Thursday Morning: Front Tooth Upper Incisor Removal & Dental Bone Graft Surgery at Palau SDA Dental
So far, it has not been too bad. Minimal pain, some mild swelling. Eating and drinking was weird at first, now ok. Except for that big ugly gap in the front of my face. Probably an improvement anyway . . . .
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Dental Bone Graft
A dental bone graft is necessary when bone loss has occurred in the jaw. This procedure is commonly performed prior to dental implant placement or when bone loss is negatively affecting neighboring teeth.
Dental Bone Graft: Why You Would Need One and What to Expect
What is a dental bone graft?
A dental bone graft adds volume and density to your jaw in areas where bone loss has occurred. The bone graft material may be taken from your own body (autogenous), or it may be purchased from a human tissue bank (allograft) or an animal tissue bank (xenograft). In some instances, the bone graft material may be synthetic (alloplast).
How does a dental bone graft work?
Once the bone graft has been placed, it holds space for your own body to do the repair work. In other words, a dental bone graft is like a scaffold on which your own bone tissue can grow and regenerate.
In some cases, your dental provider may combine a dental bone graft with platelet-rich plasma (PRP). This is taken from a sample of your own blood and is used to promote healing and tissue regeneration.
Who needs a dental bone graft?
A person with bone loss in their jaw usually needs a dental bone graft. This procedure may be recommended if you:
Are having a tooth extracted.
Plan to replace a missing tooth with a dental implant.
Need to rebuild the jaw before getting dentures.
Have areas of bone loss due to gum (periodontal) disease.
How common are dental bone grafts?
Dental bone grafts are extremely common. They may be performed by a general dentist or a specialist, such as a periodontist or an oral surgeon.
Are there different types of bone grafts?
Yes. There are four main types, including:
Socket preservation. Sometimes called ridge preservation, this type of graft is placed in the socket immediately after a tooth extraction. It fills the void left behind by the missing tooth and prevents the sides of the socket from caving in.
Ridge augmentation. If your teeth have been missing for a while, the supporting jawbone may be thinner than it was before. Ridge augmentation increases the width and volume of the jawbone so it can provide a stable foundation for implants or other restorative options.
Sinus lift. The maxillary sinuses sit just above your upper back teeth. If the upper back teeth are missing, the sinuses can drop down and invade the space once occupied by the teeth roots. In this scenario, you wouldn’t want to place implants because they would penetrate the sinus membrane. To address this problem, your oral surgeon or periodontist can perform a sinus lift. This procedure raises the sinus back to its proper position. A dental bone graft is then placed underneath the sinus, creating a solid foundation for dental implants later on.
Periodontal bone graft. Infection from gum disease can erode the bone that supports the teeth. This can cause the teeth to become loose. A periodontal bone graft is placed around an existing tooth to reduce mobility and provide additional support.
In most cases, bone grafts for dental implants must heal completely before the actual implant is placed. Because each person is unique, recovery times vary. In rare instances, your dentist may be able to place a bone graft and a dental implant at the same time. But this is decided on a case-by-case basis.
Procedure Details
What happens before dental bone graft placement?
Your dentist will perform an oral examination to check the health of your teeth, gums and jaw. Dental X-rays or scans will be taken to determine the extent of your bone loss. Next, your dentist will discuss your treatment options with you and create a personalized treatment plan to meet your needs.
What happens during dental bone graft surgery?
First, your dental provider will numb the area with local anesthetic. Next, they'll create a small incision in your gums. Gum tissue is moved back slightly so that the jawbone is visible. After cleaning and disinfecting the area, your dentist adds bone grafting material to repair the defect. In many cases, the bone graft is covered with a membrane for additional protection. Finally, the gum tissue is repositioned and the incision is closed with stitches.
What happens after a dental bone graft?
Following a dental bone graft, you may have pain, swelling and bruising. These are normal side effects that should diminish in a few days. Symptoms can be managed with pain relievers. Your dentist may give you antibiotics as well. These should be taken exactly as prescribed.
You might notice small fragments of bone coming out of the site over the first few days. These pieces often resemble grains of salt or sand. This usually isn’t a cause for concern, but call your dentist to make sure that you’re healing as expected.
How painful is a dental bone graft?
Most people who have dental bone grafts report little to no pain. Just be sure you take all medications as prescribed and follow your post-operative instructions closely.
Are you put to sleep for a dental bone graft?
Typically, placement of a bone graft does not require being put to sleep; it can be done easily with local anesthesia. Many dental providers can offer sedation for your comfort, including nitrous oxide, oral sedation and IV sedation. If your case is more involved, general anesthesia may be recommended. Ask your dentist which option is right for you.
Can dental bone grafts fail?
