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Bone Grafting

Bone grafting is often closely associated with dental restorations such as bridge work and dental implants. In the majority of cases, the success of a restoration procedure can hinge on the height, depth, and width of the jawbone at the implant site. When the jawbone has receded or sustained significant damage, the implant(s) cannot be supported on this unstable foundation and bone grafting is usually recommended for the ensuing restoration.

There are several major factors that affect jaw bone volume:

  • Periodontal Disease – Periodontal disease can affect and permanently damage the jaw bone that supports the teeth. Affected areas progressively worsen until the teeth become unstable.
  • Tooth Extraction – Studies have shown that patients who have experienced a tooth extraction subsequently lose 40-60% of the bone surrounding the extraction site during the following three years. Loss of bone results in what is called a “bone defect”.
  • Injuries and Infections – Dental injuries and other physical injuries resulting from a blow to the jaw can cause the bone to recede. Infections can also cause the jaw bone to recede in a similar way.

Reasons for bone grafts

Bone grafting is a highly successful procedure in most cases. It is also a preferable alternative to having missing teeth, diseased teeth, or tooth deformities. Bone grafting can increase the height or width of the jawbone and fill in voids and defects in the bone.

There are essentially two basic ways in which bone grafting can positively impact the health and stability of the teeth:

Jaw Stabilization – Bone grafting stabilizes and helps restore the jaw foundation for restorative or implant surgery. Deformities can also be corrected and the restructuring of the bone can provide added support.

Preservation – Bone grafting can be used to limit or prevent bone recession following a tooth extraction, periodontal disease, or other invasive processes.

Oral Examination

Initially, the dentist will thoroughly examine the affected area in order to assess the general condition of the teeth and gums. If periodontal disease is present or the adjacent teeth are in poor condition, these factors will be fully addressed before the bone grafting procedure can begin. The dentist will also recommend panoramic x-rays in order to assess the precise depth and width of the existing bone. On occasion, a CAT scan may be recommended to determine the bone condition. Depending on these results, the dentist may also anesthetize the area and explore into the gum in order to determine what kind and how much bone is required.

What Does Bone Grafting Involve?

There are several types of bone grafts. Your dentist will determine the best type for your particular condition.

Autogenous Bone Graft - Harvested from the patient’s own body (usually from the posterior part of the lower jaw or the chin). This method is usually preferred because it produces the most predictable results.

Allograft Bone Graft - Cadaver or synthetic bone is used in this type of graft.

Xenograft - Cow bone is used in this type of graft.

The bone grafting procedure can often take several months to complete. Bone is typically harvested from your own body (or on rare occasions obtained from a “bone bank”) and added to the affected site. This bone will fuse with the existing bone and the migration of cells will cause firm adhesion and cell growth. Supplementing the jaw with bone will result in greater bone mass to help support and anchor the implant(s).

During the surgery, the dentist will numb the grafting and extraction sites using local anesthetic. A small incision will be made to prepare the site for the new bone and it will be anchored into place. On occasion, a synthetic membrane may be used to cover the new bone. This membrane prevents soft tissue and bacterial invasions, and encourages new bone growth. The surgery does not require an overnight stay, and you will be provided with comprehensive instructions for your post-operative care. The dentist will prescribe medications to help manage infection, discomfort and swelling.

Testimonials.

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Testimonials

I loved my experience at Dr. Lopez's office. 20 years ago I had several unsightly metal fillings put in my mouth. Also, I've worn my teeth down by grinding considerably over the years. As I grew older, my teeth did not look good to me when I smiled. In July of 2015, I wanted to have all of the metal fillings in my mouth removed, and one of the fillings in particular had already cracked the tooth that it filled. Initially, I was very nervous, but Dr. Lopez and his staff completely put me at ease from the time I walked in the door. The way he rebuilt the grinding damage on my back teeth is remarkable. He is not only a great dentist but a gifted architect and engineer at the same time. I didn't even feel the numbing shots at all, and I actually fell asleep in the chair during the procedure thanks to Dr. Lopez's relaxing demeanor and the calming music in the room. To my wife, I affectionately refer to him as Dr. Lopezzzzzz, now, since I did fall asleep. I would recommend Dr. Lopez to even my closest family. Thank you, again, Dr. Lopez.

Chase H

I went to Dr. Lopez to get veneers on eight teeth (upper, front). From my initial consultation to getting my temporary veneers put in today, I have been consistently impressed by his practice. The entire staff operate as a single, professional team. Extremely courteous, knowledgable, and accommodating, they do everything they can to help patients feel both comfortable and fully informed of everything that goes on during their visit.

My process with the veneers thus far has been extremely smooth and easy. Despite what you may read on the Internet from other people who have gotten veneers elsewhere, Dr. Lopez goes through great measures to ensure that your experience is pain and worry free. He is truly a master at his craft, and his vast experience in the dental profession (equally reflected in his accolades) definitely shows.

I have a check-up for the temporary veneers in the next couple of weeks, and the permanent veneers will arrive shortly thereafter. I have full confidence that the rest of this process will go just as well as it has so far, especially after my visit today. Highly recommend this office for your dental needs. 5/5 stars.

Jason H

I have never liked going to the dentist because of painful past experiences. Shots, rough cleanings, etc. On my first visit, I had a cleaning . There was no pain. I was impressed. And a recent event that required shots, and extractions had me concerned about pain, but Dr. Lopez reassured me not to worry. As he began the shots,NO PAIN AT ALL!!! I was more than impressed! I knew I had found my dentist. Dr. Lopez and his staff are kind, gentle, professional, and the atmosphere is very relaxed and pleasant! I am very pleased, and highly recommend him!!!

Robin T

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Dr. Juan R. Lopez
Phone: 580-536-9647
6941 West Gore Blvd.
Lawton, OK 73505