What Is A Bone Graft?

What Is A Bone Graft?

What Is A Bone Graft?

The bones of your jaw act as the foundation for an implant. However, without sufficient bone support it is not possible to replace a missing tooth with an implant.

Bone grafting is the procedure of regenerating this missing bone. 

Bone can be lost in a number of ways: gum disease, abscesses, trauma, and tooth extraction can all lead to bone loss.

Bone Graft Recovery

Bone Graft Recovery

Bone Graft Recovery

Following a bone graft there is a wide variance in what people experience which is dependent on the size and location of the bone graft, the patient’s physiology, and any medications that the patient may be taking.

You would generally expect to experience mild discomfort, swelling and bruising. Any discomfort will be managed with pain relief medications.

Swelling generally reaches it’s maximum point after 12-24 hours and then begins to subside. After this time, bruising may develop in some but not all cases. We prescribe medications after bone grafts to prevent against infection, and to make the recovery process easier.

Bone Graft Cost

Bone Graft Cost

Bone Graft Cost

The cost of a bone graft depends on the size and difficulty of the procedure, and also the type of materials used. The cost ranges from €350 for a socket graft to €2,000 for a large graft.

If using bone that comes from another source (i.e. a product that we buy in a packet from a dental supply company) the procedure tends to be shorter, but the product adds to the cost. If using bone from your own body there are less costs incurred for bone grafting products, but the procedure takes longer and is more technically challenging.

Benefits Of Bone Grafting

Regenerates missing bone

Creates a suitable foundation for dental implant placement

The procedure is painless

Helps to ensure longer term success for your dental implants

Prevents against bone loss around implants

Enables the placement of dental implants in people who have been missing teeth

Bone grafting is a safe and highly successful procedure

Enables the placement of dental implants in people who do not have enough bone

The Bone Grafting Procedure & Case Studies

  • During & After Assessment
  • Bone Graft Timing
  • Case Study Phase 1
  • Case Study Phase 2
  • Case Study Phase 3
  • Recovery & Cost - Further Reading
  • Post Bone Grafting Instructions
During & After Assessment
During & After Assessment

During & After Assessment

At your implant assessment appointment, we will take a three dimensional scan (cone beam CT) of your mouth to determine exactly how much bone there is available.

If there is insufficient bone, we can regenerate the missing tissue by means of a bone graft.

This involves placing an artificial material underneath the gum which, in time, fuses with your own bone to provide a solid foundation for a dental implant.

Bone Graft Timing
Bone Graft Timing

Bone Graft Timing

Small bone grafts may be carried out at the same time as implant placement, whereas larger grafts are generally carried out as a separate procedure and allowed mature for 3 to 9 months before an implant is placed.

Case Study Phase 1
Case Study Phase 1

Case Study Phase 1

Bird's eye view of a missing front tooth on a CT scan.

The oval shapes with the black dots (nerves) in the middle are teeth.

Outlined in red, there is a tooth missing and the bone dips inwards. As you can see, there is insufficient bone to place an implant.

Case Study Phase 2
Case Study Phase 2

Case Study Phase 2

This X-ray shows a snapshot of the regenerated bone (outlined in green) following a bone grafting procedure.

There is now enough bone available to place a successful implant and replace the missing tooth.

Case Study Phase 3
Case Study Phase 3

Case Study Phase 3

Once the bone has been grafted, a computer is used for 'virtual implant planning'.

This planing allows dentists to choose the optimal size and position of the dental implant.

Recovery & Cost - Further Reading
Recovery & Cost - Further Reading

Recovery & Cost - Further Reading

Recovery
Bone grafts generally heal better in people who keep their mouths very clean afterwards with good oral hygiene, and non-smokers experience better recovery and superior results than smokers.

Cost
The cost for any grafting procedure are determined at the time of your implant assessment appointment by using a three dimensional x-ray of your mouth to detect and assess the presence and size of any bone defects.

We also offer payment plans for bone grafting procedures.

Post Bone Grafting Instructions
Post Bone Grafting Instructions

Post Bone Grafting Instructions

  • Do not rinse your mouth out excessively for 1 week as you can dislodge the bone graft. When rinsing, hold the liquid gently in your mouth and let it fall out into the sink - do not spit.
  • Avoid excessive exercise and strenuous activity for the rest of the day.
  • Do not drink anything hot or alcoholic or smoke a cigarette for 24 hours after grafting.
  • No chewing on the side of the graft for 1 week.
  • No brushing on the socket until sutures have been removed. It is important to keep the rest of your mouth clean by brushing and flossing your remaining teeth as normal.

Failure to comply with these instructions may re-start bleeding. You may feel sharp edges in the socket with your tongue and small fragments of bone may work lose. This is normal.

If you have been given antibiotics you must finish the course even if the pain and/or swelling has disappeared.

What Our Patients Say

The staff are what make the place.

The staff are what makes the place. It's a really nice, friendly atmosphere. And it's really clean. I'd highly recommend 3Dental to my friends. Come sooner. Don't put if off for so long. It's not worth the wait.

Tom Palmer
Watch Now
cosmetic dentistry testimonial - tom palmer - 3dental Watch Video

What Our Patients Say

I would highly recommend.

I never had one problem. I'm just so happy I came here. I tell everybody. All my family. My daughter comes here now. I've everybody coming over. They're fabulous; from the minute you walk in, from reception to the dentists to everybody. I would highly recommend.

