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Why you may need bone grafting?
It is essential to examine the quantity and the quality of the bone before beginning the dental implant procedure. In order to make sure that dental implants work effectively in the long term, a stable foundation, i.e. adequate bone is an absolute necessity.
Anyone who would like to have a dental implant, needs to avoid delaying the procedure for too long. If the missing teeth are left untreated for an extended period, both the gums and the bone will start to atrophy over time. Once bone mass is gone, bone graft will be a necessary part of a dental implant.
During the process of bone graft, the patient does not feel any pain. In most cases, the procedure can be performed under local anesthesia or general anesthesia.
There are different types of bone grafts for dental implants:
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lifting up of the maxillary sinus (sinus lift)
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increasing the width of the alveolar ridge (horizontal augmentation)
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the jawbone is elevated (vertical augmentation)
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and along with these, mucosal reconstructive surgery is often performed.

Bone-grafting materials

Synthetic bone substitute
Natural bone substitute
The natural bone substitute is sterilised animal tissue enriched with appropriate minerals. Through so-called ‘guided tissue regeneration’, the human body identifies the replacement as natural bone tissue. Thanks to the added ingredients, the material seals into the patient’s bone tissue and starts to grow in the gap until it finally fills it completely. The bone substitute merges with the surrounding area and becomes part of the body in 6-8 months.
The process of bone grafting
During the bone graft procedure, we rebuild the bone material when there is not enough quantity and quality of bone available to perform the dental implant.
In the bone replacement process, we may use biomaterials or take the bone from another area within the mouth.
1. In most cases, granules are used for bone graft. This method is very successful, as these substitutes stimulate and promote the formation of new bone tissue in the area. When sealing these areas with granules, we also cover with collagen membranes, and we leave the area to heal.
2. Bone grafting is also possible by transplanting your own bone tissue. In this case, they will take the required size of bone from a given area of the jawbone. The graft will be held in place with titanium screws, and covered with special membranes – its selection varies. Bone replacement is performed under sterile conditions and can be performed under local anesthesia as well as conscious sedation. The recovery time is 3-6 months on average. The method of bone grafting procedure (e.g. lateral augmentation, sinus lift) is individually planned, as it is based on the evaluation of case-specific and preoperative Cone Beam CT scans.
