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

Contraindications

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

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

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.

General information about the procedure

Pros and cons of bone grafting

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

Characteristics Pros of grafting Cons of grafting
Restoration Restoration of bone tissue supporting teeth Risk of rejection of implanted material
Prevention Prevention of tooth loss due to periodontitis Possible infections at the site of surgery interventions
Implantation Creating 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, irritation in the operated area, slow wound healing, and rejection of bone material by the body are observed during the recovery period.

In 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.

Preparing for surgery

Preparing for bone grafting involves following these recommendations:

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

Before the surgery, you must take an X-ray and CT scan to assess the volume and quality of bone tissue. Do not eat after midnight the night before the 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. The final stage. After the intervention, the gum is 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 can 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

Incorrect performance of bone tissue 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.

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 Department of Dentistry, dentist-therapist
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
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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