Bone Grafting

Bone loss can affect the placement of tooth implants, impact oral health, and alter facial appearance. Dr. Malek uses advanced bone grafting techniques to restore and regenerate the lost bone and tissue for restorative, functional, and cosmetic benefits.

Bone Grafting

What is Bone Grafting?

Dental implants require a good section of bone for proper placement. When jawbones have inadequate bone structure left after traumatic injuries, cancer, gum disease, tooth removal, or other reasons, bone grafting can help restore and grow new bone. This makes implants possible, as well as helping to improve appearance and restore function. It’s an exciting development!

There are a variety of solutions available to patients, and each has its benefits. Dr. Malek will carefully review your individual case and work with you to determine the best choice.

Using bone harvested from your own body, naturally derived, or artificially created, the small fragments are implanted in the targeted areas, where they create a platform for new growth. These locations can also be guided with membranes that inhibit gum tissue expansion while encouraging bone growth.

Types of Bone Grafts

The living bone graft material is harvested from your own body. The source locations will vary but can include the chin, jaw, lower leg bone, or hip.

Autogenous

The living bone graft material is harvested from your own body. The source locations will vary but can include the chin, jaw, lower leg bone, or hip.

Allogenic

Or allograft, is derived from cadavers. Unlike autogenous grafts, it’s not live tissue but instead is used for a growth platform. Your own bone expands to cover the graft.

Xenogenic

Is live bone that comes from another species – usually bovine. They work in the same way as allogeneic grafts, providing a platform for new growth. They may give slower results than when using live bone tissue.

Bone Morphogenetic Proteins

The use of these utilizes naturally-produced proteins that exist to help promote bone growth and healing.

Composite Grafts

Can combine other materials, such as ceramic and collagen, to mimic the composition of natural bone.

Types of Bone Graft Procedures

Replacing lost and damaged jaw bone can involve different parts of the mouth and surrounding structures. Each of the augmentation and preservation procedures that Dr. Malek uses addresses different issues that follow tooth extraction and periodontal disease. These bone grafts help restore appearance, function, and repair deformities.

Types of Bone Grafts

Ridge Augmentation

After tooth extractions, the normal contour of your gums and jaw may look different. These changes are due to bone loss and can be returned to normal with bone grafts.

What is Ridge Augmentation?

The alveolar ridge is the bone that holds the roots of your teeth. After an extraction, the empty socket should heal: filling the hole with new bone and gingival tissue. However, if the surrounding alveolar bone is broken during the removal, healing doesn’t take place. Subsequently, the section of the alveolar ridge begins to deteriorate, and the empty socket begins to sink. This can create issues with appearance, as well as prevent the placement of new dental implants.

How is this surgery accomplished?

Dr. Malek will place new bone graft material into the empty tooth socket. (This procedure may also be done just after your extraction, to prevent issues from the start.) The next step is to suture the gum tissue back into place over the socket. This is normally done with just local anesthesia in our office.

After the graft has had adequate time to integrate, Dr. Malek can prep the restored alveolar ridge for your dental implant procedure.

Extraction before bone grafting
Extraction post op from bone grafting
Extraction after implant placed
Types of Bone Grafts

Sinus Augmentation

Located behind your cheeks, your sinuses are empty spaces that support your upper teeth roots. When bone loss occurs, a tooth replacement in your upper jaw can become impossible, due to insufficient bone.

What is Sinus Augmentation?

Since the roots of upper teeth between the premolars and molars can extend into your maxillary sinuses, their removal will sometimes leave only a thin layer of bone between the bottom of the sinus and your mouth. This isn’t enough to hold new implants. Building up this sinus floor with a bone graft will allow Dr. Malek to promote new bone formation. After the bone graft matures, this area will be ready for dental implants. Sinus augmentation has allowed many patients to have implants, where in the past, upper dentures were the only solution.

