Understanding Bone Grafting in Dental procedures: A Comprehensive Guide

Enhance Your Jawbone Level With Bone Grafting!

Were you told that you do not have enough bone level to replace your missing teeth

We might be able to provide a solution to your problem. We might be able to augment your bone level by performing a procedure called bone grafting. You can’t grow new teeth, but dental implants are the next best thing. Bone grafting is a surgical technique that replaces and rebuilds diseased or damaged bones using transplanted bones.

Bone Grafting Process

Bone Grafting Process

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Frequently Asked Questions on Bone Grafting

What is bone grafting?

Bone grafting is a surgical technique that replaces and rebuilds diseased or damaged bones using transplanted bones.

What are the types of bone grafting materials?

There are four main types of bone grafting:
  • Autograft is the bone of the patient itself. It is harvested mainly from the iliac crest or chin area. Since it contains living cells and human growth factors, it is the perfect bone replacement.
  • Allograft bone is extracted from humans other than the individual receiving it. It can be removed from cadavers or living donors (tissue harvested from hip replacement surgery). It has the composition and structure of natural bones.
  • Alloplast is a synthetically produced bone graft material from hydroxyapatite (a naturally occurring mineral) so that there is no chance of transmission of the disease. Calcium phosphate-based ceramics such as hydroxyapatite (HA) and tricalcium phosphate (TCP) are the most common alloplastic materials.
  • Xenograft bone replacement originates from a non-human animal such as bovine bone (or recently porcine bone) that can be freeze-dried or demineralized and deproteinized.

Why was I recommended bone grafting?

Bone grafting might be required in the following situations –
  • Missing teeth
  • Periodontal diseases
  • Misaligned teeth
  • Support for dental implants

What is Bone Morphogenic Protein (BMP)?

The active ingredient in BMP (rhBMP-2) is a manufactured version of a protein that promotes new bone growth already present in the body. Due to their capacity to repair bone and remove the need for bone graft harvesting from other parts of the body, these BMPs (rhBMP-2) have been approved by FDA for use in many spinal, tibial and oral surgeries. In the bone itself, naturally occurring BMP is contained, but only in small quantities. It must be processed in a special facility to have clinically valuable and reproducible amounts of extracted human BMP.

What are the indications of dental bone grafts?

The various indications of bone graft materials are -
  • In the tooth socket after removal of the tooth
  • Replacement of a local bone defect due to trauma or infection
  • To fill a defect around the implant caused by a condition called peri-implantitis
  • For increasing the height of the mandible and maxilla
  • For enhancing the width of the maxilla and the mandible

How is bone grafting done?

Bone grafting, usually a small surgical procedure performed in the dental office, is used to put up new bones that retain teeth in the area of your mouth. A tiny incision is made in your gum to reveal the bone underneath it, and then grafting material is applied.
The grafting material is the most frequently processed bone that acts as a scaffold, around which your body can deposit new bone cells. Your body will finally absorb the grafting material and substitute it with your new bone.

The appropriate grafting material may come from many sources. It comes from your own body sometimes. However, more frequently, it is an animal or human donor's bone treated by a laboratory to make it sterile and healthy. The grafting material may also be synthetic. It comes in many forms: powder, granules, putty, or even a gel injected with a syringe.

What is Platelet Rich Plasma (PRP)?

Platelet Rich Plasma (PRP) is a blood (plasma) by-product that is rich in platelets. In this, platelets are separated from a sample of your blood. PRP can help in accelerating the healing process after bone grafts, extractions, or implants.

What is Platelet Rich Fibrin (PRF)?

Fibrin is a platelet reservoir that will slowly release growth factors and cytokines, which are essential factors for bone regeneration and soft tissue maturation. Platelet-rich fibrin (PRF) is an autologous platelet concentrate prepared at the dentist's office, just before the oral/dental operation, from the patient's blood.