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BONE GRAFTING

Periodontal disease is the leading cause of bone loss in the oral cavity, though there are others such as ill-fitting dentures and facial trauma.  The bone grafting procedure is an excellent way to replace lost bone tissue and encourage natural bone growth.  Bone grafting is a versatile and predictable procedure which fulfills a wide variety of functions.

A bone graft may be required to create a stable base for dental implant placement, to halt the progression of gum disease, or to make the smile appear more aesthetically pleasing.

There are several types of dental bone grafts.  The following are the most common:

  • Autogenous bone graft – In this type of graft the bone is removed from elsewhere in the body and implanted in the mouth.  Common donor sites for bone grafting include the iliac section of the pelvis, the chin and the posterior third molar areas of the jaw.  If large amounts of bone need to be harvested, the hip or the shin bone (tibia) is generally used.
  • Allograft – Synthetic bone (manmade) can be created in the laboratory and used in the bone grafting procedure.  Bone can also be obtained from a bone bank (cadaver bone).
  • Xenograft – This is the implantation of bovine (cow) bone. A xenograft is perfectly safe and has been used successfully; ample bone can be obtained, and a secondary donor site is not necessary.

Reasons for bone grafting

There are a wide variety of reasons why bone grafting may be the best option for restoring the jaw bone.

Dental implants – Implants are the preferred replacement method for missing teeth because they restore full functionality to the mouth; however, implants need to be firmly anchored to the jawbone to be effective.  If the jawbone lacks the necessary quality or quantity of bone, bone grafting can strengthen and thicken the implant site.

Sinus lift – A sinus lift entails elevating the sinus membrane and grafting bone onto the sinus floor so that implants can be securely placed.

Ridge augmentation – Ridges in the bone can occur due to trauma, injury, birth defects, or severe periodontal disease.  The bone graft is used to fill in the ridge and make the jawbone a uniform shape.

Nerve repositioning – If the inferior alveolar nerve requires movement to allow for the placement of implants, a bone grafting procedure may be required.  The inferior alveolar nerve allows feeling and sensation in the lower chin and lip.

What does bone grafting treatment involve?

Bone grafting is a fairly simple procedure that can be performed under local anesthetic; however, if large amounts of bone area need to be grafted, general anesthetic may be required.

Initially, the grafting material needs to either be harvested or prepared for insertion.  A small incision is made in the gum tissue and then gently separated from the bone.  The bone grafting material is then placed at the affected site.

The bone regeneration process may be aided by:

  • Gum/bone tissue regeneration – A thin barrier (membrane) is placed below the gum line over the grafting material.  This barrier creates enough space for healthy tissue to grow and separates the faster growing gum tissue from the slower growing fibers.  This means that bone cells can migrate to the protected area and grow naturally.
  • Tissue stimulating proteins – Enamel matrix proteins occur during natural tooth development.  Emdogain is a matrix protein product which is usually placed on the affected site before the gum is sutured.  It mediates the formation of accellular cementum on the tooth which provides a foundation to allow periodontal attachment to occur.  Tissue stimulating proteins help create lost support in areas affected by periodontal defects.
  • Platelet-rich growth factors – A high platelet concentration liquid can be used to create a blood clot at the site of a wound.  It has recently been discovered that PRGF also stimulates bone growth – meaning a denser graft in a shorter time period.

The gum is sutured in place and a follow-up appointment will need to be made within 10 days to assess progress.  Bone grafting is a highly successful treatment and a good base for further periodontal restorations.

If you have any questions about bone grafting, please ask your dentist.

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What our patients say

Karah MorganKarah Morgan
21:52 28 Sep 24
I couldn’t recommend this dental office enough. I have seen so many dentists in the last 4 years trying to fix my situation. I was always met with judgement and never kindness until I found Dr.khan and his team of lovely assistants. He took his time and truly wanted to work with me & not just want to take out all my teeth. They worked with me with financing which I never thought would be possible. dr.khan and everyone involved have truly given me my life & my confidence back. If you’re reading this because you’re trying to find a dentist, please don’t go to those corporate places that don’t care about you. This is truly a family dental office and I felt more taken care of than I ever have.
tony vanwinkletony vanwinkle
22:37 09 Sep 24
Julienne is fantastic. Very caring and professional!
Hashim MamoonHashim Mamoon
20:31 09 Sep 24
clotilda Chimwazaclotilda Chimwaza
23:20 28 Aug 24
Delaney PhillipsDelaney Phillips
20:46 28 Aug 24
Everyone at the office was very kind! My hygienist today explained everything in detail and talked to me like a friend not just another patient.I enjoyed my visit!!
Misty HolmesMisty Holmes
06:35 24 Aug 24
I came in for a consultation to talk with Dr. Khan about some possible options. I feel the service I received from him was great, he exceeded what I was expecting. I felt he took the time to explain my options. Looking forward to moving forward here soon. So far I’d recommend his practice.
Jesus BrantnerJesus Brantner
15:11 09 Jul 24
First time appointment at North Texas Family Dental! The entire experience went well. I had a general exam, cleaning, I had several questions about a missing tooth and possible implant. The service I received here was great and exceeded my expectations. Good service all around and I’d highly recommend them!
Jonathan BeckJonathan Beck
16:59 25 May 24
Losing teeth caused me to lose a lot of my confidence. I was anxious about the cost of replacing them when I came to this office. However, the staff was incredibly supportive and made it affordable for me to get the dental work I needed. Thanks to them, I will soon have a restored smile and regain my confidence.
TS RTS R
18:04 09 May 24
If you’re hesitate I’m here to share my experience. Neisha is amazing wonderful assistant, great customer service! Pretty smile, very outgoing personality. Dr. Khan did everything above and beyond to make sure I was happy and satisfied. The wait time was bare minimum and the front office staff was excellent! I would definitely recommend to family and friends.
Mdsark SarkMdsark Sark
12:56 19 Sep 22
Greeted with a welcoming smile from the most caring staff! Dr Khan is amazing! Has gentle hands and a huge heart! So thankful to have found this dentist office.
Steve GarnerSteve Garner
22:56 13 Sep 22
My wife and I drive from Sherman Texas to visit this office because we love the Hygienist Cassie. She has cleaned both our teeth for 15 years. Today I had a crown done. Best dental experience ever. Zero pain. Awesome communication from Dentist and the staff is very friendly. We will continue making the 50 mile trip to do business here.
Whitney LaymanceWhitney Laymance
01:38 12 Aug 22
Dr. Kahn was amazing, he was really kind to me and did amazing managing my anxiety and making sure that I finally get everything taken care of. I was in some immense pain from a previous dentist not doing the work properly. So I am super thankful and grateful I finally found an amazing dentist. He even called to check on me after my procedure it is a great office
Christian ConnerChristian Conner
00:34 22 Jun 22
This is the best experience I have ever had. They took their time, explained, and made me feel like my time was important. They are very reasonable with their prices. The office dog, IS THE BEST! If you need a good, trustworthy dentist who will listen and HELP! This is your place.
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