Osteoplasty for periodontitis

Osteoplasty in dentistry is used to restore bone tissue. During the procedure, the surgeon uses biocompatible bone substitutes. They promote bone regeneration, strengthen teeth and prevent their loss. The appearance and condition of the gums also improves, which is important for overall oral health.
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Main advantages

The main advantages of bone grafting during implantation are the rapid preparation of the bone for dental implantation. The operation provides a strong foundation for reliable fixation of implants, increases their effectiveness and durability.

In addition, bone tissue restoration helps to correct facial contours and improve the aesthetics of a smile. This effect has a positive effect on patients’ self-esteem and confidence.

Main advantages

Types of bone grafting

Depending on the anatomy of the jaw, surgeons choose the appropriate type of operation.

If the defect is located in the area of the chewing teeth of the upper jaw, a sinus lift is used. This technique involves carefully displacing the floor of the maxillary sinus and filling the resulting space with bone material.

For the lower jaw, the following methods are used:

  • Guided bone regeneration Provides safe restoration of bone tissue. During the operation, the doctor uses growth stimulants, which results in an increase in bone mass without the risk of complications
  • Splitting of the alveolar process Used to increase the width of bones. Suitable for particularly dense bone structures, but has an increased risk of injury
  • Bone augmentation for implants after cyst removal A pathological neoplasm on the upper part of the tooth root thins and destroys the bone. After its removal, the doctor strengthens the jaw, filling the voids with osteomaterial, which subsequently forms the bone
  • Curie technique Used extremely rarely. Its essence lies in the use of the patient's own graft. The operation is performed for serious injuries, a special structure of the jaw and significant atrophy of bone tissue. The healing period of the bone block can reach up to six months
  • Osteoplasty in the frontal zone Suitable for both upper and lower jaws. There are no special differences in execution

General information about the procedure

Pros and cons of bone grafting

We invite you to familiarize yourself with the main advantages and disadvantages of bone grafting in dentistry:

Characteristic Pros of plastic surgery Cons of plastic surgery
Recovery Restoration of bone tissue that supports teeth Risk of implanted material rejection
Prevention Preventing tooth loss due to periodontitis Possible infections at the surgical site
Implantation Creation of sufficient bone volume for implantation The need for a long recovery period
Aesthetics and functionality Improving the aesthetics and functionality of the dentition High cost of the procedure
Service life Increasing the service life of dental implants Pain after surgery

Many patients are interested in complications after bone grafting in dentistry. Plastic surgery usually does not cause negative consequences. In rare cases, during the recovery period, irritation in the operated area, slow wound healing, and rejection of bone material by the body are noted.

At the K+31 clinic in Moscow, the operation is performed by experienced professionals. You can find out the prices for bone grafting in dentistry on the website or by phone.

Preparation for surgery

Preparation for bone grafting involves following these recommendations:

  1. Stop taking aspirin
  2. Quit smoking 3-5 days before the intervention
  3. Tell your doctor about fever and any other symptoms. In some cases, it is advisable to postpone surgery until health is fully restored

Before surgery, it is necessary to undergo an X-ray and computed tomography to assess the volume and quality of bone tissue. Avoid eating after midnight the night before surgery to minimize the risk of complications during anesthesia.

Stages of the operation

First, the doctor discusses the treatment plan with the patient, the choice of technique and material for bone grafting. Before the operation, it is necessary to undergo an examination, tests and hardware tests.

The operation consists of the following steps:

  1. Anesthesia The procedure begins with local anesthesia. In rare cases, sedation is used
  2. Make an incision in the gum to access the bone and build up bone tissue using a bone graft
  3. Final stage After the intervention, the gums are closed and sutures are applied

The operation is aimed at stimulating the body's defense mechanisms and bone regeneration. For better engraftment of the material, Harvest PRP technology is used. It involves the use of platelet-derived plasma (PRF membrane), which contains growth factors. They promote bone maturation and accelerate healing. During surgery, the membrane is placed on the top layer, which helps prevent inflammatory reactions and promotes bone tissue regeneration.

