The loss of the tooth (teeth) and it’s bone of support lead to the creation of crestal defects or a situation of maxillary atrophy. With the disappearance of teeth and roots, the blood flow to the bone is lost, and consequently the bone itself. Bone regeneration is often necessary before any further therapy.
Bone regeneration is an oral surgery procedure that is performed to stimulate the growth of new bone and it involves placing bone grafting material where the new bone structure will form.
Bone regeneration surgery is necessary when:
- the missing tooth needs to be replaced after the extraction;
- after a trauma;
- before the removal of the cysts that caused the bone loss;
- If the patient has osteoporosis.
WARNING: patients shouldn’t wait too long after the tooth extraction for the implant insertion. In the absence of tooth roots, the bone tissue becomes thin and with time it shrinks completely.
Which types of artificial bones are used in the Cukon Dental Clinic?
In situations when the natural bite is severely damaged, autologous bone can be used to obtain a sufficient amount of bone for implant placement. Autologous bone is taken from the intra-oral area (chin or jaw) or extra-oral areas (hip). In the latter case, the patient must be under general anesthesia, so hospitalization is inevitable.
The autologous bone transplantation procedure is removing the patient’s bone and implanting it at the place where the implant will be placed in the future.
The posterior area of the upper jaw (molar area) is often one with less bone tissue and does not provide enough stability for implant placement. A few years ago, dentists started using heterologous bone ( bone not taken from the patient). The one that is used the most is deproteinized bovine bone, which once inserted fills the space between the implant and the dental alveolus. Heterologous bone is also used when implants are inserted after the extraction.
What to expect and what to do after a bone transplant:
- It is normal to feel the bone remains (pieces) in the mouth after the procedure;
- It is not necessary to rinse the mouth and spit vigorously;
- It is not recommended to touch the treated area with the tongue or fingers;
- It is recommended to avoid wearing dentures for at least two weeks as the pressure could compromise the healing;
- It is not recommended to pull the lip because it could damage the sutures;
- It is absolutely forbidden to use an oral shower on a strong jet (Waterpik)!
The first day after bone regeneration surgery:
- Avoid rinsing the mouth.
After a couple of days after the bone regeneration procedure:
- Rinse gently;
- If the wound is open and the material is visible, contact the clinic immediately.