You may think a bone is a hard, inflexible tissue that never changes. But the truth is that bone is constantly changing: in the bone that supports teeth, changes can be both beneficial and harmful. For example, the jawbone flexibility allows an orthodontist to move and position teeth with braces. But after tooth loss in adults, changes in this bone can have serious consequences. Bone reconstruction for dental implants is one of the most common treatments among oral surgeries. Implants specialists help rebuild degenerated bones using modern dental bone grafting techniques.
Tooth loss Complications
When a person loses one tooth or some of his teeth, the bone around them begins to decay.” Gum disease can also cause gingival resorption and loss of bone supporting the teeth. If you lose a certain amount of teeth and bones around them, parts of your face will sag, making you look older.
Bone graft applications
In dentistry, bone grafts are used to achieve the following goals:
Teeth preservation
When the gum disease causes bone loss, the teeth become loose and at risk of failure too. In such a situation, the teeth can be preserved by regenerating the bone around them through bone grafting. This provides more bone support for the teeth and helps maintain them.
Tooth extraction
Nowadays, it is quite common to put the bone powder in the teeth after extraction. This allows the person to replace the extracted tooth with an implant later if desired.
Dental implants
In this optimal tooth-replacement system, a small titanium rod, placed in the jawbone, is attached to a dental veneer that looks exactly like a real tooth. Successful dental implants require good bone density and volume. If your jawbone has degenerated, it can be restored to the size needed for a successful implant with bone marrow transplant methods.
First, the bone needs to be transplanted (the recipient area) and the area where the bone is taken (the donor area) are both anesthetized using a local anesthetic.
An incision is made at the gum, where the implant is to be placed. In this way, the dentist can determine how much and what type of bone is needed.
Recovery
Because an incision is made in your gums to reach the transplant recipient’s bone, you will feel some pain at the treatment site after surgery. Usually, this pain can be controlled with painkillers or nonsteroidal anti-inflammatory drugs and cold compresses.
Usually, any postoperative discomfort lasts only one or two days. Then, over the next few months, the body replaces the grafted bone with its bone; thus, the bone quality will improve again.
It needs six to nine months for a bone graft to heal, after which a dental implant can be done. Before implant placement, the titanium screws used to hold the graft are removed.
Postoperative care
-After the bone grafting, you may need to take antibiotics and painkillers, and an antibacterial mouthwash.
-You should avoid certain foods.
-The dentist tells you how to avoid putting pressure on the area being healed.
-If you have dentures, you should not use them until the treated area heals, which takes a month or more.
-If you have real teeth near the bone regeneration site, your dentist will build a temporary removable bridge or denture to protect the area.
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