Dental bone grafts have impressively high success rates. However, as with any procedure, failure is a possibility - especially among people who smoke or have certain medical conditions. Signs of dental bone graft failure include:
Pain or swelling that worsens after the first week.
Pus or drainage from the bone graft site.
Gum recession (when the gums pull away from the teeth).
No improvement in jawbone volume.
Risks / Benefits
What are the advantages of dental bone grafts?
Dental bone grafts can increase your eligibility for dental implants and other restorative treatments. This procedure restores your jaw to its original form following trauma, tooth loss or gum (periodontal) disease.
What are the risks or complications of dental bone grafts?
Bone grafts in your mouth are generally safe. However, the procedure carries some risks, including:
Infection.
Heavy bleeding.
Nerve damage.
Complications from anesthesia.
Recovery and Outlook
How long does it take to recover from a dental bone graft?
Though you will probably feel back to normal within a week or two, complete dental bone graft healing can take between three and nine months - sometimes longer. Recovery times depend on several factors, including the type of graft, the area in which the graft was placed and your body’s healing capacity.
When can I go back to work or school?
In most cases, people can return to work or school the day after the procedure. If you choose sedation, you may need to take an extra day or two to recover at home.
What are the dental bone graft healing stages?
As mentioned above, recovery times can vary significantly for each person. Once the bone graft is placed, your dentist will monitor your healing. If you’re waiting to undergo dental implant surgery, they will let you know when your new bone is strong enough to support the implant.
When To Call the Doctor
When should I contact my healthcare provider?
If you’ve had a dental bone graft placed, keep an eye out for troubling symptoms. Call your dentist if you experience:
Severe pain.
Increased swelling.
Pus around the grafting site.
A fever of 101° or higher.
A note from Cleveland Clinic
Jawbone loss is detrimental to your oral health and can cause a domino effect of problems, including mobility and tooth loss. Dental bone grafts help improve your candidacy for dental implants and other restorative procedures. If you think you have jawbone deterioration, dental surgery can restore your oral health, function and overall quality of life.
https://my.clevelandclinic.org/health/treatments/21727-dental-bone-graft
-----------------------------------------------
https://www.signaturedentalwi.com/procedures/bone-graft
-----------------------------------------------
After Your Surgery
Post-Operative Instructions
There are various types of grafting procedures, and the extent of post-operative pain and swelling will depend on the type of grafting that was done. If you had a tooth extraction with grafting into the tooth socket, there will be sutures in place. Avoid chewing directly in this area. It is normal for some very small pieces of the graft to dislodge. It will feel like small granules. Do not be concerned; most of the graft material will stay in place.
In certain cases, a dissolvable suture will be used while in other cases the suture will be removed by the doctor within a few weeks. You may also have a membrane placed which may be visible as a white plastic-appearing material. Try not to disturb this, and keep it clean with gentle mouth rinsing.
Take care to minimize any sort of trauma to the area. Rinse very gently and brush very carefully on the adjacent teeth starting the day of the procedure. If you are wearing a temporary prosthesis over the grafted site, try to avoid any contact between the temporary and the grafted site. If you feel it is putting excessive force on the grafted site, please call us, and we will provide further instructions.
Immediately Following Bone Grafting
The gauze pack should be kept in place with firm pressure over the area. Remove the pack after 30 minutes. If there is continued excessive bleeding, replace with new gauze and bite firmly again. Vigorous mouth rinsing or chewing in the areas of the bone grafting should be avoided. This may cause increased bleeding or damage to the bone graft.
A liquid or soft diet is recommended for the first 24 hours. After 24 hours, you may advance your diet, but take care to avoid any chewing directly on the surgical site. Avoid eating hard, crunchy, or spicy foods. Take the prescribed pain medication before the numbness from the local anesthesia wears off.
Restrict your activities on the day of surgery and return to normal activities slowly. Place ice packs on the outside of the face where the bone grafting was performed. Use ice for the first 48 hours to decrease swelling by applying it as continuously as possible.
Bleeding
Slight bleeding and redness in the saliva are common after surgery. If there is excess bleeding, gently wipe any old clots from the mouth and then place clean new gauze over the area and bite firmly for 30-40 minutes. Repeat every 30-40 minutes with new gauze. If excessive bleeding continues, bite on a cold-water-moistened tea bag firmly for 30-40 minutes. Slowly remove the tea bag and leave the area alone. If there is continued excessive bleeding, call our office for further instructions. Also, avoid excessive talking and excessive chewing if there is continued bleeding.
Swelling
Swelling is normal after any surgical procedure. The extent of swelling varies and depends on the extent of the surgery and each individual patient. Swelling around the mouth, jaws, cheeks, and below the eyes is not uncommon. The swelling will usually reach its maximum 2-3 days after the surgical procedure. The swelling can be decreased by the immediate use of ice packs in the first 48 hours. Ice packs should be applied to the outside next to where the surgery was performed. Keep the ice on as continuously as possible. Also, sitting upright and not lying flat on the first day will help to decrease the amount of swelling.
