Bone Grafting

What is Bone Grafting?


Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants.

Today, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance.

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Major Bone Grafting

Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease or injuries. The bone is either obtained from a tissue bank, bone substitute suppliers,or your own bone is taken from your jaw or hip. Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum and protect the bone graft and encourage bone regeneration. This is called guided bone regeneration or guided tissue regeneration.

Major bone grafts are typically performed to repair defects of the jaws. These defects may arise as a result of traumatic injuries, tumor surgery, or congenital defects. Large defects are repaired using the patient’s own bone. This bone is harvested from a number of different sites depending on the size of the defect. The skull (cranium), hip (iliac crest), and lateral knee (tibia), are common donor sites. These procedures are routinely performed in an operating room and require a hospital stay.

Cosmetic Dentistry Presentation

To provide you with a better understanding of cosmetic dental treatments, we have provided the following multimedia presentation. Many common questions pertaining to dentistry are discussed.

Cosmetic Dentistry Presentation

Sinus Lift Procedure

The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.

There is a solution and it’s called a sinus graft or sinus lift graft. The dental implant surgeon enters the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and donor bone is inserted into the floor of the sinus. Keep in mind that the floor of the sinus is the roof of the upper jaw. After 6 to 8 months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in this new sinus bone.

The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures.

If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.

Ridge Expansion

In severe cases, the ridge has been reabsorbed and a bone graft is placed to increase ridge height and/or width. This is a technique used to restore the lost bone dimension when the jaw ridge gets too thin to place conventional implants. In this procedure, the bony ridge of the jaw is literally expanded by mechanical means. Bone graft material can be placed and matured for a few months before placing the implant.

These procedures may be performed separately or together, depending upon the individual’s condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region, or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient’s own bone for repairs, we generally get the best results.

In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and used to promote the patients own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation. We even use factors from your own blood to accelerate and promote bone formation in graft areas, such as platelet rich plasma and recombinant bone morphogenetic protein.

These surgeries are performed in the out-office surgical suite under IV sedation. After discharge, bed rest is recommended for one day and limited physical activity for one week.

Do You Have Missing Teeth or Serious Pain in Your Teeth or Jaw?

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Madison Avenue Oral & Maxillofacial Surgery Associates, LLC

5 out of 5 stars based on 7 Bone Grafting reviews

Our Latest Patient Testimonial

"I recently underwent an implant procedure with Dr. Press and his amazing team, and I cannot recommend them enough! From start to finish, my experience was exceptional. Dr. Press is an incredibly skilled oral surgeon who took the time to explain the procedure and answer all of my questions. His expertise and professionalism put me at ease, and I felt confident that I was in the best hands. The support staff was equally impressive - they were friendly, compassionate, and went above and beyond to ensure my comfort throughout the entire process. They took great care to explain post-operative instructions and were always available to address any concerns I had. Overall, my experience with Dr. Press and his team was exceptional, and I would highly recommend them to anyone in need of oral surgery. Their commitment to excellence and patient care is truly outstanding." I hope this review helps others who are considering Dr. Press and his team for their oral surgery needs.

- Jorge V

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Our Latest Patient Testimonial

I had terrible jaw pain was in the office many times, and the staff and the doctor were both very compassionate. Can’t say enough about it. It was a rough time but I got through because of them. Thank you very much to everyone in your office.

- Sheryl D

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Our Latest Patient Testimonial

I was in mild pain for many weeks. My dentist did a full set of X-rays showings nothing. She suggested a mouthguard and thought it was TMJ even though I never had that Physical Therapy.. At some point it was getting worse. I went to a dentist/md at University hospital in Newark. He said the mouth guard was a wrong fit and type. Back to dentist. Pain became unbearable. My MD put me on oral antibiotics for 48 hours and if not better needed a ENT doctor as it might be a salivary gland problem or stone. Went to ENT..In 2 minuets, he said not salivary but teeth. He had his assistant walk me over to Dr Press' office. I had no appointment. He saw how bad my situation was and took out my wisdom tooth which an X-ray showed was over a nasty infection. He was very thorough and accommodating and pro active with my situation. He thought I might need intravenous at this point and had me back in 36 hours. At that point, the pain was unbelievable and I needed to be admitted to Morristown Medicatl Center. He called over to the on call oral surgeon and got me on intravenous meds quickly. I was in the hospital 6 days. Dr Press came and put an outside drain in and then took it out 4 days later. I have been followed by his office and just discharged. I cannot say enough good things about Dr. Press. He has an impeccable reputation and I can see why.

- Marlene G

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Our Latest Patient Testimonial

Going into my appt. for a wisdom tooth extraction, I was highly anxious. From the moment I met the first medical team member, my fears were tamped down and everyone treated me with warmth and kindness and answered all of my questions honestly and with concern. Dr. Press reviewed the entire procedure and the post-procedure expectations clearly. The procedure itself was so quick and so painless (truth!); I am so appreciative of everyone who took care of me from arrival through check out.

- Kara M

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If your looking for an oral surgeon, I highly recommend Dr. Kenneth Press. Everyone is afraid of a dentist, but his staff and the Doctor immediately makes you feel comfortable and relaxed. I had a tooth pulled expecting some discomfort which never happened. Amazing to say, Not one discomfort or side effect. I walked out with no pain, and back to work the same day! Looking forward to another tooth pulled 🙂

- Jackie S

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Everyone in the office is so kind and caring. Dr Press is very professional and an excellent surgeon.

- Erin T

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Overall, a great experience!

- John S

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