Dr M P BRAVERMAN & Dr R P GREWAL - Certified Specialists in Oral and Maxillofacial Surgery  
  • Dental Implants
  • Wisdom Teeth
  • Extractions
  • Dentoalveolar Surgery
  • Pre-Prosthetic Surgery
  • Bone Grafting
  • Sinus Lift
  • Socket Grafting
  • Soft Tissue Grafting
  • Corrective Jaw Surgery
  • Facial Trauma
  • TMJ Disorders
  • Anesthesia
Bone Grafting, Sinus Lift, Socket Graft & Soft Tissue Grafting
Why do I need Bone Grafting?
Your jawbone is stimulated by your tooth roots; much like exercise stimulates your muscles. When you have missing teeth, your jawbone is no longer stimulated by the tooth roots, and it will shrink over time. When this occurs, there may not be sufficient bone required to place dental implants. Bone grafting is also used to repair supporting bone around your teeth that has been damaged by periodontal disease.
What is Bone Grafting?
Bone grafting is a procedure to rebuild bone in the bone deficient areas of your jaw. This allows for the placement of dental implants and for repair of the supporting bone around your teeth damaged by periodontal disease.
What does Bone Grafting Involve?
The bone used in the bone grafting procedure is either taken from your jaw, hip, or tibia (below the knee), or obtained from a tissue bank. Special membranes may be used to protect the bone graft and promote natural healing and bone growth – this is known as guided bone regeneration.
What are the Benefits of Bone Grafting?
By regenerating bone tissue, patients who previously did not qualify for the placement of dental implants due to insufficient bone, can now become candidates for this tooth replacement procedure.
For patients affected by periodontal disease, bone grafting will repair the supporting bone around your teeth significantly improving your oral health. Bone grafting will also increase the stability and strength and increase the longevity of your natural teeth as they will now be supported by adequate bone in your jaw.
Overall, the functionality of your teeth and your esthetic appearance will dramatically improve.
  Bone Loss Due to Missing Teeth   Bone Grafted to replace Lost or Deficient Bone   Dental Implants Placed After Bone Regeneration  
Sinus Lift
Why do I need a Sinus Lift?
If you have lost bone in the upper back jaw due to tooth loss or periodontal disease, there may not be enough bone for the placement of dental implants.
A sinus lift (or sinus augmentation) can correct this issue by lifting the sinus floor and placing an adequate amount of substitute bone to make dental implant placement possible.
What is Involved in Getting a Sinus Lift?
In order to add bone to your upper jaw, between your jaw and the maxillary sinuses, the sinus membrane is lifted, and the bone is placed.
As with bone grafting, the bone used in the sinus lift is either taken from your jaw, hip, or tibia (below the knee), or obtained from a tissue bank.
After the sinus augmentation, the bone will integrate with your jaw. This takes anywhere from four to twelve months, depending on the type of bone material used and on your individual needs.
  Figure 1 : Sinus Area that has Drooped or Fallen from Bone Loss   Figure 2 : Insufficient Bone Around Sinus Area Prevents Placement of Implants   Figure 3 : After Sinus is Lifted, Area is Filled with Bone Like Material   Figure 4 : With Sufficient Bone, Dental Implant Can be Placed  
What are the Benefits of a Sinus Lift?
Patients with missing teeth or inadequate bone loss due to periodontal disease may not qualify for the placement of dental implants, and may have to resort to alternate teeth replacement options like loose and uncomfortable dentures.
Sinus lifts can provide such patients with adequate bone in the upper jaw for the placement of dental implants.
Socket Grafting:
What is a Socket
A socket is the area of the bone where the tooth is rooted. When advance periodontal disease or injury has caused extreme deterioration to bones and teeth, the tooth socket may need to be reconstructed.
What is Socket Grafting?
When a tooth has suffered extensive damage or has been lost, it may require socket grafting. Socket grafting is a procedure which rebuilds the bone to allow for tooth replacement by a dental implant or bridge restoration. The bone which surrounds the tooth socket deteriorates very quickly once a tooth is removed.
If a socket continues to be empty after tooth loss, the accelerated bone loss can impact adjacent teeth. Thus, it is incredibly important for appearance and health to rebuild the socket quickly after tooth loss.
What is Involved in Socket Grafting?
If the tooth has not already been removed, the remaining tooth will be extracted. All remaining root particles will be removed to leave a clean empty socket. Bone grafting material will then be placed into the socket, which will build it into a firm foundation for reconstruction. There are several types of bone grafting material available and Dr. Braverman and/or Dr. Grewal will choose the appropriate type to suit your needs.
There is an extended healing time for the grafted material to fully combine with your natural bone. The healing process must be complete before continuing with the restoration. Once the new bone is fixed, implants or bridgework can be implemented to restore full function. Socket grafting allows ineligible patients for dental implants, eligible candidates for that type of restoration.
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