• Pain-ridden and irritated gums caused by dentures are no longer a concern;
• Patients never again need to use messy denture adhesives;
• The clasps used with partial dentures to hold them in place are eliminated.
Bone graft procedures have expanded the candidate pool for dental implants, now they include a sizable population of edentulous patients who were poor candidates for dental implantation due to severe bone resorption. The cost of dental bone graft depends on the procedure.
Sinus augmentation, also referred to as a "sinus lift," is one of the most commonly performed bone grafting procedures for patients with bone loss in the upper jaw (maxilla). The bone graft material is placed in the space between the sinus membrane and sinus bony floor. Its purpose is to help the body grow bone and form a thicker sinus floor. In a staged implant treatment process, once the bone graft site has healed, the jaw bone below the sinus may be prepared for a dental implants.
We, at Fine Quality Dental, offer dental implants, including bone grafting when necessary for successful placement of your dental restoration. Dr. Charles Zuman has taken specific advanced surgical courses in the United States with hand on different kinds of bone grafting techniques including membranes and Sinus Lifts. He also keeps up with the latest technology by participating on different scientific events.