{"id":291,"date":"2015-07-06T15:49:49","date_gmt":"2015-07-06T15:49:49","guid":{"rendered":"http:\/\/www.viennapleasantdental.com\/?page_id=291"},"modified":"2015-07-06T15:49:49","modified_gmt":"2015-07-06T15:49:49","slug":"bone-grafting","status":"publish","type":"page","link":"https:\/\/cornerstonedentalva.com\/procedures\/periodontics\/bone-grafting\/","title":{"rendered":"Bone Grafting"},"content":{"rendered":"<div id=\"content\">\n<div id=\"StylizedImage\">\n<img decoding=\"async\" src=\"http:\/\/styles.prosites.com\/litesite\/2018\/GenedImages\/Stylized\/s_Periodontics-1892515116.jpg\" id=\"ctl00_ImageFlareStylized1_ImageFlareStylized1\">\n        <\/div>\n<p>    <script type=\"text\/javascript\">\n\/\/&lt;![CDATA[\nSys.WebForms.PageRequestManager._initialize('ctl00$ContentPlaceHolder1$sm', 'aspnetForm', [], [], [], 90, 'ctl00');\n\/\/]]&gt;\n<\/script><\/p>\n<div>\n<div class=\"PageService_Line_Item_Name\" id=\"ctl00_ContentPlaceHolder1_PageServiceLineItemName\">\n<div style=\"float:left\"><span id=\"ctl00_ContentPlaceHolder1_Pagename\">Bone Grafting<\/span><\/div>\n<div style=\"float:right\"><\/div>\n<\/p><\/div>\n<div>\n<div class=\"PageService_Line_Group_Items\">\n<\/p><\/div>\n<p align=\"justify\">Periodontal disease is the leading cause of bone loss in the oral cavity, though there are others such as ill-fitting dentures and facial trauma.&nbsp; The bone grafting procedure is an excellent way to replace lost bone tissue and encourage natural bone growth.&nbsp; Bone grafting is a versatile and predictable procedure which fulfills a wide variety of functions.<\/p>\n<p align=\"justify\">A bone graft may be required to create a stable base for dental implant placement, to halt the progression of gum disease, or to make the smile appear more aesthetically pleasing. <\/p>\n<p align=\"justify\">There are several types of dental bone grafts.&nbsp; The following are the most common:<\/p>\n<ul>\n<li>\n<div align=\"justify\"><strong>Autogenous bone graft<\/strong> &ndash; In this type of graft the bone is removed from elsewhere in the body and implanted in the mouth.&nbsp; Common donor sites for bone grafting include the iliac section of the pelvis, the chin and the posterior third molar areas of the jaw.&nbsp; If large amounts of bone need to be harvested, the hip or the shin bone (tibia) is generally used.<\/div>\n<p>\n        <\/li>\n<li>\n<div align=\"justify\"><strong>Allograft<\/strong> &ndash;&nbsp;Synthetic bone (manmade) can be created in the laboratory and used in the bone grafting procedure.&nbsp; Bone can also be obtained from a bone bank (cadaver bone).<\/div>\n<p>\n        <\/li>\n<li>\n<div align=\"justify\"><strong>Xenograft<\/strong> &ndash;&nbsp;This is the implantation of bovine (cow) bone. A xenograft is perfectly safe and has been used successfully; ample bone can be obtained, and a secondary donor site is not necessary.<\/div>\n<\/li>\n<\/ul>\n<p align=\"justify\"><font style=\"FONT-SIZE: 16px\"><strong>Reasons for bone grafting<\/strong><\/font><\/p>\n<p align=\"justify\">There are a wide variety of reasons why bone grafting may be the best option for restoring the jaw bone.<\/p>\n<p align=\"justify\"><strong>Dental implants<\/strong> &ndash; Implants are the preferred replacement method for missing teeth because they restore full functionality to the mouth; however, implants need to be firmly anchored to the jawbone to be effective.&nbsp; If the jawbone lacks the necessary quality or quantity of bone, bone grafting can strengthen and thicken the implant site.<\/p>\n<p align=\"justify\"><strong>Sinus lift<\/strong> &ndash; A sinus lift entails elevating the sinus membrane and grafting bone onto the sinus floor so that implants can be securely placed.<\/p>\n<p align=\"justify\"><strong>Ridge augmentation<\/strong> &ndash;&nbsp;Ridges in the bone can occur due to trauma, injury, birth defects, or severe periodontal disease.&nbsp;&nbsp;The bone graft is used to fill in the ridge and make the jawbone a uniform shape.<\/p>\n<p align=\"justify\"><strong>Nerve repositioning<\/strong> &#8211; If the inferior alveolar nerve requires movement to allow for the placement of implants, a bone grafting procedure may be required. &nbsp;The inferior alveolar nerve allows feeling and sensation in the lower chin and lip.