What are graft and implant placement?
Sometimes when an implant needs to be set in place, there is not enough bone to make it a safe and suitable option. In such cases, dentists recommend a graft and implant placement. Because, without enough bone, the implant will not stay in place, so something has to be done to remedy the lack of bone. If there is not enough bone, then an implanted tooth cannot be set in place. Even if the bone is too soft it could cause issues.
Once it has been identified that this is what needs to happen, then the best way to do it has to be considered. Fortunately, there are a few ways that this can be done, so the dentist will decide which one will suit you best.
The end result, however, will be the same. Bone will be removed from another part of the body and it is placed in the area where there is a deficiency. This is known as an “onlay graft” and within a short period of time, will join to the piece of bone that needed support. More and more often there is bone being constructed, but the decision as to what to use will be made by the dentist.
There will be a period of recovery required, and once it is healed will be strong and safe to put an implant there. Without doing this, the implant will have to be placed in a less suitable position.
Why do we need graft and implant placement procedure?
Without this procedure, there will be gaps in the teeth as it will not be possible to replace the ones that have been lost. It is hard to understand why some people will lose teeth, but often they can be replaced with implants and bridges. The times when this cannot happen is when the underlying structure is not strong enough to hold the new implants.
If bone graft and implant procedures did not happen, the only alternative would be false teeth and a palette and even then, due to the shape of the bone, it may not be possible to have one constructed that would fit in the mouth comfortably.
As long as the bone is thick enough the implant should stay in place. If there is any doubt about this, then it should be increased as trying to put an implant in thin bone is not going to be successful.
Who has bigger odds of needing a graft and implant placement treatment?
People who will most need a graft and implant procedure will be people who have lost teeth. And do not have a great deal of bone density in the area. Losing an upper canine can be one of the main issues as there is very little bone there.
A patient with gingival morphology is going to be a candidate as will a patient who has a vertical root fracture. If there is any defect in the bone, it will have to be corrected before any implants can be considered.
Bone loss occurs for many reasons so if you suffer from the loss of a tooth due to an injury with trauma to the face, periodontal disease, have infections over a period of time, or need a tooth removing for any reason, and then you will be an ideal candidate.
How is graft and implant placement treatment offered?
Your graft and implant placement treatment will take place over a few appointments. And at the first one you undergo a number of tests. Firstly, there will be several examinations. And x rays will be taken, and a model made of the layout of your mouth.
A treatment plan will be set up dependant upon what the dentist finds. It will be based on the number of teeth that have to be replaced. You will be advised that there will be other specialists involved. As your own dentist will not be able to do this level of work.
All the information you need will be given when it comes to dealing with the pain afterward. And also what you will be able to eat and drink. You will need some form of anesthesia to undergo the procedure. So you must be prepared to have someone to collect you once it is all over.
What are the obvious signs that you need a graft and implant placement treatment?
To a dentist, it will be clear that there will be the need for graft and implant placement treatment. They will know how much bone they need to make an implant procedure successful. And when it is not there they will not be able to give you the replacement teeth you require. Often the bone loss comes about as a result of the tooth being removed or knocked out.
There are a number of obvious signs that will lead the dentist to decide to carry out this procedure. And it is best to let them make the decision. They will measure the thickness of the bone and decide if it will hold an implant. Many dental implants are around 4mm thick. And experts say that there should be 8mm of bone available to hold it.
If the operation is carried out at the back of the mouth. You could get away with slightly less than expected bone mass. But at the front, it will be a disaster. As it is almost impossible to alter the location of a poorly placed implant. You will be given the treatment as a matter of caution if the dentist has any doubts over the viability of the implant without it.
If the dentist takes out a tooth. They may be aware right away that there needs to be a bone graft. Socket preservation can happen as this could reduce the natural bone loss that occurs after an extraction. But even then, this may not keep the bone at a thick enough level. And you will still have to undergo a graft before the new tooth is slotted into place.