Bone Grafting in Braintree, MA
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Bone loss in the jawbone is common when one or more teeth have been lost due to injury, decay, or trauma. Without the tooth in place to stimulate the jawbone, the bone around the missing tooth will begin to deteriorate. Over time, the jawbone may deteriorate to such an extent that there may not be enough bone to place dental implants. In cases such as these, Dr. Mone may recommend having a bone grafting procedure.
Bone grafting is the replacement or augmentation of missing bone around the teeth or to prepare areas of deficient bone prior to implant placement.
There are three types of bone graft procedures: autogenous, allograft, and xenograft.
Autogenous grafts take bone from one area of the patient’s body and transplant it to the location in the mouth being restored. The bone is usually taken from non-essential bones such as the chin area. The benefit of an autogenous bone graft is that the bone used comes solely from the patient thus reducing the likelihood of rejection and infection. The bone is also still “live”, meaning it still has active cellular material.
Allografts also use human bone transplanted to the area in the mouth being restored. However, allografts do not use the patient’s own bone. Instead, the bone usually comes from organ donors who have donated their organs as bone to tissue banks. All allograft bone material is carefully screened and is considered very safe. Dr. Mone is able to perform almost all bone augmentation grafts using this allograft bone in conjunction with newly developed growth factors that enhance bone response and healing. This minimizes the treatment process for the patient but not using additional sites in their mouths to collect bone.
Xenografts also replace bone in the area requiring treatment, however the bone comes from a non-human source. Usually the non-human source is bovine (cow). Allografts and Xenografts are used because they do not require a second surgical site to harvest bone and ample amounts of bone can be easily obtained.
Local anesthesia is used to numb the area where the bone graft will be placed. An incision is made in the gums around where the bone will be augmented. The allograft bone is prepared and growth factors are added to enhance the graft healing. The bone mixture is placed in the site and covered with a protective barrier usually made of collagen. The gum is the sutured to close the site to protect the graft.
After treatment antibiotics will be prescribed along with pain medication if required. Healing is generally uneventful. Use of ice packs and soft foods is recommended.
Healing is generally complete in 4 to 6 months at which time implants can be placed.
Dr. Thomas Mone, located in Braintree, MA, is a periodontist who serves patients from Boston, MA, Quincy, MA, and Miton, MA. We are looking forward to welcoming you to our office and encourage you to schedule your appointment today!