Dental Services : Oral Surgery : Bone Grafts

Bone Grafts

Bone grafting procedures are usually necessary if there is not enough bone available to place dental implants or if any vital anatomy is in the way. Loss of bone volume can be caused by a variety of factors due to :

If a patient lost a tooth and leaves the gap over a long period of time. It is likely that the bone around the lost tooth has degenerated to some degree and needs to be augmented before it can support a dental implant. This is usually a result of bone resorption that has taken place since one or more teeth (if not all) were lost. Bone grafting procedures usually try to re-establish bone dimension, which was lost due to resorption. 

Many years ago the lack of bone posed a considerable problem and sometimes implant placement was impossible because of that. Today, however, humans now have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width and gives us a chance to restore the esthetic appearance and functionality better. Today, bone grafting procedures have become almost an integral part of dental implant reconstruction.

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If you have pockets or insufficient bone for dental implants, bone grafts may be a treatment option for you. Consult with our dental specialists on options. Pain-free, worry free oral surgery treatment with dental sedation offered.

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Benefits of Bonegrafting

  • Bone grafts restore bone mass and improves deep pockets or enable further dental procedures.
  • Additional bone helps support facial bones and facial structures to improve overall appearance. Thefore boost self-esteem and confidence.
  • Bonegrafting helps add support to remaining structures in your mouth and jaw and implants for better function

Types of Bone Grafting

Bone Grafting

Bone graft

Bone grafting involves adding bone material to the affected area. Bone grafting procedures can be easily obtained from other areas of the jaw or from pre-packaged bone graft mineral.

Socket Grafting

socket grafting

When a tooth is removed, the bone at the extraction site tends to collapse inward and shrink over time. However, bone can be maintained and even improved by adding bone mineral with a dissolving collagen sponge to the extraction site.

Sinus Lift

sinus lift

The maxillary sinuses are empty pockets behind your cheeks, above of your upper back teeth. Sometimes after an upper back tooth is removed and the socket heals, only a thin layer of bone will remain under the sinus. When the sinus floor is thin, grafting to the area may be necessary before implants can be placed.

Ridge Augmentation

ridge augmentation

When teeth have been missing for extended periods of time, the bone remaining in the area may become too narrow and/or too short for implant placement. In these instances, small, carefully prepared and fitted grafts can be placed at the implant sites to provide adequate bone thickness and/or height.

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Types of Bone Grafting Materials

With respect to the Bone Graft material used, we have to differentiate between several choices. All bone graft materials can be categorized into five different categories:

  1. Autograft or autogenous

    • Bone is taken from other parts of body
  2. Allograft or allogenic

    • Bone is taken from another person
  3. Xenograft or xenogenic

    • Bone is taken from compatible animal species
  4. Alloplast or alloplastic

    • Derived from natural sources, synthetic substances or combination of both
  5. Growth Factors

    • Bone is grown from own body

Each of the bone graft materials is usually developed with a specific purpose or advantage in mind. Your surgeon will make a decision with respect to the bonegraft material based on your individual needs and the latest research in that field.

Procedure for Bone Grafts

  1. First evaluation and diagnosis
    • An oral examination and x-rays may be taken to determine if bonegrafting is really warranted
    • Relevant medical history are recorded. Do ensure that you report to your dentist any problems with any previous dental experience such as bleeding problems, medical conditions or allergies to medicationsand supplements
  2. Site tooth preparation
    • Local anesthetize is given to “numb up” the tooth, jawbone and surrounding gums
    • Gingival or gums area is opened
  3. Bone Grafting is done
    • Depending on the technique and type of bone material used, the added bone mass is inserted
    • Additional membrane may be placed over the site for improved healing
    • The surgical site is stitched and closed up
  4. Instructions on post care is given

Step 1 & 2

bone graft

Site preparation

Area for bonegrafting is chosen

Step 3

bone grafting


Bone is added on

Step 4

grafts for bone


Surgical site is stitched and closed

Recovery Expectations

You may have some pain after the anesthesia wears off. Pain relieve medications may be taken may help to relieve the pain. Bleeding may occur 15-30 minutes after operation but will eventually stop.

You may follow your regular daily activities, avoiding excessive exertion types of activities such as exercising or sunbathing. You are recommended to take soft foods for the first few days, and eat a diet high in calcium and vitamin D as your bone heals. Avoid smoking.

Postcare Instructions after Bone grafts

  • Do not use mouthwash for six hours after oral surgery
  • If mild bleeding occurs, hold cold salt water in the mouth until it warms to body temperature
  • Do not rinse for 12 hours
  • After 12 hours you may rinse with a solution of teaspoonful of salt in a glass of warm water. Antiseptic mouthwash is also recommended to use in the morning and before bedtime
  • Coe-Pack or periodontal dressing is a material of choice which may be used in some operation. This can be removed three days after the surgery by gently peel the rim of the dressing and the white patch can be removed using moist cotton pellet or gauze.
  • Brush your teeth as usual, but do not brush the wound
  • Take only soft, non-spicy and cold foods, if possible, for 2- 3 days
  • Avoid smoking and alcohol
  • Avoid swelling by sleep on the thick pillow during night time.
  • Mild pain can be controlled with pain relieve medications as directed by your dentist
  • Complete taking the course of your prescribed antibiotic medication as directed.
  • Non-absorbed suture should be removed within 7-10 days after the surgery.
  • Contact the clinic immediately if:
    – Excessive bleeding other than slight staining occurs.
    – Severe pain is present.
    – Marked swelling occur.
    – suspect any symptons of allergic reaction.
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