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.

Ready to Schedule Your Consultation?

Dr. Swiderski brings years of experience and training, and a genuine passion for the well being of his patients to work with him each day.

Salem Office Request 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.

Mid-Valley Oral, Maxillofacial & Implant Surgery

5 out of 5 stars based on 175 reviews.

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

I was impressed with the follow up call the next day, checking in on my daughter. Very attentive and thorough!

- Jennifer H

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

Great experience in every way!

- Gina F.

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

Dr Swiderski is kind and caring and very professional. The whole staff was amazing too. I can’t recommend him enough.

- Wynnie G

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

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!

- Anonymous

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

Thank you for making my experience a good one.

- Tristan

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

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

5 out of 5 stars on

Patient Testimonial

Great care from everyone , from front office to the Dr. and assistants. Everyone took very good care of me through my procedure . I will return for all of my surgical needs as well as my family. Thank you for getting me out of pain .

- Charity

5 out of 5 stars on

Patient Testimonial

I have had numerous dentists and oral surgeons over the years. Dr. Swiderski ranks right at the top. He has pulled several of my teeth, performed a bone graft and did several implants. All procedures were successful in that they were completed fairly quickly and did not have any after surgery complications. Dr. Swiderski personally followed up at day end on patients progress and their concerns. He runs a well functioning practice, his staff know their jobs, work well together and make his patients their priority, as does Dr. Swiderski.

- Gary G

5 out of 5 stars on