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.

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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

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Excellent experience after a few issues with my insurance, but I don't think that was the staff's fault.

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highly recommend to patients

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exceptional service. the efficiency, courtesy and hospitality was the best. you would never know that I was "fitted in" the schedule. you guys are awesome!

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Wow, what a pleasant environment! A team of kind, courteous, attentive individuals even as I spoke of psychological barriers in this endeavor due to past experiences of similar basic needs. For they are true Guardians of Angels who have miraculously bound together especially for man’s struggle in life! I am 65 years of age. I sat in that lonely dentist chair waiting for the dark unknown past to happen all over again. And in minutes I was out of that chair and OUT OF MY PAIN. The Doctor even called me later that evening to within his great concern of the welfare of a fellow spirit in the flesh upon this planet! Thank You! Thank You! Thank You! May the LORD give special Blessings to each and every one of these exceptional beings, Amen. The Office and Healing place of Doctor David C. Swiderski!

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A big thank you to mid valley, I'm a truck driver that is never around much and do not have a regular dentist, I called mid valley and explained my problem I was having and my situation of limited time, I applaud them for the way they worked with me, they even called me several times when they had cancellations while I was still out on the road and couldn't get there. The day of the procedure everyone took great care of me and explained everything, That evening the Dentist him self called me at home to make sure I was doing OK. To me they went over and beyond caring for me. Thank You Mid Valley!!!!

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A dentist who knows how to use anesthesia; it's a beautiful thing. Didn't feel any discomfort during the surgery. The pre op, and follow up were great. I had a concern after the surgery and spoke with the doctor when I called the office. Thank you for great service, I highly recommend Dr. Swiderski and his staff.

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I repeatedly recommend Dr. Swiderski and his talented staff with the utmost confidence. Many of my family members, friends and acquaintances have been cared for by Dr. S. over many years and I have never heard one hint of a complaint. Their attention to detail is beyond reproach. PLUS, they are all super nice people!

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Have to admit, I was a bit nervous. I didn't want to be completely out for the procedure, so they suggested they use the "laughing gas" along with the numbing injections. Had one tooth pulled and two implants inserted into my jaw. I was aware of everything that was done, but felt no pain whatsoever. Dr. Swiderski and his staff were wonderful.

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Great!

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