Bone grafting

Restore bone strength and support for successful dental implants.

Treatment overview

Bone grafting is a procedure used to restore bone volume and provide support for dental implants. Bone loss can occur due to factors like injury, infection, natural resorption after tooth loss, or periodontal disease. At Dental Holistix, we use advanced bone grafting techniques to regenerate bone and maintain the structure needed for dental restorations, helping ensure the long-term health and functionality of your smile.

How bone grafting works

Bone grafting involves placing graft material in areas of bone loss, which serves as a scaffold for natural bone to grow and replace the graft over time. After a consultation to determine your needs, the graft material is placed during a minor surgical procedure. Healing can take several months as the graft integrates with your natural bone, creating a solid foundation for implants or other treatments.

When is bone grafting necessary?

Bone grafting may be recommended in various situations, including:

  • Tooth loss and dental implants: After tooth loss, the supporting bone may deteriorate due to lack of stimulation. Bone grafting rebuilds this bone, creating a stable foundation for dental implants.
  • Gum disease: Severe periodontal disease can lead to significant bone loss around teeth. After treating the disease, bone grafting can help regenerate lost bone and improve oral health.
  • Injury or trauma: Bone grafting can repair defects from injuries, restoring the bone and creating an ideal structure for implant placement.
  • Dental bridges: Grafting can preserve bone in a tooth socket after extraction, creating a stable foundation for a bridge and preventing food impaction under the bridge.
  • Congenital conditions: For individuals with missing teeth or jawbone deficiencies, bone grafting corrects developmental issues and provides a foundation for future dental work.
  • Stability for orthodontics: Adequate bone structure is necessary for certain orthodontic treatments. Bone grafting supports the jaw structure, ensuring a stable alignment.
  • Aesthetic concerns: Bone loss can affect the appearance of teeth and gums, resulting in uneven gum lines. Bone grafting, along with gum grafting, restores symmetry and aesthetics.

Types of bone grafts

  • Autografts (autogenous bone grafts): Bone is harvested from your own body, typically from the jaw, ensuring high compatibility and promoting natural bone growth. This method is often seen as the “gold standard” but requires a second surgical site.
  • Allografts: Bone sourced from a human donor and processed for safety, eliminating the need for a second surgical site. This option is effective and widely accepted, though some may prefer other sources.
  • Xenografts: Bone from another species, commonly bovine (cow), processed for use in humans. This type offers a strong scaffold for new bone growth, though some may have personal preferences against using animal-based grafts.
  • Alloplasts: Synthetic materials, like hydroxyapatite, are biocompatible and suitable for grafting needs. They eliminate the need for a second site, though their integration may vary depending on the individual case.

Our choice for bone grafting

At Dental Holistix, we specialise in using autografts and xenografts for bone grafting treatments. When using autografts, we prefer the lower jaw (ramus) as a donor site due to its accessibility and reduced surgical complexity. For xenograft treatments, we use BioOss, a renowned bone graft material derived from cows in New Zealand and Australia. BioOss is widely recognised as the most effective and widely used substance worldwide for promoting bone regeneration. Here’s why we trust BioOss:

1. With over 30 years of clinical use and numerous scientific studies, BioOss has a long track record of safety and effectiveness.

2. BioOss closely resembles human bone in structure and composition, making it easier for the patient’s natural bone to integrate with it.

3. Known for its high success rates in bone grafting, BioOss is a reliable choice for our patients.

Key benefits

  • Foundation for implants: Bone grafting provides support for dental implants, enhancing stability and success.
  • Improves facial structure: Restores lost bone volume, helping maintain a natural facial shape.
  • Supports long-term oral health: Prevents further bone and tooth loss, protecting oral health.
  • Enhances jaw strength: Encourages new bone growth, strengthening the jaw and improving bite functionality.

Who is a good candidate?

Bone grafting may be recommended for patients who:

  • Are considering dental implants but lack sufficient bone density
  • Have experienced jawbone loss due to gum disease, injury, or extraction
  • Want to maintain facial structure and prevent further bone loss
  • Are committed to the healing and follow-up care needed for successful grafting

A consultation will confirm if bone grafting is suitable for your needs.

Treatment timeline

The bone grafting process includes several steps, typically over a few months:

  1. Consultation and assessment: We’ll examine your jaw and take scans to assess bone density and determine grafting needs.
  2. Bone graft placement: During the procedure, the graft material is carefully placed. This generally takes 1–2 hours.
  3. Healing and follow-up: Healing usually takes several months, with follow-up visits to monitor progress and prepare for any future treatments.

