Bone Grafts

Mission Viejo Bone Grafts for Dental Implants

Dental Bone Grafting Makes New Teeth Possible 

Dental Bone grafting is a surgical procedure that replaces missing bone adjunctive to dental procedures such as dental implants, sinus lift, socket preservation, and pinhole gum surgery. The most common reason for the use of bone grafting is dental implants, which work by integrating it into your jawbone. To accomplish this integration, your jawbone needs adequate bone to support the implants. The jawbone shrinkage associated with missing teeth often leaves a condition in which there is poor quality or quantity of bone suitable for placement of dental implants. If you don’t have enough bone at the dental implant site, you can still restore functionality and aesthetic appearance by getting dental implant through bone grafting.

To learn what bone grafting or alternative procedure might be suitable for you, we invite you to call (949) 364-9600  or  in Mission Viejo near Ladera Ranch and Laguna Niguel for an appointment with the one of the best and top implant dentist in Orange County who uses art and science of implant dentistry and bone grafting with highly specialized and successful techniques.

Where Does The Bone Come From?

Several different types of bone-grafting materials can be utilized:

  • AUTOGRAFT- In least frequent cases, the patient's own bone will be used, such as that taken from another location in their mouth or else from other bones, including the hip (iliac crest) or shin bone (tibia).
  • ALLOGRAFT (Human Donor Graft) - The grafts are typically taken from donor’s bodies and can be used either as a block or as particles, depending on the need. We primarily use allograft because they are safe, sterile, effective, and can be provided in larger quantity without a need for additional surgery to obtain your own bone as grafting donor. They are thoroughly cleaned and sterilized using antibiotics, gamma radiation, and et2hylene oxide (which kills fungal spores) to ensure there is no risk of contamination.
  • XENOGRAFT - a biocompatible porous bone mineral substitute is a sterile, safe, effective bone graft material from specially process bovine sources of healthy cows. All the cow’s cells and other biological material are removed, leaving only the mineral part of the bone. In many cases using a porous bone mineral eliminates the need for additional surgery to obtain your own bone as grafting donor.

Additional Procedure to Bone Graft

  • STEM CELL & GROWTH FACTORS - can considerably accelerate bone formation Process. They are produced using recombinant DNA technology; they consist of human growth factors such as Platelet Derived Growth Factor or Bone Morphogenic Proteins, in conjunction with a carrier medium such as collagen.
  • PLATELET RICH FIBRIN: Platelet-rich fibrin (PRF) is a healing biomaterial from your own blood with a great potential for bone and soft tissue regeneration without any inflammatory reactions that can be used in a combination with bone graft to reduce pain and inflammation after any dental surgical procedures. 

Why You Might Need Bone Grafts?

Many people are surprised when they are told that they need a bone graft for dental implants, but this is relatively common. There are many reasons why people develop deficient bone at an implant site, including:

  • Chronic Tooth Infection
  • Bone Abscess
  • Chronic Advanced Gum Disease
  • Missing Teeth
  • Having Dentures or Dental Bridges

When Do You Need Bone Graft?

  • SOCKET GRAFT: The most common and simple form of bone graft is a socket graft. In this procedure, we use a bone substitute to build up bone in the socket left by an extracted tooth. Often, we can place a dental implant at the same time we add the bone substitute.
  • SINUS GRAFT or "LIFT”: Sometimes when upper molar and premolar teeth (upper teeth in the back of the mouth) are lost, the bone that sits between upper jaw and maxillary sinuses reabsorb and loses its strength to support dental implants. The solution for this condition is sinus lift (Sinus Augmentation) and bone grafting. Thus, our periodontist at Aria Dental perform this procedure by elevating maxillary sinus membrane upward and inserting a donor bone graft into the floor of your sinus and above your upper jaw in the area of molars and premolars to build up the bone up to its former height. The end result is the improved bone height (thickness) in the posterior maxilla, which is more favorable for implant placement. Learn more
  • ALVEOLAR JAW RIDGE EXPANSION:  A ridge expansion or augmentation is a common dental procedure often performed following a tooth extraction to help recreate the natural contour of the gums and jaw that may have been loss as a result of a tooth extraction or another reason.
  • NERVE REPOSITIONING: If you do not have sufficient bone mass for dental implant in lower, the inferior alveolar nerve which gives feeling to the lower lip and chin, may need to be moved to prevent any part of the implant from connecting with the inferior alveolar nerve. Because if the implants touch this nerve, it can result in facial pain, numbness, and other troublesome symptoms. This procedure is considered by many surgeons to be a high-risk procedure as there is a risk of permanent numbness to the lower lip. Recent advancement in instrumentation allow this procedure to be performed with a lower risk of nerve injury. When our surgeon or periodontists perform nerve repositioning, they use an electrical Piezo instrument. This device removes bone gently by employing a vibrating diamond tip instead of the old fashioned rotating drill that can damage the nerve.

Bone Graft Alternatives

There is often more than one way to deal with inadequate bone mass at a dental implant site. The improved technology in dental implants offer us several alternative options to get around the lack of bone.

  • DENTAL BRIDGES & DENTURES: We can sometimes overcome the insufficient bone in one site by using bone available at the other sites. In cases where multiple teeth are extracted, we can place and secure the dental implants where you have quality bone.
  • MINI DENTAL IMPLANTS: We can sometimes place shorter dental implants to utilize the available bone that you have. These smaller dental implants often cannot withstand enough force individually, but sometimes we place more to accomplish the same effect of as one standard size implant.
  • ANGLED & ZYGOMATIC IMPLANTS: Sometimes finding the right direction to place a dental implant is the solution for finding adequate bone. Sometimes, there may not be sufficient bone to support an implant vertically in your mouth, but positioning the implant in a different direction will give you sufficient bone support. 

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