A lot of times before dental implant surgery, surgeons find that patients don’t have enough bone volume for placement of dental implants. The surgeon’s first approach to this problem is the placement of bone graft material to augment (expand and enlarge) the bone and create enough bone volume for predictable implant placement. The traditional approach of bone grafting requires big incisions, flapping of gums and placement of bone graft material, which can be harvested from the same patient in a different surgical site or utilizing bone graft material from another human, species or synthetic material. The traditional technique will require time for the bone graft to mature (3 to 6 months) and will subject the patient to postoperative swelling and pain.
With availability and ease of CT-Scans, the patient’s bone volume could be easily assessed before surgery. Understanding that bone is flexible and malleable, bone manipulation is a very good alternative to the traditional approach of bone grafting. It requires only very small incisions in the area where the implants need to be placed, with no need for any gum-flapping of the bone. Then, using surgical osteotomes, we can bend and expand the bone in the desired direction we desire, without any reflection of the gum tissue. This will create immediate adequate bone volume without the need to use any bone graft material. Because of not having any flap, the postoperative pain and swelling is almost none. The root-form implants are placed on the same day, with no need to wait. Even though this approach requires a high level of surgical skills, it saves the patient from undergoing extensive surgeries, swelling and post-operative pain, not to mention, time and money. In this blog, I included a pre and postoperative views of CT-Scan, showing how successfully patient’s bone was manipulated for optimum placement of root-form implants.
Advanced San Francisco Implant Dentist Mohamed Ali, DDS Explains Bone Grafting Procedure
Dental Implants at our San Francisco Dental Office by Mohamed Ali, DDS
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