What is Bone Grafting?
Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for the placement of dental implants.
Today, we have the ability to grow bone where 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.
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Major Bone Grafting
Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip, or tibia (below the knee.)
Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum and protect the bone graft and encourage bone regeneration. This is called guided bone regeneration or guided tissue regeneration.
Major bone grafts are typically performed to repair defects of the jaws. These defects may arise as a result of:
- traumatic injuries
- tumor surgery
- or congenital defects
Large defects are repaired using the patient’s own bone. This bone is harvested from a number of different sites depending on the size of the defect. The skull (cranium), hip (iliac crest), and lateral knee (tibia) are common donor sites. These procedures are routinely performed in an operating room and require a hospital stay.
Sinus Lift Procedure
The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing in them.
Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.
There is a solution called a sinus graft or sinus lift graft. The dental implant surgeon enters the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and the donor’s bone is inserted into the floor of the sinus. Keep in mind that the floor of the sinus is the roof of the upper jaw.
After several months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in this new sinus bone. The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures.
If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.
In severe cases, the ridge has been reabsorbed and a bone graft is placed to increase ridge height and/or width. This is a technique used to restore the lost bone dimension when the jaw ridge gets too thin to place conventional implants. In this procedure, the bony ridge of the jaw is literally expanded by mechanical means. Bone graft material can be placed and matured for a few months before placing the implant.
Rocky Mount Periodontics and Implant Center
Patient Review by Jocelyln H
Dr. Arrington and her staff are excellent. Her bedside manner is superb.
- Jocelyln H
Patient Review by Melissa S
- Melissa S
Patient Review by Kenneth R
The office was very professional, caring and knowledgeable about my problem. Was able to come up with a plan for my complicated issue. The appointment reminders were very helpful. The staff from the front office to the back office were phenomenal.
- Kenneth R
Patient Review by George T
Very satisfied with the work. No pain and no complaints. I feel like it was a great success.
- George T
Patient Review by Regina T
- Regina T
Patient Review by Jomerro M
I would recommend to other people. Were very courteous and polite and attentive to my needs.
- Jomerro M
Patient Review by Vince A
This was a very difficult bone graft and reconstruction and I'm amazed by the staff's professionalism and Dr. Kim's talent. Thankful to have these skills in our community.
- Vince A
Patient Review by Ethan B
At first I was scared about the procedure but after a great explanation of what they were doing from Dr. Kim, I started to feel better. The procedure was fine and I never expected it to go as smoothly as it did.
- Ethan B
Patient Review by Allison t
I have never been comfortable with a dentist visit or any type of dental procedure. When I was told I needed multiple dental procedures, I was absolutely terrified. Dr. Arrington made me calm just with her presence! She is gentle, kind, caring AND an AMAZING periodontist! I never mind my appointments to visit with her 🙂 Recommend Recommend Recmmend! Dr. Arrington is THE BEST!
- Allison t
Patient Review by Peggy K
Best dental procedure I have ever had. little discomfort no pain, They were very clear with post op instructions and I had no problems at all. Would recommend 5 stars all the way.
- Peggy K
Patient Review by Regina M
Everything was great. everyone are so nice. thanks for your care. God Bless you all and have a Merry Christmas
- Regina M
Patient Review by Earle S
Dr. Arrington and Dr. Kim and Staff are very friendly and caring people! They made my dental experience here a great one. I'm confident in knowing the care I'm getting is the best!!
- Earle S
Patient Review by Margie O
Dr. Arrington and her staff are so wonderful to work with and provide great care. Everyone is so friendly and make you feel apart of their family. I come a good distance because I know I get phenomenal care here. I am reassured if I have needs I know this is the office to come to.
- Margie O
Patient Review by logan M
I thoroughly enjoyed being a patient and getting to know the staff. As they helped me out the very best that they could. Doctor Arrington really knows her job and cares for her patients more than you could ever ask for. She also makes sure you fully understand everything she is doing and when you leave you are well satisfied. I would recommend her to anyone family or friend.
- logan M
Patient Review by Sandra R
- Sandra R
Patient Review by Kaye J
We all know going to the dentist can make us nervous. Their whole staff and Dr. Kim puts you at ease. I was very happy with every procedure that was done and there have been many. Thanks to this office, I have a smile i am proud of. . I would highly recommend Dr. Kim and his staff for your Periodontal needs
- Kaye J
Patient Review by walter l
Overall good experience with this practice
- walter l
Patient Review by Betsy D
The staff and doctors are very professional. They are willing to answer your questions and seem eager to help you feel comfortable with procedures and follow up.
- Betsy D
Patient Review by Joan S
I was extremely happy with the care and expertise that I received. I was so worried that I would lose my tooth as my dentist said I would. I found "Rockynount Periodontics and Implants" online after a broad search for treatment that took me all over the world. I'm so glad they are near home and can give the best treatment in the world. Thank you for saving my tooth! Dr. Harrington is fabulous!
- Joan S
Patient Review by L B
All I can say. Is Dr. Arrington is the best! I had 3 teeth pulled and a bone graft. And could not be happier with the result! Even on her off days, I could leave her a text message on her phone with my concerns, and she was quick to answer! I totally recommend her for any type of work for this to done!
- L B