Bone & Gum Regeneration

Whether due to injury, infection, or tooth loss, it’s possible for a patient to actually lose some of the gum and bone tissue that supports their teeth, making their smile much more vulnerable to future problems. With Dr. Doctor’s gum and bone regeneration techniques, however, he can help build this important tissue back up, leading to a healthier, stronger smile. The procedures outlined below are also often necessary before a patient can get dental implants to replace their missing teeth.

Tissue and Bone Regeneration

As gum disease becomes more advanced, it begins to break down the soft and hard tissues of the mouth, exposing the sensitive tooth roots to infection and dramatically increasing the risk of tooth loss. Dr. Doctor can correct both of these issues using advanced tissue and bone grafts. A special membrane can be applied to the gums to encourage the growth of new healthy tissue, and the jawbone can be built up using a bone graft (more on this below). This can solve many issues when it comes to the look and function of a patient’s teeth, plus it can make someone a viable candidate to get dental implants.

Guided tissue regeneration & guided bone regeneration

The goal of these procedures is to renew lost periodontal tissue, bone, periodontal ligaments, and connective tissues that support the teeth. They accomplish this via biocompatible membranes, bone grafts, and/or special proteins that stimulate tissue growth. While these procedures are appropriate in a variety of circumstances, they are specially common prior to or along with the placement of dental implants. Guided Bone Regeneration allows a patient’s natural bone to maximize its healing potential after surgical procedures.

Procedure

The treatment is relatively simple. Dr. Doctor places a biocompatible membrane between the gum and bone. It acts as a barrier that prevents the growth of the gums from limiting the growth of the underlying bone as it recovers.

Membranes placed around the teeth typically dissolve on their own several weeks after the initial procedure. Some membranes, though, such as those used to restore bony ridges in the jaw, are not absorbable and must be removed.

Sinus Lift

For patients looking to replace their upper back teeth, a sinus lift can be used to thicken the jawbone in the area so it’s able to provide adequate support for dental implants. This procedure also helps prevent the implant roots from accidentally piercing the sensitive sinus membrane located right above the bone. It gets its name because the sinus membrane is gently lifted to create room for a bone grafting material to be placed, leading to the creation of new, strong bone that will hold onto the implant roots.

For many patients interested in getting dental implants to replace their missing teeth, they will first need to undergo a procedure known as a sinus lift. This is usually necessary when the back of the upper jawbone is too thin or brittle to support implant posts. Fortunately for patients of Dr. Ravi Doctor, he’s able to provide all phases of implant care himself, so if it turns out that you do need a sinus lift in Arlington, you won’t have to visit a specialist, and you can trust it will be performed using the latest techniques and most advanced technology just like the rest of your care.

What is a sinus lift?

A sinus lift is a specific type of bone graft that is used to strengthen and thicken the back of the upper jaw in order to prepare it for dental implant placement. After the teeth in this area go missing, the bone naturally starts to shrink and atrophy. If the bone is too thin, it might not be able to adequately support implants, and the implants are actually in danger of going through the bone and piercing the sensitive sinus membrane right above it, which isn’t pleasant! Thankfully, a sinus lift can help a patient avoid both of these potential problems so they can get new teeth that are strong, comfortable, and sure to last.

Crestal sinus lifts

There are multiple ways Dr. Doctor can perform a sinus lift, and the method he chooses will be based on your particular needs and jawbone density:

  • Sinus Lift with Implant Placement: This approach actually enables Dr. Doctor to do a sinus lift and place implants in the same appointment. A small window is created on the side of the jawbone, and this allows Dr. Doctor to gently lift the sinus membrane. He then places a bone grafting material into the new space, and then positions the implant roots within the bone.
  • Sinus Lift Pierzo: Doctor creates an access window in the jawbone so he can lift the sinus membrane, and then he places a bone grafting material below it. This will eventually turn into new, healthy tissue that will support a patient’s implants.
  • Hydraulic Sinus Lift: A drill creates a path into the sinus through the empty tooth socket, and then a steady stream of water is used to lift the membrane so the bone grafting material can be placed.
  • Sinus Lift w/ Internal Bump Condensation: This method creates space within the jawbone for implants without actually removing any bone. The bone is basically compacted, making it denser and stronger so it can provide a firm foundation for implants.

Benefits of a sinus lift

The biggest benefit of a sinus lift is that it allows a patient who typically wouldn’t be a good candidate for dental implants to gain access to this state-of-the-art treatment. In the past, patients with thin or brittle jawbones due to longstanding tooth loss had to settle for traditional bridges or dentures, but now, with procedures like the sinus lift, they can get the most complete and long-lasting replacement available today.

Sinus lift atrophy

When an upper molar is removed and a root tip is broken, it can be removed with elevators with minimal trauma to surrounding tissue. While there is ample bone above the root, once the tooth is removed, the gums grow over the opening and bone grows over the socket area. If no implant is placed, the ridge will experience disuse atrophy. Slow sinus expansion can cause atrophy in the top posterior area and in the most severe situations, the bone separating the sinus and oral cavity can become paper-thin.

Ridge Preservation

This procedure preserves the bone and gum tissue surrounding a tooth after it has been extracted. This can largely prevent the bone loss that usually develops after a tooth goes missing, plus it can enable a patient to quickly replace the tooth with a dental implant without having to get a bone graft first. Typically, ridge preservation is performed at the same time as an extraction so the patient can replace their tooth as quickly as possible.

Bone Grafting

After tooth loss, the jawbone naturally starts to shrink and weaken. This can cause the remaining teeth to shift out of place, create cosmetic defects in the smile, and make it impossible to replace the teeth with dental implants. Thankfully, a bone graft can fix all of this! Using a patient’s own bone, donated bone, or a lab-made material, Dr. Doctor can build up and thicken the jawbone exactly where a patient needs it to achieve a strong and attractive smile. This is often an initial step before a patient receives dental implants as well.

Cytoplasm Membrane

After a bone graft has been performed, one potential problem is that the surrounding gum tissue may grow into the area and interfere with healing. To prevent this from happening, Dr. Doctor can place a cytoplasm membrane at the time a bone graft is performed. This preserves the overall structure of the area and helps a patient enjoy a faster, more efficient recovery process.

Single-Stage Procedure for Increasing Attached Gingiva

While Dr. Doctor is placing a patient’s dental implants, he can also use a soft tissue graft to fix any gum recession that has developed. Both the implant roots and tissue graft are positioned within the mouth at the same time, which is why this is known as the “single-stage” approach. This procedure can drastically improve the appearance of the smile, provide valuable support for the new teeth, and ensure the longevity of a patient’s dental implants.

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