Dental Bone Grafting is a technique in dentistry to add more bone to the position of missing teeth, creating a support structure for Implant teeth. Thanks to the help of anesthetic, you will not feel any pain during the procedure. Currently, the commonly applied methods are autogenous bone graft, synthetic bone graft, allograft bone graft and xenograft bone graft.
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What is Dental Bone Grafting?
Dental Bone Grafting is an assistive technique in Dental Implant, usually for people with jaw bone loss who want to implant teeth to restore aesthetics as well as chewing function.
Dentists will add bone to the position of tooth loss with the aim of reconstructing one or all of the jawbone that has been lost due to tooth loss for too long. The above solution also helps to increase the jaw bone volume, ensuring the minimum conditions to integrate and support the Implant post when planting new teeth.
The doctor will separate the gums to expose the jawbone and proceed to graft more bone in. The grafted bone will bond with the old bone plates, grow and produce new bone cells to form a solid bone mass.
Dental Bone Grafting technique can be used for many different purposes, but the most common is before Dental Implant placement.
If the jaw bone density is too low, the Implant post will be difficult to match with the jawbone and be eliminated after only a short time. In addition, in case the quality of the jawbone is not good, it is also very easy to disappear due to the pressure from the Implant post transmitted when chewing.
The “Long-term evaluation of implant-supported prostheses in augmented bone: a 5-year prospective study” (Journal of Clinical Oral Implants Research, 2019) followed 41 patients for 5 years to assess the effectiveness of Dental Bone Grafting. Of these, 28 patients received Bone Grafts before the Dental Implant process, and 13 patients did not receive Bone Grafts before the process. Research results show that Bone Grafting can help increase bone length and width, improve gum health and increase the stability of dentures.
A Bone Graft dentist needs to be a person with skills and experience, because this is an extremely important step, which serves as the foundation for the success of a denture Implant.
What cases need a Jawbone Graft?
Jawbone graft surgery is only indicated in a few cases such as: newly lost teeth or after tooth extraction, long-term tooth loss and poor jawbone quality.
Newly lost teeth or after tooth extraction
If you have just lost a tooth or have to have a tooth extracted due to severe infection, trauma, etc, the dentist often advises performing a Dental Bone Graft to ensure that the jawbone does not disappear in the future.
For such cases, the time for Bone Grafting will be faster and simpler because the dentist only needs to add bone to the position where the tooth has just been extracted.
Lost teeth for a long time
When teeth are lost for a long time, the jawbone will gradually disappear. However, it is very difficult to notice the change in jawbone density until the face is affected.
Therefore, to ensure success when performing the Dental Implant process, people who have lost their teeth for a long time will have to have Jawbone Grafts.
Poor quality of jawbone
In fact, even though the jaw density is enough to perform Dental Implant technique, if the quality of the jawbone is not guaranteed, the doctor will still ask for a Bone Graft.
What are the techniques for Jawbone Grafting?
Dental Bone Graft surgery is not a new technique. Previously, the main method was still to take bone from other areas of the body for grafting. With the development of science, the source of bone used for transplantation has also been more diverse. Currently, the commonly applied techniques are autogenous bone graft, synthetic bone graft, allograft bone graft and xenograft bone graft.
Synthetic bone graft
Synthetic bone grafting is a technique that uses man-made bone cells to graft. This is a very commonly used method.
The reason is because they have many advantages that traditional methods are difficult to meet such as:
- Always available.
- Low price.
- No need for multiple surgeries.
However, the biggest drawback of the above method is that the success rate is not high. Artificial bone will still have the risk of being completely incompatible with the body. If the bone is rejected, you will have to reassemble the new bone.
Autogenous bone graft
This is a technique that uses a part of bone in other areas of the body such as the hip, shin, or elbow, etc. to implant directly into the jawbone.
With Autogenous bone, the success rate of grafting will always be higher than with artificial bone. This is relatively understandable, because the bone tissue used for the implant is also a part of your body.
However, this method is not really popular for a few reasons:
- Must have surgery at least 2 times (Creating psychological fear).
- High cost.
Allograft bone graft
This type of procedure uses bone from a donor. The bone is processed and then grafted onto the jaw.
Xenograft bone graft
The technique of Xenograft bone graft uses an animal bone to graft onto the jaw. The bone is usually from a cow or pig.
What is the jawbone transplant procedure?
Although Dental Bone Graft surgery is only a small technique in dentistry, not all dentists can perform it. Due to the need to invade the jaw structure, the doctor must have a high level of expertise and knowledge of the technical requirements as well as the bone grafting process.
- Step 1: Examination, consultation and X-ray
At Home Dental, customers will receive a preliminary examination and take an overall dental film for the dentist to analyze the condition of the jawbone. From the radiograph, dentists will determine if the client needs a Jawbone Graft.
- Step 2: Perform dental hygiene and anesthesia
Before carrying out the Dental Implant, to ensure safety, the dentist will thoroughly clean the entire oral cavity as well as the Implant area. Then, to minimize pain for the client, the dentist administers anesthesia.
- Step 3: Open the flap
After injecting local anesthetic, the dentist will open the gum flap to contact the jawbone. All instruments used by dentists during Bone Grafting must be disinfected and sterile according to standards from the Ministry of Health.
- Step 4: Grafting and fixing jawbone
Tooth bone is inserted into the jawbone with the help of modern tools. The bone cells used are guaranteed to be of high quality and clear origin.
- Step 5: Finally, close and schedule a follow-up appointment
The last step in the bone grafting procedure is that the dentist will stitch, shape the gums and disinfect. After bone grafting surgery, customers will be advised by the dentist about home care regimen and schedule a follow-up appointment to check the recovery of the grafted bone.
The newly grafted bone mass will need about 3-4 months to integrate with the natural bone group. After assessing the bone to achieve the necessary stability, the dentist will insert the Implant post.
Is Dental Bone Graft surgery painful?
For Bone Grafting, dentists need to make an incision in the jawbone, but you will not feel pain because you will be numbed before the surgery. During the Dental Bone Graft surgery, the dentist has to invade the gums, so most of the time it will make you psychologically anxious rather than painful.
However, because the gums are affected, after the anesthetic wears off, you will still experience pain. The discomfort and pain will usually last for a few days.
The dentist will prescribe some pain relievers such as: Efferalgan, Ibuprofen… So, rest assured, the pain after Jawbone Grafting will not affect your life and activities.
Notes before and after Dental Bone Grafting
To ensure the process of Jawbone Grafting surgery is fast, safe and effective, here are a few things you should keep in mind:
Before the surgery
- Research and choose reputable dental clinics.
- Arrange work, time and take time to rest after bone grafting
- Complete treatment of your oral conditions such as: gingivitis, periodontitis,…
After root bone grafting
In order to heal quickly and reduce the risk of bone loss, you must pay attention to the following problems after surgery:
- Only use pain relievers and antibiotics as prescribed by your doctor.
- Do not wear dentures for several weeks to avoid putting pressure on the newly grafted bone.
- Regularly apply ice to reduce swelling and pain.
- Avoid applying strong force to the graft area such as sneezing, runny nose, cough, etc.
- Absolutely do not use stimulants such as alcohol, tobacco …
- Visit your doctor on time.
With the information that we shared in the article above, surely you have a better understanding of the Dental Bone Grafting method. If you have any other questions, please contact us immediately for detailed answers.