Recommendations for post-operative recovery

Recovery after surgery usually takes up to one week. At this time, pain and swelling may occur. To reduce discomfort, follow a number of rules:

  1. Take pain relievers, antihistamines, and antibiotics to prevent infections
  2. Use antiseptics to prevent infection in the surgical area
  3. If pain increases or throbbing occurs, consult a doctor immediately
  4. Avoid excessively cold or hot foods, eat semi-liquid foods
  5. Go to bed on the side that was not operated on
  6. Refrain from smoking, alcohol, visiting baths and saunas

PRP plasma lifting has proven itself well. The procedure reduces hematomas and swelling, and alleviates the patient’s general condition.

In addition, microcurrent therapy helps reduce pain and spasms while improving circulation for faster healing. Together, all techniques contribute to a more comfortable and faster recovery.

Alternatives to bone grafting

If there are contraindications to bone grafting with subsequent installation of implants, the doctor may offer the patient the following alternatives:

  • Basal implantation. It involves installing implants into the deep layers of bone. It is performed when several teeth are missing. The main disadvantage of the method is the high risk of rejection and limited service life of the implants
  • Short and thin implants. They are less traumatic for the patient, do not require bone augmentation, but have a limited area of ​​contact with bone tissue. Because of this feature, their stability and durability are reduced
  • Dentures. Suitable for partial or complete loss of teeth. However, they cannot completely imitate the feel of natural teeth and require more careful care
  • Dental bridges. They are fixed on adjacent teeth, creating a “bridge” over the gap. Often lead to wear of the supporting teeth, which subsequently requires their replacement
  • Mini implants. A good choice for patients with weak bone tissue. Compared to traditional implants, they are less stable and durable

An innovative but understudied alternative is regenerative therapy. It involves the use of stem cells and tissue engineering to stimulate bone growth. The application of this method requires additional research.

Risks and complications of bone grafting

Contraindications
  • Immune diseases
  • Oncology
  • Bleeding disorders
  • Diseases of the cardiovascular system

Incorrect performance of bone grafting can cause inflammatory processes. One of the serious risks is the rejection of bone fragments, which occurs when the graft is incompatible with the patient’s body. In this case, a repeat operation is required.

Another possible consequence is deformation of the alveolar surface of the jaw. It entails additional health problems and reduces the functionality of the oral cavity.

There is also the possibility of difficulties with the integration of the implant into the patient’s bone tissue, which entails its detachment during installation.

Selection of materials for bone grafting

In surgery, a variety of materials are used to restore bone tissue. The most common include:

  1. Autogenous materials are grafts taken directly from the patient. Provide excellent biocompatibility. They are usually removed from the chin area or near the wisdom teeth. Although such materials reduce the risk of rejection, obtaining them requires additional surgery
  2. Allogeneic materials are donor bones, which, after special treatment, are gradually assimilated by the body, which promotes recovery
  3. Xenogeneic grafts are made from the bones of animals, most often cattle. They undergo special treatment, do not cause allergies and are effectively used in plastic

Sometimes synthetic materials are used, such as hydroxyapatite or calcium phosphate. They come in powder form and help minimize the risk of infection while providing adequate bone volume.

Osteoplasty during implantation

When there is not enough bone tissue to install implants, osteoplasty is used. Insufficient bone volume can be caused by trauma, tooth loss, periodontal inflammation. To create the required bone volume, the surgeon implants bone chips or synthetic substitutes, which creates a solid foundation for installing implants.

After a healing period of up to 10 days, the bone tissue fuses with the material. A healthy jaw ensures successful and long-lasting fixation of implants, excellent functionality and aesthetics of the dentition. You can discuss the prices for bone grafting during implantation at a doctor's appointment at our clinic.

Answers to popular questions

Dentists-surgeons of the K+31 clinic answered the most frequently asked questions about bone grafting.

Is it possible to perform implantation with bone grafting simultaneously?

Yes, it is possible. With a small amount of bone tissue, the surgeon builds up the bone and places the implant.

Is it possible to place an implant without bone grafting?

Implant placement without grafting is possible if the bone tissue is dense and voluminous enough to support the implant. If the bone is weak or thin, bone grafting is required to ensure the implant's stability.

What are the causes of bone tissue deficiency?

Bone deficiency can be caused by periodontitis, prolonged absence of teeth, injuries, or infections. If a tooth is missing for a long time, the bone atrophies because it does not receive the necessary load.

Is the procedure painful?

"As a rule, the bone grafting procedure does not cause pain during the intervention itself, as it is performed under local anesthesia. However, discomfort and mild pain may occur after surgery, which can be relieved with painkillers,” says the doctor.

