Bone Grafting Bethesda and Washington, DC
Many different forms of bone grafting exist, and your specific options will be reviewed with you. We use several techniques in order to perform the most minimally-invasive treatment possible.
Ridge Preservation Bone Grafting
The bone ridge around our teeth exists for the sole purpose of supporting the teeth. When a tooth is lost, the bone and ridge width both shrink. This can prevent our ability to replace the tooth with an implant in the future. So, if a tooth requires extraction, and it’s not possible to place an implant immediately into the space, then a ridge preservation bone graft is done. Once the bone graft has sufficiently healed, an implant can then be placed.
Example of what happens when no ridge preservation bone graft is done:
Ridge Augmentation and Block Grafting
If a tooth has been missing for a while and no “Ridge Preservation” bone graft was done at the time of tooth removal, a ridge augmentation bone graft may be needed. This can include block grafting, an advanced procedure which involves the removal of a small piece of bone from the jaw in order to grow it at the site of the future implant.
The picture below is the same above case after ridge augmentation is performed, in order to allow for implant placement:
Note the bulking up of the tissue to restore the natural bone contours. This will Bethesda and Washington, DC patients a natural appearance and avoid the “look” that you see when something just doesn’t look right in someone else’s mouth.
Our back teeth in the upper jaw are positioned immediately below the maxillary sinus. When these teeth are lost, the sinus expands downward, leaving insufficient height for implants. In order to adjust for this, grafting bone into the sinus is done in order to bring it back up to the level where it used to be.
In this xray, the arrows are pointing to the sinus graft that was placed around the implant.
And this is what the same implant looks like in the mouth. It’s the 2nd tooth from the back on the top jaw:
Guided Tissue Regeneration
This procedure refers to bone grafting up against teeth. When a tooth has a “deep pocket”, bone has been lost around it. Sometimes, it’s possible to regenerate that lost bone with bone grafting.
This xray show bone loss on the side of the tooth:
Before bone grafting
After bone grafting
Bone grafting procedures with Dr. Puterman in the Bethesda and Washington, DC area are often enhanced with the use of advanced technology.