Bone grafting is a surgical procedure that replaces missing bone in order to repair bone complex situations.
Overview Of Bone Grafting
When a bone which surrounds the root of the tooth is damaged or loosed, the person needs bone grafting. This method involves replacing the affected bone with a new one. This bone may be a person’s bone or an artificial bone. The purpose of the bone graft is to keep the teeth in place and help them grow again. Bone grafting is a great solution to replace bone tissue, which leads to bone regrow.
Type of Bone Grafting
- Autografts: An autograft, also referred to as an autologous or autogenous bone graft, is bone taken from the patient’s own body
- Allografts: An allograft is usually harvested from deceased donors
- Xenografts: A xenograft is taken from an animal source, typically a cow or pig.
- Alloplastic Grafts: An alloplastic graft is composed of a material that is not taken from an animal or human source. Alloplastic grafts can be derived from natural sources (such as elements or minerals), synthetic (human-made) substances, or a combination of the two
- Patients with bone loss and other preexisting condition
Before Bone Grafting
At first, an expert dentist examines the affected area and the general condition of the teeth and gums and also checks the medical history and all the medications taken include over-the-counter drugs, vitamins and supplements. The dentist also uses a radiographic image to assess the depth and width of the needed bone accurately. Sometimes, a CT scan is used for further investigation. Based on the results, the dentist will decide about the surgery plan.
During Bone Grafting
With the local anaesthesia, the area that needs a bone graft (the recipient area) and the area where the bone is removed (the donor area), both are anesthetized. The dentist makes an incision in the gum area, which is supposed to be grafted, to determine the amount and type of the needed bone. The donor’s bone is placed by using a titanium screw in its new place. Then a mixture of the patient’s bone marrow and another bone graft material is placed around the edges of the grafted bone. In the end, the surgeon places a protective layer over the grafting site and closes it.
After Bone Grafting
After surgery, with the loss of the sense of numbness, the patient will feel a little pain. Usually, this pain can be controlled by using painkillers and anti-inflammatory drugs, putting ice packs on the skin. This discomfort lasts for only a few days. In addition to the painkillers, the patient will receive antibiotics, and an antibacterial mouthwash and patient will be advised not to take some foods and not to put pressure on the area until healing is completed.