Why is a membrane used in bone grafting?

A membrane is used in bone grafting to protect the bone material from rapid resorption and prevent gum tissue from growing into the bone formation area. This promotes more effective and controlled bone tissue regeneration.

What brands of bone materials are used?

During bone grafting, doctors use materials from well-known brands: Bio-Oss, Geistlich, and Maxresorb. They are known for their high quality and biocompatibility, which contributes to successful bone tissue regeneration.

What materials are used for bone grafting?

Different types of materials are used in bone grafting: autogenous bone (taken from another part of the patient's body), allogeneic bone (from a donor), or synthetic materials.

Are there any contraindications for bone grafting?

Contraindications for the procedure include severe chronic diseases, coagulation disorders, immune disorders, active infections in the surgical area, and smoking, which can negatively affect the healing process.

Our doctors

Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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As a patient, I can see the doctor's attention and attitude during the appointment and pain relief. What I saw was that Yukova M.R. is a responsible, attentive and caring doctor who helped me save a tooth from extraction. Today, during an appointment, another dentist-orthopedist in another clinic took a picture and praised the work and asked for contacts where and who treated this tooth. Top class! Thank you again!!!
09.11.2024
Sagidova S.P.
Valentina Frantsevna is the only doctor I have trusted with my teeth for several years now. An excellent specialist, a professional in her field, always an ideal result. I am very glad that I found my doctor! I recommend
19.10.2024
Semenova Elena Alexandrovna
Thanks to Elizaveta Andreyevna for the treated teeth. A wonderful, sensitive, caring, very attentive doctor. I liked her as a specialist, she found all the problem teeth, treated them without causing pain. I highly recommend the dentist. The quality of her work is top notch!
19.08.2024
Marina Aksenova
Thank you very much to Dr. Omar for the parental happiness that the doctor gave us!... Where and to whom we took Maxim... We had hysterics, both our Maxim and we were under enormous stress. In other clinics, doctors sang songs to him, danced and showed him all kinds of cartoons, everything was useless. They only told us to do general anesthesia..... And now we get to Dr. Omar.... MAGIC!!!.... Maksimka leaves the doctor with her teeth cured and makes an appointment to meet again as soon as possible!.... So we cured all our teeth with a smile and great gratitude. Every week he asks to meet with the doctor, just to see if new holes have appeared there..... DOCTOR FROM GOD!!!.... I wish there were more such doctors, not only for children, but also for adults. With great respect and love, your regular clients clinics (Zaitsev sisters, Tatiana and Elena)
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Zaitseva Tatyana
An excellent doctor. The easiest way to remove an eight. fast and low-traumatic operation. Easy and painless recovery. All this thanks to the golden hands of the doctor.
31.07.2024
Sergey
I came to Elena Nikolaevna with acute toothache, 07/28/2024. The tooth was badly damaged, it was difficult to eat and sleep. Thanks to Elena’s careful treatment and approach, I began to feel much better. Very attentive doctor, one of the best dentists in my life. Thank you very much for your welcome.
28.07.2024
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Great doctor! This is something amazing, such a non-traumatic removal! Just some miracles!
26.07.2024
Julia K.
I went to Sergei Olegovich to remove my eights. The case was difficult: they did not erupt, grew strictly horizontally, sat deep in the gums, and even very close to the nerves. I was terrified of deleting them. First, I came to Sergei Olegovich for a consultation. He looked at my picture, immediately described all the nuances of the extraction, and advised me to remove the teeth under sedation, which I am very happy about. At the second appointment, I was put to sleep and I woke up without teeth and without memories of the operation. Sergei Olegovich described all the “side effects” of rehabilitation by day, when what will hurt and how, when there will be swelling and what to do in these situations. Everything happened exactly according to the timing that he predicted. Within a week, all the swelling went down and everything went away. I definitely recommend this doctor.
12.07.2024
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I was looking for a doctor’s appointment with a microscope. I'm glad I ended up with Olesya Kayinbekovna. Great specialist, polite, balanced! I am grateful to her for her genuine desire to help.
12.07.2024
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I am very pleased with the work of Dr. Irina Yuryevna Nikolaeva, she is an excellent dentist. She dealt with my caries quickly and without any pain. An attentive, kind, professional attitude towards the patient captivates and forces you to reciprocate with a review)
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