If you have had or are considering dental implant treatment, you may have heard about the existence of dental bone regeneration treatments. Bone regeneration consists of several techniques that are necessary to ensure that the jawbone has the right volume to support dental implants. In this article we tell you what it consists of and the details of this treatment.
What exactly is Dental Bone Regeneration?
Dental bone regeneration consists of recovering the level of bone mass that may have been lost in the jaws due to different causes. This technique is mainly used in implantology when the final dental treatment is the placement of artificial teeth. Before the treatment is performed, studies are carried out to evaluate the patient’s needs and jaw condition. Afterwards, the oral surgery specialists will choose the most appropriate technique according to the results obtained and will adjust the treatment according to the particular needs.
What are the main causes of dental bone loss?
There are several causes that can lead to dental bone loss. Over the years we can have loss of bone mass in the jaws, due to different causes, such as diseases like periodontitis or osteoporosis, infections, atrophy or trauma, maxillary pathological processes such as cysts or tumors, aggressive or abrupt dental extractions, surgeries or poorly fitted prostheses.
When placing implants it is important to have good bone tissue so that they can remain in the patient’s mouth for a long time. Therefore, if we have lost bone tissue due to any of the causes described above, bone regeneration techniques will be necessary.
What are the cases in which bone regeneration should be performed?
Dental bone regeneration is indicated in all the above cases. In addition, there are anatomical circumstances, such as a large maxillary sinus or jaws with little width or height, or with unfavorable proportions in the spaces, which may also require some type of regenerative treatment to place the implants.
What alternatives exist to achieve dental bone regeneration?
There are two main techniques to achieve the correct osseointegration of an implant: membranes and grafts.
Grafts are small “bone transplants”, which can be fragments of the patient’s own bone (autografts), of another species (xenografts) or with synthetic materials, such as crystalline ceramics. The most preferable option is always the patient’s own bone, but this is not always possible. When the tissues of the mouth have healed completely, the dentist can proceed to place the implant. These grafts make it possible to increase both the width and height of the maxillary or mandibular bone where the implant is to be placed.
In many cases, the integration of the bone graft in the maxilla does not happen easily, and the implantologists must resort to the use of membranes to keep it immobile until it is integrated in the rest of the bone. These membranes can be synthetic or made of biological molecules, such as collagen. Again, the more similar the chemical composition, the better the results and the better the healing.
How is the procedure carried out to achieve bone regeneration?
Dental bone regeneration by bone grafting consists of a surgical intervention that seeks to replace lost bone. The transplanted bone can belong to the patient himself, be from a donor or from commercialized bone substitutes (of animal, vegetable or synthetic origin), as long as they are compatible with the patient.
On the other hand, the Plasma rich in Growth Factors technique consists of using the patient’s blood to obtain the proteins found in the plasma. These are applied to the area in order to regenerate.
The growth factors stimulate the production of blood vessels, the multiplication of cells, prevent the multiplication of bacteria and modulate inflammation. With this procedure, the bone around the implants is regenerated, improving its consolidation. It also helps the healing of wounds.
What are the most important aspects to take into account for optimal bone regeneration?
The most important thing is to perform the necessary care after the intervention:
- Rinses with antiseptics such as chlorhexidine or warm salt water, 24 hours after the intervention to favor the correct formation of a clot and avoid bleeding.
- Application of cold in the operated area as a very useful anti-inflammatory. You can use bags of gels sold in pharmacies or ice applied directly to the area.
- Sleeping with the head slightly incorporated the first days after surgery.
- Follow a soft food diet to avoid pain and try to preferably eat warm or cold food to prevent bleeding from the operated area.
- Limit physical exertion and sports activities during the days immediately after surgery to prevent the surgical sutures from opening.
- Avoid smoking and alcohol, which can hinder healing and cause the appearance of bacteria and infections.
What are the main benefits of dental bone regeneration for the patient?
Bone regeneration allows dental implants to be properly placed in patients with bone problems in the jaw. Therefore, it allows the placement of implants in patients with previous pathologies and dental problems, who without this technique would not be able to benefit from improving their oral health.
In addition, bone regeneration favors less food accumulation, facilitates oral hygiene and, esthetically, provides a better oral harmony being able to have the necessary implants for each patient.
Frequently asked questions
If I don’t have enough bone, can’t I have implants? Why?
If you have the problem that you do not have enough bone, since there is not enough bone base to anchor an implant, the chances of failure of such dental implant are much higher, making you waste your time and money. If there is not a solid base of natural or enhanced dental bone with this technique, the implant and crown will not be fixed properly and will not be able to withstand the chewing forces and pressure of our teeth.
How long does it take to achieve dental bone regeneration?
Once the bone regeneration treatment has been performed, we must wait between 8 or 9 months to place the implant, since this is the time it takes for the new bone to form. After this period, we will wait between 3 or 4 more months after the implant placement to be able to start making the implant crown.
What is the recovery process like after bone grafting surgery?
Once the intervention has been performed, the patient has to wait a few months while the graft helps the growth helps the generation of new bone.
The patient, in this course of time, should make visits to the dental specialist so that he/she can make the respective revisions of the intervention and thus prevent possible infections or problems.
What is the price of dental bone regeneration?
The price of this treatment ranges from approximately 280€ to 800€. The cost of bone regeneration varies according to the extent of the area to be treated and the number of implants required. Each case has its particularities and each specialist will adjust the budget based on the dental needs required by the patient.
In Medident we are specialists in dental bone regeneration treatments, if you need advice on treatments consult us. Our clinic has the best experience and specialists to help you get the healthy and beautiful smile you always wanted.