You’re already on the right track to restoring your smile by considering dental implants. Take note, however, that dental implants require surgery to be placed and inserted into the jawbone, which needs enough bone in the jaw to hold the implant. After a thorough mouth examination and X-rays of your jawbone, Dr. Yanich can assess if you have sufficient bone density for dental implants. If you do not, you will need a bone grafting procedure.
Over time, the jawbone around missing teeth begins to reabsorb and atrophy. Unfortunately, this often leaves patients with poor quality and quantity of bone needed for dental implants. In these situations, most won’t be good candidates for implants.
Bone grafting is an oral surgery procedure that involves adding mass to the jawbone. By doing so, you’ll have the following:
Bone grafting is needed if bones don’t heal after a fracture. Complications that might occur are:
Some other common reasons for bone grafts are:
There are many types of bone grafting procedures, each dependent on the location of the surgery and the patient’s needs. Here are the bone grafting procedures available at Yanich Oral Surgery.
Major bone grafts are necessary to fix locations where an implant was previously removed or when there is significant wear from injury or gum disease. The bones come from a tissue bank and different body parts, such as the jawbone or hip.
Minor bone grafts fix irregularities in the jawbone typically due to accidents, congenital disabilities, or surgery for tumors. If there’s a large amount of deterioration, Dr. Yanich will take bone from other areas, like the skull, hip, or outer knee, to perform the procedure.
If the bone dimension and ridge are too thin for an implant, Dr. Yanich performs ridge expansion –– filling in that gap by widening or lengthening the existing bone. Then, through mechanical force, the graft material is placed so it can mature over several months before being ready to support an implant.
First, you’ll be given anesthesia for this procedure so you won’t feel any pain. Next, Dr. Yanich numbs the gums and areas where he needs to remove the bone. He may also make small cuts in your gum tissue and flap it back to see the bone underneath. This helps him know how much bone is needed.
If Dr. Yanich takes bone from another part of your mouth or body, he’ll make an incision there, too, and take out the bone at this time. Then, he’ll put grafting material where the old bone was and close up the area with stitches.
Finally, the new bone block will be attached to your existing jawbone using a titanium screw or other grafting materials to support and stabilize the new bone. Dr. Yanich may also place membrane material around the grafting area. Afterward, the incision will be closed with sutures.
Diet: Eat a soft, mild, and nutritious diet for two to four days after surgery. As the tissue around the bone graft heals, you can return to your regular diet.
Swelling: Swelling is common after oral surgery and will peak approximately two days post-op. To minimize facial swelling, sleep with your head elevated on two pillows and apply cold compresses (30 minutes on, 30 minutes off) during the first 48 hours.
After that time period has elapsed, switch to warm compresses (again, applied for 30 minutes at a time with equal periods of rest in between) until the swelling goes down completely.
Bleeding: If you find that you’re bleeding heavily, it’s likely because the gauze pads are clenched between your teeth rather than pressing against the surgical area. Try using fresh pads and repositioning them so the pressure will be directly on the surgical site.
Pain: You can take over-the-counter medications like ibuprofen (Advil® or Motrin®), acetaminophen (Tylenol®), or aspirin if you’re not allergic to them or they don’t interfere with any other medications you’re taking.
Bone grafting is a delicate and complex surgical procedure that can help to restore functionality and aesthetics to the jawbone. Bone grafting may be necessary in cases of extensive tooth decay, bone loss, or ridge augmentation.
Dr. Yanich has the skills to perform bone grafting procedures efficiently and quickly. He’ll also work with you to ensure a smooth and successful recovery. If you’re considering dental implants and live in the Marion, OH, area, schedule an appointment with Dr. Yanich today to see if you’re a candidate for this procedure!