The most preferred treatment for replacing missing teeth is implantation: implanting an artificial tooth root into the missing tooth's space. One of the basic prerequisites for tooth implantation is the proper amount of bone in the area of the missing tooth. If we do not have enough bone, it is not possible to carry out the implantation of the artificial root, because there will be nothing htat could keep it in place. In this case, however, you do not have to give up on the implantation!
WITH DENTAL OSTEOPLASTY, IMPLANTATION IS ACHIEVABLE
In many cases, due to dental osteoplasty, tooth implantation is also available to patients who would be incapable of implantation without this.
HOW DO I KNOW THAT I NEED OSTEOPLASTY?
At the previous dental treatment consultation, 3D CBCT recording is made of teeth. On this 3D image, your dentist can clearly see the condition of the bone that holds the teeth: is it high and wide enough for implantation?
HOW DOES THE OSTEOPLASTY TAKE PLACE?
The process of bone replacement is basically determined by the absence of the bone: is it in the upper or the lower jaw.
OSTEOPLASTY IN THE LOWER JAW
It is very important for the success of bone replacement to have the highest possible purity and sterility in the mouth. Therefore, prior to the removal of tartar, we fill the decayed teeth and eliminate gingivitis.
2. SURGERY OF OSTEOPLASTY
After the sterile preparation, anesthesia is required.
The exploration of the surgical site is followed by the lifting of the periosteum, and then the biomembrane is fixed on one side of the jaw.
In general, the bone surface is provided with bone replacement material or own bone shavings taken from the lower jaw to retain the periosteum in the new-elongated position. If the gap is too large, the replacement material may be compressed. In this case, it is covered with a titanium-reinforced web to form the bone properly.
The bone replacement material is coated with a collagen-containing biomembrane. This will protect the bone shake from absorption.
The last step is to sew the wound.
3. AFTER THE OSTEOPLASTY
It may be necessary to take painkillers for 1-2 days after surgery. It is recommended to refrigerate the area to prevent swelling. The wound is laserized daily for faster healing and in some cases antibiotic therapy is also used to prevent infection.
4. REMOVAL OF THE STITCHES
After 10 days we remove the stitches from the mouth.
5. HEALING TIME AND CONTROL
Bone formation requires an average of 4-6 months. At the end of the healing time, another 3D CBCT recording will take place to check the amount of new bone. If the bone thickness is correct, the tooth implantation may follow.
DENTAL OSTEOPLASTY ON THE UPPER JAW: SINUS LIFT
Above our upper dentures are mostly cavities, exactly the facial cavity. Because of these cavities, our teeth sit in a very thin layer of bone here. This bone tends to be so thin that it will make it impossible to implant completely.
Osteoplasty is a routine intervention on the upper jaw. Sinuslift, also known as facial cavity lifting, aims to thicken the base of the sinuses.
THE PROGRESS OF SINUSLIFT
Inward to the jawbone, the mucous membrane of the sinuses is raised in the direction of the cavity, and a bone replacement material is introduced. This will increase the available bone thickness and we will be able to place an implant at least 10 mm long. The intervention can be made from approx. 4mm facial pad thickness. For thinner bone, an open sinus lift should be performed.
REDUCING THE RISKS OF DENTAL OSTEOPLASTY
The most common complication is the infection of bone replacement. You can protect yourself with impeccable oral hygiene, antibiotics and a mouthwash with disinfectant effect.
HOW SUCCESSFUL IS OSTEOPLASTY?
It is very rare in our clinic that a bone replacement is not lasting. The reason for this is high degree of surgical sterility. For example, bone fragments used for bone replacement do not touch anything. The sterile collector is immediately replaced. The other reason is the surgical technique used by our specialists.