Bone Grafting Salem OR

Dental Bone Grafting Information from Salem Oral and Maxillofacial Surgery Dr. Swiderski

Over a period of time, the jawbone associated with missing teeth is absorbed or atrophies. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants.

Call ☎ Salem Office Phone Number 503-581-0223 to schedule an appointment.

Major Bone Grafting

Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee). Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum and protect the bone graft and encourage bone regeneration. This is called guided bone regeneration or guided tissue regeneration.

Major bone grafts are typically performed to repair defects of the jaws. These defects may arise as a result of traumatic injuries, tumor surgery, or congenital defects. Large defects are repaired using the patients own bone. This bone is harvested from a number of different sites depending on the size of the defect. The skull (cranium), hip (iliac crest), and lateral knee (tibia), are common donor sites. These procedures are routinely performed in an operating room and require a hospital stay.

INFUSE Bone Graft (rhBMP-2)

Today, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance. Growing bone utilizes a chemical called rhBMP-2 which stands for recombinant human bone morphogenetic protein 2. It can be used as a substitute for harvesting bone from the patient or using bone grafts from other sources.

Sinus Lift Procedure

The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.

There is a solution and its called a sinus graft or sinus lift graft. The oral and maxillofacial surgeon enters the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and donor bone is inserted into the floor of the sinus. Keep in mind that the floor of the sinus is the roof of the upper jaw. After several months of healing, the bone becomes part of the patients jaw and dental implants can be inserted and stabilized in this new sinus bone.

The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures.

If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus lifts and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus lift will have to be performed first, then the graft will have to mature for several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.

Ridge Expansion

In severe cases, the ridge has been reabsorbed and a bone graft is placed to increase ridge height and/or width. This is a technique used to restore the lost bone dimension when the jaw ridge gets too thin to place conventional implants. In this procedure, the bony ridge of the jaw is literally expanded by mechanical means. Bone graft material can be placed and matured for a few months before placing the implant.

As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region, or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patients own bone for repairs, we generally get the best results.

In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and used to promote the patients own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation.

These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day and limited physical activity for one week.

Call ☎ Salem Office Phone Number 503-581-0223 today for your consultation.

Mid-Valley Oral, Maxillofacial & Implant Surgery

5 out of 5 stars based on 110 reviews.

Our Latest Patient Testimonial

Dr. Swiderski was so easy to talk to, he did everything I requested without fail and he did a wonderful job. He called frequently to assure I was doing well and I can't think of another Dentist I'd recommend any more highly than him.

- judy m

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Our Latest Patient Testimonial

This is a great office. The doctor and staff are wonderful. Very willing to take the time to answer all of my questions. I would definitely return if I or anyone in my family has oral surgery needs.

- Diane C

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Very positive experience. All staff very professional and proficient. Started c/ an extraction, bone graft and implant.

- Louise W

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Our Latest Patient Testimonial

I have received the best so care. Thanks everyone!

- Manuel P

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Our Latest Patient Testimonial

Dr. Swiderski is such a nice and kind man. He explained my procedure thouroughly and answered all my questions, making me feel comfortable. I referred him to a family member who had the same overall experience as I had. Also, the staff is A+.

- Linda L

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I have only been here a couple of times but so far it's been great

- Diane d E

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Thanks for checking in after procedure and calling to remind me of apts,

- Norma S

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Nice people,nice atmosphere. No complaints

- Jane Ann D

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When you have dental pain, you do not want to wait for a solution. I was fortunate to hear about Dr. Swiderski and was lead to his office to heal my pain. I am very thankful we have dental surgeons like him who are very experienced and knowledgeable in modern and up-to-date dentistry. Thank you Dr. Swiderski and staff.

- Dennis G

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I couldn't have been more unlucky to have endured my injury, but everyone here has been simply wonderful and caring. I feel like a family member when I come here

- Andrew S

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Very pleasant staff and experience overall

- Brandy B

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I have been very impressed with my experience with this group

- Steve A

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It was a very pleasant experience and everyone made me feel comfortable.

- Cora L

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Virtually no discomfort c/ initial tooth extraction and bone graft. Local anesthetic only.

- Louise W

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Great I but I see see them too often

- Anonymous

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I have always had a fear of dentists so you cam imagine my anxiety when I learned I had to have wisdom teeth removed. The staff and Dr did an amazing job of making me feel at ease and comfortable. I had a great experience from the time I walked in for the initial consult to the time I walked out the door after having my teeth extracted. I will not hesitate to come back!

- Lyle G

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My family has had multiple procedures and all went extremely well

- Jeremiah E

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My experience here has been wonderful. Dr. swiderski and his staff all made me feel comfortable and special during the procedures. Their customer service is unmatched. As much as I am glad it is over I will miss them all. I f you are looking for comfort and great caring service this is the place to come. Thank you Dr. Swiderski for everything!

- Stan G

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Nice staff, very professional

- Marilyn C

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Very kind and professional place. I would recommend them.

- Lisa L

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