Major & Minor 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 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, it also gives us a chance to restore functionality and esthetic appearance.
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.
Bone Grafting Overview
For a brief narrated overview of the bone grafting process, please click the image below. It will launch our educational MiniModule in a separate window that may answer some of your questions about bone grafting.
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 donor 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
Dr. Arrington did surgery. 5 days after surgery on Christmas Eve I had pain and concerns so I called her on Christmas Eve night and she answered on the second ring. I highly recommend her. She is a very good Doctor and good and caring person.
- Paula R
Everybody from Dr. Kim to staff very professional but friendly and seem to really care about your health needs
- Mike H
Dr. Arrington and her staff have the what I call the three "C's" of excellent healthcare. The ability to communicate, compassion, and competence.
- Ben W
Excellent treatment, staff is extremely nice and compassionate. Dr. Arrington is one of my favorites, very kind, and understanding. My procedure went very well and my recovery had no issues at all. I was very pleasantly surprised. You will love this Dr.
- Debra N
I have had a great experience with my surgery and care. Michelle did a wonderful job on my cleaning!
- Vicky H
Everything is done in a very professional manner!
- Jack B
The staff here is nice and caring. I am typically afraid of dentist in general, but the staff is great! I have never been so relaxed on a visit previously. I highly recommend Dr. Arrington to anyone.
- Cameron T
I have been seeing Dr. Arrington for 2-3 years and she is excellent! I could not ask for a better periodontist and experience with this office.
- Jan B
I'm very satisfied with care and attention by doctor and staff!
- Rex W
What a great experience! If anyone needs periodontal work done....this is the place to go. The entire staff is extremely knowledgeable, helpful, and fun to work with. Dr Harriet Arrington and her assistant Kim made what could have been a painful ordeal actually enjoyable because of the close follow-up and personal attention. From the successful surgery to my very last follow-up, there is nothing I could have wished for to make it any better! Thank you...thank you....thank you!!!!
- Kathy P
My dental care has been outstanding. Been coming to this practice for 30+ years. They have taken excellent care of my gums and teeth.
- Doug H
I DONT THINK THERE IS NO OTHER PLACE BETTER TO GO THAN HERE .
- Leah v
Everything went well . Very professional staff and doctor .
- Robert P
The staff and drs. made each visit both pleasant and pain free. Not once did the procedure hurt!
- Carol C
Saw Dr Strickland fro many many years and he was very professional and good.
- Alice K
I am very, very pleased with my bone grafting surgery. I had very little pain and had a speedy recovery.
- Mattie M
My treatment at the office was first rate. Appointments were made to accommodate my schedule. Everyone was great and if I need additional treatments I will not hesitate to come back.
- Carolyn D
Explained facts of my case clearly, along with options, and potential range of outcomes. Grafting procedure was apparently very successful. Look forward to selecting best option for replacing extracted tooth.
- Steve B
Great Team!!! Great customer service!!! Debbie is good !!!! Sorry Dr.Kims a Redskins fan...lol
- John B
Dr Arrington is wonderful. Did a great job! Dr. Kim is wonderful. Very friendly staff. Very happy overall with my experience so far.
- Yvonne M