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Bone Grafting with Titanium Membrane

Titanium mesh is one of many techniques Dr. Doctor uses to rebuild (graft) lost bone.  Titanium mesh is sometimes referred to as “ti-mesh.”

It looks like a screen as shown in this picture. It acts as a barrier and physical support of the gums over the bone graft.

Dr. Doctor places and bends the titanium mesh to shape between the gum and the bone to act as a tent.  The “tent” holds the shape of the bone while the bone graft material and PRP work to grow new bone. It is held in with bone screws.

With tooth loss, there is bone loss. In some cases, bone loss can be severe. Severe bone loss may cause difficulty for patients wearing a denture or being restored with dental implants.

Vertical bone augmentation grafting is where Dr. Doctor uses this technique sometimes.  Horizontal or width problems can be managed often with bone expansion. The main problem arises from the need to expand the gums and achieve the proper bony architecture.


Dr. Doctor uses other techniques to achieve the same result including onlay block bone grafting with particulate bone graft, barrier techniques with permanent or dissolvable membranes, vascularized bone splitting techniques, sinus lifts, nerve repositioning techniques, short implants, and angled implants.  It varies depending on each UNIQUE patient.

Titanium mesh grafting has its downside.  You can almost never wear a denture as a temporary over the healing area because the rubbing pressure may cause the mesh to become exposed.  If it becomes exposed, some or all of the bone graft can be lost. 

The healing time is usually longer than most bone grafts that Dr. Doctor uses. The implant teeth are not placed for about 1 year after the bone procedure.

The skill, experience and training of Dr. Doctor are the most critical factor in titanium mesh bone grafting.
 
The focus is on augmentation procedures using titanium mesh, which acts as a barrier and physical support of the gums over the bone graft.

The main qualifier for having dental implants is having enough bone.  If you don’t have enough bone, the bone can be rebuilt.  If you don’t have enough gum, that can be added back too.

The following x-ray is exhibited for purposes of educating you if you are considering having dental implants or are about to lose a tooth.  The picture shows a jaw with almost complete bone loss. 

All of the chin bone is gone too! Yikes!

Have you ever heard the old adage “what you don’t use, you lose?”  This applies to your jaw bone too!  Your bone stays thick and tall when your teeth are there stimulating your bone every day.  If you lose your teeth your jaw bone shrinks from disuse.   This also happens when you are only missing even one tooth! 

If you lose one tooth, the bone in the area of that tooth shrinks while the other areas stay intact.

Dental implants preserve your jaw bone and prevent the natural shrinkage that WILL occur with bone loss.  A bridge or removable partial denture does not preserve or maintain your bone.

What is the best thing to do?  Prevent losing bone in the first place.  If you have to lose a tooth, replace it with an implant on the same day (immediate dental implant) or within the first 6 months after losing it.  This will drastically lower the cost of your dental implant procedure.  Besides saving you money, it will save you substantial time and greatly reduce the chance for complications which can and do occur.

These are the grafting services that we offer in our Southlake and Arlington offices:

261 E. Southlake Blvd., Suite 100, Southlake, TX 76092 USA
Ravi Doctor, DDS Southlake TX dentist (817) 328-2400 smile@docdds.com
1810 S. Bowen Rd., Suite A, Arlington, TX 76013 USA
Ravi Doctor, DDS Arlington TX dentist (817) 274-8667 smile@docdds.com