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.
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
My daughter was nervous but they took good care of her, and her recovery time was way shorter than we expected. My most favorite thing was that Dr. Swiderski took the time to call to call my daughter personally. Checking in to see if we had questions and to make sure she was recovering without complications. It's hard to find that kind of care these days!
- Ida B
Dr Swiderski is very well-trained and knowledgeable. He is very professional and efficient and has a caring attention to his patients that helps to make every procedure a positive experience. Having had three kids treated by him for the complete removal of all 4 impacted wisdom teeth, I think I can say he is extremely qualified and great at what he does!
- kathleen B
Getting all 4 of my wisdom terth removed was actually very relaxing and I would do it again if I had to. The staff were very friendly and sweet. They made sure I had the laughing gas on enough so there was no pain with the IV and it was all pain free. Thank you so much. 🙂
- Kayla H
My son needed his wisdom teeth taken out and the Dr. and his staff where fantastic. They took great care of my son and made him feel so comfortable with the whole situation. I really appreciated the follow up care as well. We felt very well taken care of.
- Katrina B
Had oral cancer over 18 years ago and for past 10 years my teeth have been falling apart 1 tooth at a time. Now I am onto needing bone grafts...oh joy! Thank you for making it as painless as you could. BTW...thanks again for the 2nd water bottle.
- Gayle C
Friendly and professional
- Doyle T
Everything has been extremely easy and always running on time.
- Sean C
Dr. Swiderski is so nice and professional. His staff goes above and beyond to provide a wonderful experience.
- Alison W
Did a great job on removal of a bad tooth, plus set up bone grafting. Great, nice, newly remodeled clinic.
- Lyal S
An experience made pleasant by a truly professional doctor and staff! Would recommend highly to anyone!
- Jack J
My gums have never looked better
- Kim S
This is the only place to go for oral surgery in my opinion...highest quality work with an office that is efficiently run and friendly and caring.
- Teresa W
Very efficient, friendly, and professional.
- Kim R
All of the staff was professional and sympathetic as well as kind and helpful
- Julia S
Dr. Swiderski and his staff have assisted me through several procedures and really have set the bar professionally! How often does one have a procedure and then receive a phone call after hours to see how they are doing? Every time with Dr. Swiderski! 3 Molar removals and 2 implants later and I'm still impressed!
- Courtney H
The facility is very clean and appears to be run in an efficient manner.
- George G
phenomenal Doctor that Cares and a Staff that cares about You.
- David H
I was surprised at how easy Dr. Swiderski made the procedure feel. Bone grafts are not fun; but, I had support every step of the way to make it as easy as possible.
- Heather T
The entire dental implant experience from initial consultation to completion has been seamless and well-executed. The doctor and his entire staff have been exemplary.
- Bruce C
- William C