Cost and payment options

The cost of bone grafting varies depending on the type of graft and the complexity of your case, starting at $1,800. For a personalised quote and information about flexible payment options, please contact us directly.

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FAQs

How long does bone grafting take to heal?

Healing generally takes 3–6 months, allowing the graft to integrate with natural bone. Regular check-ups ensure the healing process is progressing well.

Is the procedure painful?

Bone grafting is typically done under local anaesthesia, ensuring comfort during the procedure. Mild discomfort may occur after, but it usually subsides within a few days and can be managed with over-the-counter pain relief.

Can implants be placed immediately after grafting?

Implants are generally placed once the graft has fully integrated, which takes several months. This provides a stable foundation for implant success.

What types of graft materials are used?

We offer autografts and xenografts. We will discuss the best option for your individual case during your consultation.

How do I care for the area after a bone graft?

We’ll provide specific aftercare instructions, including food recommendations, oral hygiene tips, and follow-up appointments to ensure smooth healing.

BONE GRAFTING: POST-TREATMENT INSTRUCTIONS

Bone grafting is a treatment that places small bone particles to encourage bone growth and healing. Proper aftercare is essential for optimal recovery. Here's how to care for yourself following treatment.

Expect minor particles: It's normal to notice small bone granules in your mouth during the first few days. Avoid touching or disturbing the area to allow the graft to stabilise.

Avoid disturbing the area: Refrain from vigorous rinsing, spitting, or touching the graft site with your tongue or fingers, as this can dislodge the graft. Avoid pulling on your lips to look at the area, as this can tear sutures.

For sinus bone grafts: Do not blow your nose. Sneeze with your mouth open, and avoid activities that create nasal pressure, such as playing wind instruments or scuba diving. Experiencing bloody drainage or bone particles from the nose is normal. Use an over-the-counter decongestant like Sudafed if needed. Notify us if there's an unexpected flow of air or fluid between your mouth and nose.

Bleeding control: Place gauze over the surgical site with firm biting pressure for one hour. If bleeding continues, replace the gauze as necessary. If bleeding persists, bite on a moistened tea bag for 30 minutes; tannic acid in tea helps blood clot.

Swelling: Swelling is normal and typically peaks 48–72 hours post-surgery. Apply ice packs to the outside of your face over the surgical area for 30 minutes on, 30 minutes off, during the first 24–48 hours. After 48 hours, switch to heat therapy to help reduce any residual swelling.

Pain relief
: Take prescribed pain medication before discomfort sets in, usually as the local anaesthetic begins to wear off. Avoid taking pain medication on an empty stomach to prevent nausea. Be cautious, as these medications can cause drowsiness; avoid driving or operating machinery while medicated.

Dietary guidelines: On the first day start with fluids such as juice, milk, and water. Soft, cool foods like yoghurt, smoothies and shakes are ideal. After 24 hours, you can gradually introduce more soft foods as tolerated, avoiding hot, crunchy, or spicy foods that may irritate the area. Avoid foods with seeds that may harm the area. It's best to progress to more solid foods and return to your normal diet as soon as possible.

Avoid straws
: Using straws can dislodge the clot; avoid them.

Oral rinsing: Avoid rinsing for the first 24 hours. Then, gently rinse with warm salt water (1/2 teaspoon salt in a glass of water) 4–5 times a day to aid healing.

Antiseptic rinse
: Use an antibacterial rinse like Curasept or Savacol, if recommended, by gently dabbing it over the surgical site with a cotton bud.

Brushing
: Maintain regular brushing, avoiding the graft area directly. Consider a small-headed toothbrush for gentle cleaning near the surgical site.

Sutures
: You may have dissolvable sutures; otherwise, we'll schedule a follow-up to remove them if needed. Even if your sutures are dissolvable, a follow-up appointment seven to ten days after the procedure may still be scheduled to check your healing.

Activity levels: Avoid vigorous exercise for 2–3 days post-surgery, as it can increase bleeding and discomfort. Gradually resume normal activities once the initial recovery period has passed.

When to contact us

If you experience severe swelling, unusual taste or odour or prolonged numbness, please contact us immediately for guidance. If bleeding doesn't subside after you have followed the instructions above, please call us for further instructions.

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Rebuilds lost bone for a strong foundation
Improves implant stability and longevity
Promotes natural bone regeneration

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