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Surgery of the oral system - Bone Grafts

12/30/2022

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There are many amazing things about bone in the human body. Many people consider the bone to be the hardest piece of tissue in their body, but it has the ability to regenerate large sections of itself with the help of a bone graft. Modern technology has improved safety and predictability in bone grafting procedures over centuries.  Oral surgery procedures often require bone grafts to restore bone integrity, allowing patients to resume a high quality of life after treatment.

Bone Grafting: A History

A Dutch doctor, Dr. Jacob van Meekeren, performed the first recorded bone graft in 1668 when he placed a piece of canine bone inside a soldier's skull. Ideally, this new fragment would heal the wound by growing around the new bone. Upon removing it, the doctors discovered that the xenograft had fully integrated into the patient's skull, so they discovered it in its original form.  Bone grafting was not widely used until 150 years after the first experiment. The first recorded autograft occurred in 1821, and the first documented allograft took place in 1881 when a humeral bone was fused with a tibial bone sample.

Bone grafting's benefits and limitations were sufficiently understood by 1950 for the very first bone bank to be established. During the 1960s, a new understanding of demineralized bone matrix and bone morphogenic protein was discovered as a result of this knowledge. It can be argued that the advancement of osteoconductive, osteoinductive, and osteo-promote materials over the past 50 years is one of the most significant contributors to the fact that bone grafting is now a predictable process for surgeons, by making it an easier procedure.

​Oral surgery bone grafting

All bones in the body can benefit from bone grafts. However, oral surgeons have been able to achieve brilliant things with this technology. It is very rare for the jaw bone to disintegrate after the loss of a tooth, making it a fragile bone. Dental implants are frequently sought by patients who are experiencing jawbone loss. This bone can be restored with bone grafting technology, dental implants can be inserted, and other procedures can be performed.

In bone grafting, either your own bone or bone taken from a tissue bank is used to make the graft since bone is the main component. The bone graft is used where neither bone nor bone growth is present, such as in cases of repairing implants or gum disease, or for those procedures which require the growth of bone, such as sinus lifts, where bone needs to be regenerated.

Our Scottsdale, AZ oral surgery practice performs two of the four commonly used bone grafts below.

Invasive bone grafting

Several types of major bone grafting are performed to correct jaw defects such as cleft palates, tumors that have been removed from the bones, and accidents that have displaced bones. In some cases, patients may be able to use bone from their own bodies for the implant. The most common locations in which bone can be harvested are the skull, hip, or lateral knee bone. As well as the bone slice, a special membrane will be placed over the surface in order to encourage the regrowth of bone. It is over time that bone cells called osteoblasts become activated, and the cells in the body will absorb the bone with the backing of the bone and merge together to create a strong, stable bone. It is almost always necessary to perform this procedure in an operating room and to spend a few days in the hospital afterward.

The sinus lift

While sinus lifts may sound radical, they often turn out to be very predictable procedures. Dental implants in the maxilla bone require a sinus lift. A healthy dental implant cannot often be placed in this region because there is not enough bone. Sinuses are raised by placing donor bone at their bottoms. This bone is strong enough to support a dental implant after several months after becoming part of the maxilla. The placement of dental implants can sometimes be combined with a sinus lift, depending on the amount of bone present. It will be necessary to take X-rays and to have a thorough examination.

The field of oral surgery has benefited greatly from bone grafting. A dental implant, a sinus lift, or the correction of dental trauma can be secured using this procedure. There would be a huge difference in the field of oral surgery without bone grafting. A second application of bone grafting technology will be discussed in our next blog in Scottsdale, AZ. For more information visit McAdams Dental.
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11111 N. Scottsdale Road #220
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