Mary Littlewood
Watch Now
dental bridge testimonial - mary littlewood - 3dental Watch Video

What Our Patients Say

It totally changed the way I think about dentistry now.

It was a long road for me to to pluck up the courage to come up to the dentist. I'm glad I did it now.

Mark Clark
Watch Now
cosmetic dentistry testimonial - mark clark - 3dental Watch Video

What Our Patients Say

A good experience from start to finish.

Peter put me at ease straight away. It was a good experience from start to finish.

Liam Conaughton
Watch Now
dental implants testimonial - liam conaughton - 3dental Watch Video

What Our Patients Say

It's amazing to.. just eat stuff normally!

I'm less self-conscious or embarrassed. I feel amazing because I don't have any of that (self-consciousness or embarrassment) anymore!

Andrew
Watch Now
Dental implants - Andrew Smith - 3Dental Watch Video

What Our Patients Say

I can't take the smile off my face now. You would never know it's an implant.

I can't stop smiling. It's (the dental implant) the right colour. It's the right shape. It's beyond my expectations. It's phenomenal!

Theresa Lowe
Watch Now
dental implants testimonial - theresa lowe - 3dental Watch Video
cosmetic dentistry testimonial - tom palmer - 3dental
dental bridge testimonial - mary littlewood - 3dental
cosmetic dentistry testimonial - mark clark - 3dental
dental implants testimonial - liam conaughton - 3dental
Dental implants - Andrew Smith - 3Dental
dental implants testimonial - theresa lowe - 3dental

What Our Patients Say

It's amazing to.. just eat stuff normally!

I'm less self-conscious or embarrassed. I feel amazing because I don't have any of that (self-consciousness or embarrassment) anymore!

Andrew
Watch Now
Dental implants - Andrew Smith - 3Dental Watch Video

What Our Patients Say

The staff are what make the place.

The staff are what makes the place. It's a really nice, friendly atmosphere. And it's really clean. I'd highly recommend 3Dental to my friends. Come sooner. Don't put if off for so long. It's not worth the wait.

Tom Palmer
Watch Now
cosmetic dentistry testimonial - tom palmer - 3dental Watch Video

What Our Patients Say

I would highly recommend.

I never had one problem. I'm just so happy I came here. I tell everybody. All my family. My daughter comes here now. I've everybody coming over. They're fabulous; from the minute you walk in, from reception to the dentists to everybody. I would highly recommend.

Mary Littlewood
Watch Now
dental bridge testimonial - mary littlewood - 3dental Watch Video

What Our Patients Say

A good experience from start to finish.

Peter put me at ease straight away. It was a good experience from start to finish.

Liam Conaughton
Watch Now
dental implants testimonial - liam conaughton - 3dental Watch Video

What Our Patients Say

I can't take the smile off my face now. You would never know it's an implant.

I can't stop smiling. It's (the dental implant) the right colour. It's the right shape. It's beyond my expectations. It's phenomenal!

Theresa Lowe
Watch Now
dental implants testimonial - theresa lowe - 3dental Watch Video

What Our Patients Say

It totally changed the way I think about dentistry now.

It was a long road for me to to pluck up the courage to come up to the dentist. I'm glad I did it now.

Mark Clark
Watch Now
cosmetic dentistry testimonial - mark clark - 3dental Watch Video
Dental implants - Andrew Smith - 3Dental
cosmetic dentistry testimonial - tom palmer - 3dental
dental bridge testimonial - mary littlewood - 3dental
dental implants testimonial - liam conaughton - 3dental
dental implants testimonial - theresa lowe - 3dental
cosmetic dentistry testimonial - mark clark - 3dental

Commonly Asked Questions

Why do I need a bone graft?

When a tooth is removed the part of the jaw bone holding it becomes redundant and begins to shrink away.

If you lose a lot of bone, there may not be enough remaining to securely hold an implant. A bone graft is then required to provide a solid foundation for your implant. 

Is there an alternative to having a bone graft?

If you want an implant, but there is insufficient bone, then an implant is impossible without a bone graft.

Your alternatives would then be either a denture or a bridge.

What bone grafting material do you use?

Bone grafts can be derived from four sources:

1) Elsewhere in your own mouth

2) Animal sources

3) From a different person

4) A synthetic material

Can I choose which bone grafting material is used?

The choice of materials is dependant on the size and position of the defect. We choose the material most likely to give us the best result for each individual situation.

If you have an objection to using any particular material then let us know and will will choose an appropriate alternative.

What is the best bone grafting material to use?

This is totally dependant on the position and size of the defect.

Will it hurt?

The procedure itself is totally painless.

Afterwards, when the anaesthetic wears off, there will be some discomfort which can be controlled with normal painkillers.

How do bone grafts heal?

There are four common sources of bone grafting material:

  1. Autogenous (your own bone)
  2. Xenograft (bone from an animal - typically cow)
  3. Allograft (bone from a human donor),
  4. Or a Synthetic material (usually derived from hydroxyapatite or tricalcium phosphate).

They each heal in different ways but in general they provide a scaffold for your body to grow blood vessels into and over a period of months the graft begins to become solid.

After 3-6 months most grafted sites are suitable to place implants. Autogenous bone is the gold standard and creates the closest thing to the original bone.

Am I put to sleep for a dental bone graft?

It is not necessary to get sedated for bone graft procedure.

However, if you don’t feel comfortable enough, or if you are nervous or anxious about it, you can discuss with the dentist.

The dentist can then outline the sedations options that you have.

 

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