Sinus Augmentation Procedure

The Sinus Augmentation procedure, sometimes called a sinus lift, will be done in our office. Dr. Malek makes an incision into gum tissue to expose the bone beneath. After cutting a small circular section out of the bone, she will lift it into the sinus cavity place, and fill the hole with the bone graft material. The incision is then sutured closed. Healing will take place over months as the graft meshes with your bone.

1 Sinus Before Day from bone grafting
2 Sinus Lift Same Day from bone grafting
3 Sinus Lift Final, Malek Periodontics
Types of Bone Grafts

Socket Preservation

The empty sockets left behind after teeth are extracted can cause the bone to melt away – it’s simply not needed anymore to support a tooth. However, this bone loss can create tooth gaps, jaw deformities, and cause the lips and cheeks to collapse. Socket preservation surgery replaces the empty tooth with a bone graft.

What is Socket Preservation?

Socket preservation restores your appearance and prepares your jawbone for any possible dental implants down the road. After the bone graft is placed into the empty socket, it will prevent further tissue loss and correct issues that lead to the collapse of facial features. It also stabilizes the other teeth, keeping them from drifting and moving.

Socket Preservation Techniques

Using bone graft material, Dr. Malek will fill in your empty tooth socket, possibly adding a protective membrane over the surface to promote growth. The opening in the gums is then sutured closed. Healing will take place over the next several months. This procedure is sometimes done in conjunction with tooth extraction, ensuring that there are no future problems with an empty socket, protecting the jaw bone from deterioration, and reducing future complications with dental implants.

Extraction before bone grafting
Extraction post op from bone grafting
Extraction after implant placed

FAQ On Bone Grafting

How do I care for my mouth after bone graft procedures?

Follow Dr. Malek’s recommendations after your surgery. In general, you’ll need to treat the area where the sutures are located with care, especially in the first 3-4 days. There’s likely to be some discomfort as your gums heal and pull against the sutures, and you may need some light pain medication. Afterward, your bone grafts will heal and begin to mesh with your jawbone.

Will I need to use bone from my own body for the grafts?

Using your own bone for grafts, called an autogenous bone graft or autograft, has certain advantages over other sources. As it’s using live bone harvested from your own body, from areas such as your hip, it already contains cellular elements that stimulate new bone growth.

However, it’s not the only approach. New developments in grafting material may be technically synthetic, but they utilize the minerals that are found in real bone. These and other graft materials may be the best choice for your surgery – Dr. Malek will review all the options with you.

After a sinus augmentation or lift, will I be able to blow my nose and otherwise breathe normally as it heals?

Sinus lift procedures can be a bit intimidating – since you can’t see the area where the surgery took place. It’s important to not dislodge the graft as you heal, so Dr. Malek will ask that you try not to blow your nose or sneeze. As it’s sometimes impossible, she may also prescribe a saline spray to maintain moisture in your nasal cavities, as well as something to help with possible congestion. Please contact our office immediately if you have any symptoms such as continuous bleeding, or if you think you might have displaced the bone graft.

Should I always ask for a socket preservation procedure if I’m having a tooth extracted?

Even if you aren’t sure if you’ll need dental implants in the future, socket preservation will help you keep your options open. In addition to preserving bone for implants, the procedure will also help control further tooth loss, as well as changes in the appearance of your cheeks and lips. Furthermore, as teeth shift around the empty space, your bite can be affected – leading to TMJ, fractures, and grinding. Dr. Malek will be glad to advise you on which course of care will be best for your individual situation.

Does the surgery take a long time?

The bone grafting procedure is done by Dr. Malek in our office, often under just local anesthesia. You will be able to go home the same day as your appointment, and even eat soft foods. A follow-up appointment will follow, where the doctor will remove your sutures, assess how the healing is progressing, and discuss any further procedures, such as dental implants.

How Can Dr. Malek Help With Your Bone Grafting?

Contact Malek Periodontics today to schedule an appointment and be on your way to a healthy smile, healthy life.