Bone grafting is usually required when there is inadequate volume of bone to place implants successfully. There are many reasons for this such as previous gum disease, natural resorption after extraction, trauma or infection which can all lead to this loss of jaw bone.
All types of bone grafting procedures from using guided bone regenerative techniques to block bone grafting (Chin or mandible) is carried out at the practice by Dr BS Ubhi. When using these techniques the patient is usually sedated for a more comfortable procedure. Sinus bone grafting is also carried out where there is limited bone volume in the posterior maxilla to place implants. Sinus bone grafting has been carried out by Dr Ubhi succesfully since 2000 and he has carried out hundreds of sinus grafts since this date. The augmentation can be done using autogenous bone graft (chine or ramus) or by using an substitute (Xenograft material, Bio-Oss).
Case 1: Bilateral sinus graft
This lady presented with periodontally involved upper posterior teeth. Unfortunately these were not able to be saved. After a suitable period of healing after extraction of these teeth, bilateral sinus bone grafts were done along with implant placement. These were left to osseointegrate for 6 months before being restored with screw retained bridgework with the referring practice to carry out the therapy.
Case 2: Block graft
This lady was referred for implant therapy to replace missing anterior teeth. Unfortunately there was a lack of bone volume and bone augmentation was required. Block bone graft was done (taken from the mandibular symphisis area) and after a healing period of 4 months, excellent bone width was achieved. 3 Implants were placed and they integrated well with soft tissues being noted as being excellent. The final restorations were carried out by the referring dentist.
Case 3: Complex bone grafting and ridge augmentation
The lady was referred for full mouth rehabilitation. She presented with failing implants which were done approximately 15 years earlier. In addition she has had large infections in the roots and loose bridgework. All these teeth were removed and ridge augmentation were carried out. After healing six implants were placed in the upper jaw and fixed bridgework fitted. The patient was extremely pleased with aesthetics and function of her new teeth.