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.
Do You Need a Bone Grafting Procedure?
Dr. Swiderski can utilize bone grafts to make your jawbone more suitable for the placement of dental implants, as well as repair defects of the jaws. Contact us today!
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 ProcedureThe 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.
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.
Mid-Valley Oral, Maxillofacial & Implant Surgery
Having never had a tooth extracted, I was a bit apprehensive. Everyone involved made it a professional experience.
- Jay C
I hadn't seen a dentist or doctor in around 11 years but from the first phone call and appointment with Dr. Swiderski's office I felt comfortable and safe, not only with his office staff, but with him and the procedure that needed done. I really never expected to be needing my teeth cut out of my gums and drilled just for this procedure as I thought in time they would grow out, so when they didn't I was terrified that I needed such an invasive procedure. After a lot of childhood trauma in medical settings, it was no easier preparing myself for surgery until I encountered Dr Swiderski and his team. I've never felt safer or more cared for by medical professionals and for once in my life I didn't even feel the needle for general anesthesia as it went in thanks to the ethyl chloride spray! I have a lot of phobias, but this team made them easy to face. I wish I could go back to this team for every medical procedure I ever needed, so I can say without a doubt if I do ever need any oral surgery again this would be the place I come to. I never even felt a thing until I was taking ibuprofen to ease the swelling 5 hours after the surgery once feeling finally returned and I could swallow properly. I've never encountered anyone better and I always, rather embarrassingly, brag about it to my friends who need this procedure, right before I recommend his team. If you're gonna go anywhere go with these guys! They'll not only make you feel safe and comfortable, even when you have a lot of questions, but they'll make the procedure seem easy in all their experience. I never had a serious problem when all was said and done, yet they still let me come in just for a checkup a week later. They answered all my questions without making me feel ashamed and best of all they did an amazing job!!
- Braden W
I'm only ever here when I have something catastrophic going on with my teeth (stating the obvious), and this last time it was a very infected tooth where the infection was taking out bone, affecting my sinuses, etc. I was a mess, because my teeth hate me. Dr. Swiderski told me that TWO teeth needed to be pulled, because the one next to Bad Tooth was loose (fine, just a little) and the infection had basically caused too much bone loss. As is my way, I tried to air a grievance about this, noting that my Googling was surely as good as Dr. Swiderski's several advanced degrees and his prestigious residency at the Mayo Clinic. Perhaps not surprisingly, I was shot down, albeit nicely considering I was of course talking nonsense. All of the assistants are wonderful too, as I kept warning them that "I'm a baby about this stuff" and "it takes a lot of novocaine to work" and making the sad face of dread. Oh, and the x-ray apparatus they have is very high-tech! Regular plates hurt my mouth because I have mandibular tori (which I didn't even know weren't normal until I was an adult), but here they have a whirring machine that rotates and magically takes x-rays. So, the point. This was a complicated dental surgery because so much of the bone was eaten away and it involved two teeth and I'm a wimp about anything dental-related....but I'll have to go back for follow up and probably bone grafting, and I actually don't dread it. That's how nice everyone there is, and how hard they work to make sure this is as pain-free as possible, so much unlike the root canal sadistic nightmares of my youth. It's also nice of Dr. Swiderski to check in the evening of surgery to make sure we're doing okay. Overall, if you need dental surgery, I highly recommend Dr. Swiderski and crew!
- Tasha H
I was impressed with the follow up call the next day, checking in on my daughter. Very attentive and thorough!
- Jennifer H
We were very impressed with the cleanliness, professionalism, and efficiency of Dr. Swiderski’s office when my daughter had her wisdom teeth extracted. All of our questions were answered and the procedure went very smoothly. Dr. Swiderski called to check up on her afterward and the office staff was kind and helpful when we had further questions. Very positive experience!
- Michelle B
Great experience in every way!
- Gina F.
Had a problem Dr. Swiderski solved the problem very quickly. I am very satisfied. Dr. Swiderski and his staff did a great job. Thank you very much.
- William T
Dr Swiderski is kind and caring and very professional. The whole staff was amazing too. I can’t recommend him enough.
- Wynnie G
We had a great experience with Dr. Swiderski and his staff. My son had all 4 wisdom teeth removed and everyone was so helpful, and kind and made the whole process easy and fast. Highly recommend Dr. Swiderski!
- Michelle K
This medical team was amazing. I have a lot of fear going in for any care and they listened to me and took good care of me. I had to have teeth removed and the surgery went very fast and good. I am feeling much better than expected after surgery and I know if I have any trouble I will be able to reach out to them and receive care.
- Joy L
I just had two wisdom teeth pulled last week and the process could not have gone any better. Dr. Swiderski was kind, confident and compassionate and the whole office was warm and friendly. Highly recommend!
I just completed my triple tooth extractions and dual implant procedures. From start to finish everything went very smoothly and without a glitch. I’m extremely happy with the results. Dr. Swiderski is a friendly, compassionate and highly skilled surgeon who I recommend without hesitation. All the procedures were completely pain free and done in an efficient, professional, cost effective and timely manner. The staff is fabulous as well, always highly concerned about your comfort and well being and always patient in answering all your questions. The Mid Valley is extremely fortunate to have such a superb facility in our midst.
- David G
We would not hesitate to recommend Dr. Swiderski and his team. Very happy with the care my son received for his wisdom teeth removal procedure. Very clear post-op care instructions were helpful and he had no problems at all after surgery.
- Lisa M
Doctor explained everything about surgery and recovery. Great office staff. My daughter felt at ease as she went back for procedure. Great experience for 1st dental procedure ever 😉
- Kimberly F
Thank you for making my experience a good one.
I was unsure about getting dental implants at first. I thought there would be a lot of pain and discomfort. Was I ever wrong! This is one of the best decisions I have ever made. Thank you Dr. Swiderski!
- Doug B
This office is one of the most friendly offices I have been in, I was not there because I wanted to be but was there because I needed to be there. As soon as you walk in the door to greeting you to take you back - everyone is friendly, caring, and happy to see you. Dr. Swiderski is happy to see you with a genuine smile on his face and then will explain everything so you know exactly what is going on. This office makes an unpleasant experience easy and painless. Caring, professional, excellent are 3 words I would use to describe this office.
- Lisa Y
I loved it. The staff was amazing and it was just a great experience. I knew exactly what was happening and I felt very comfortable during the whole experience
- Stephen U
Doctor Swiderski is very professional caring doctor with a great sense of humor, which helps to take anxiety away at the appointment. He cares and calls his patient at night after the surgery to see if you are ok. I had 3 implants done and will not go to anybody else if I need another one. He also has a great team working with him.
- Iryna F
Two of my children have required multiple extractions for pre-orthodontic treatment, and I have had one surgery myself. We have experienced a total of 5 office procedures so far and have had an excellent experience every time. The entire staff is welcoming and compassionate, the office is beautiful and comfortable, and the care is top notch. I highly recommend Dr. Swiderski and his staff for any care you may need.
- Dana M