<\/p>\n<p align=\"justify\"><font style=\"FONT-SIZE: 16px\"><strong>What does bone grafting treatment involve?<\/strong><\/font><\/p>\n<p align=\"justify\">Bone grafting is a fairly simple procedure that can be performed under local anesthetic;&nbsp;however, if large amounts of bone area need to be grafted, general anesthetic may be required.<\/p>\n<p align=\"justify\">Initially, the grafting material needs to either be harvested or prepared for insertion.&nbsp;&nbsp;A small incision is made in the gum tissue and then gently separated from the bone.&nbsp; The bone grafting material is then placed at the affected site.<\/p>\n<p align=\"justify\">The bone regeneration process may be aided by:<\/p>\n<ul>\n<li>\n<div align=\"justify\"><strong>Gum\/bone tissue regeneration<\/strong> &ndash; A thin barrier (membrane) is placed below the gum line over the grafting material.&nbsp; This barrier creates enough space for healthy tissue to grow and separates the faster growing gum tissue from the slower growing fibers.&nbsp; This means that bone cells can migrate to the protected area and grow naturally.<\/div>\n<p>\n        <\/li>\n<li>\n<div align=\"justify\"><strong>Tissue stimulating proteins<\/strong> &ndash; Enamel matrix proteins occur during natural tooth development.&nbsp; Emdogain is a matrix protein product which is usually placed on the affected site before the gum is sutured.&nbsp; It mediates the formation of accellular cementum on the tooth which provides a foundation to allow periodontal attachment to occur.&nbsp;&nbsp;Tissue stimulating proteins help create lost support in areas affected by periodontal defects.\n        <\/div>\n<\/li>\n<li>\n<div align=\"justify\"><strong>Platelet-rich growth factors<\/strong>&nbsp;&ndash; A high platelet concentration liquid can be used to create a blood clot at the site of a wound. &nbsp;It has recently been discovered that PRGF also stimulates bone growth &ndash; meaning a denser graft in a shorter time period.<\/div>\n<\/li>\n<\/ul>\n<p align=\"justify\">The gum is sutured in place and a follow-up appointment will need to be made within 10 days to assess progress.&nbsp; Bone grafting is a highly successful treatment and a good base for further periodontal restorations.<\/p>\n<p align=\"justify\"><em>If you have any questions about bone grafting, please ask your dentist. <\/em><\/p>\n<\/p><\/div>\n<\/p><\/div>\n<p>\n        <input type=\"button\" onclick=\"document.location.href='\/procedures\/periodontics\/'\" value=\"&lt;&lt;\" class=\"Button\" onmouseout=\"this.className='Button'\" onmouseover=\"this.className='ButtonHover'\" id=\"ctl00_ContentPlaceHolder1_btnBack\" name=\"ctl00$ContentPlaceHolder1$btnBack\"><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Bone Grafting Periodontal disease is the leading cause of bone loss in the oral cavity, though there are others such as ill-fitting dentures and facial trauma.&nbsp; The bone grafting procedure is an excellent way to replace lost bone tissue and encourage natural bone growth.&nbsp; Bone grafting is a versatile and predictable procedure which fulfills a&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":127,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"taxonomy_info":[],"featured_image_src_large":false,"author_info":{"display_name":"Wayne Clevenger","author_link":"https:\/\/cornerstonedentalva.com\/author\/cierradmin\/"},"comment_info":"","_links":{"self":[{"href":"https:\/\/cornerstonedentalva.com\/wp-json\/wp\/v2\/pages\/291"}],"collection":[{"href":"https:\/\/cornerstonedentalva.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cornerstonedentalva.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cornerstonedentalva.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cornerstonedentalva.com\/wp-json\/wp\/v2\/comments?post=291"}],"version-history":[{"count":0,"href":"https:\/\/cornerstonedentalva.com\/wp-json\/wp\/v2\/pages\/291\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/cornerstonedentalva.com\/wp-json\/wp\/v2\/pages\/127"}],"wp:attachment":[{"href":"https:\/\/cornerstonedentalva.com\/wp-json\/wp\/v2\/media?parent=291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}