Pain
Please refer to the pain medication sheet given to you by our office. The information will provide you with detailed instructions on how to manage post-operative pain and discomfort.
Oral Hygiene
Proper oral hygiene is important because it helps reduce chances of an infection. Very gentle rinsing should begin the day of bone graft surgery. If you were given a prescription for mouth rinse, follow the instructions on the prescription. If you were not given one, rinse gently with warm salt water twice daily. You can brush your teeth the day of your bone graft surgery, but be careful not to traumatize the area where the bone graft was placed.
Diet
If you had IV sedation or general anesthesia for a bone graft, liquids should be initially taken. Your diet can then progress to more solids as tolerated; however, take special care to not chew directly on the bone graft site until directed otherwise. Ensure adequate fluids and nutrition to prevent dehydration.
Nausea and Vomiting
After IV sedation or general anesthesia, some patients may feel nauseated and vomit. To help avoid this problem, do not take your medication on an empty stomach. Take sips of clear carbonated liquids such as ginger ale or 7Up®. Hold off on your medications, if possible, until the nausea subsides. Try to stay hydrated with liquids. Sometimes patients feel nauseated from the prescribed pain medication, particularly the stronger pain medications such as hydrocodone or oxycodone (Norco® or Percocet®). Try stopping the pain medications and see if nausea subsides. If you have continued nausea and vomiting, call our office for further instructions.
Bruising and Discoloration
After surgery, some patients may notice bruising or discoloration around the areas of surgery. This is normal post-operatively and can take several days to subside.
Jaw Tightness or Limited Mouth Opening
This is normal following surgery and will improve and resolve over time. On occasion, you may be shown jaw exercises to help increase your jaw opening.
Dizziness or Lightheadedness
After IV sedation or general anesthesia, some patients may feel dizzy when standing up. Always have someone watching you the first 24 hours after sedation. Do not get up quickly from a sitting or lying position and make sure to remain hydrated with fluids.
https://www.oklahomacityoralsurgery.com/post-operative-instructions-bone-graft/#:~:text=After%2024%20hours%2C%20you%20may,%2C%20crunchy%2C%20or%20spicy%20foods.
-------------------------------------------------
Dental Bone Graft
A dental bone graft is necessary when bone loss has occurred in the jaw. This procedure is commonly performed prior to dental implant placement or when bone loss is negatively affecting neighboring teeth.
Dental Bone Graft: Why You Would Need One and What to Expect
What is a dental bone graft?
A dental bone graft adds volume and density to your jaw in areas where bone loss has occurred. The bone graft material may be taken from your own body (autogenous), or it may be purchased from a human tissue bank (allograft) or an animal tissue bank (xenograft). In some instances, the bone graft material may be synthetic (alloplast).
How does a dental bone graft work?
Once the bone graft has been placed, it holds space for your own body to do the repair work. In other words, a dental bone graft is like a scaffold on which your own bone tissue can grow and regenerate.
In some cases, your dental provider may combine a dental bone graft with platelet-rich plasma (PRP). This is taken from a sample of your own blood and is used to promote healing and tissue regeneration.
Who needs a dental bone graft?
A person with bone loss in their jaw usually needs a dental bone graft. This procedure may be recommended if you:
Are having a tooth extracted.
Plan to replace a missing tooth with a dental implant.
Need to rebuild the jaw before getting dentures.
Have areas of bone loss due to gum (periodontal) disease.
How common are dental bone grafts?
Dental bone grafts are extremely common. They may be performed by a general dentist or a specialist, such as a periodontist or an oral surgeon.
Are there different types of bone grafts?
Yes. There are four main types, including:
Socket preservation. Sometimes called ridge preservation, this type of graft is placed in the socket immediately after a tooth extraction. It fills the void left behind by the missing tooth and prevents the sides of the socket from caving in.
Ridge augmentation. If your teeth have been missing for a while, the supporting jawbone may be thinner than it was before. Ridge augmentation increases the width and volume of the jawbone so it can provide a stable foundation for implants or other restorative options.
Sinus lift. The maxillary sinuses sit just above your upper back teeth. If the upper back teeth are missing, the sinuses can drop down and invade the space once occupied by the teeth roots. In this scenario, you wouldn’t want to place implants because they would penetrate the sinus membrane. To address this problem, your oral surgeon or periodontist can perform a sinus lift. This procedure raises the sinus back to its proper position. A dental bone graft is then placed underneath the sinus, creating a solid foundation for dental implants later on.
Periodontal bone graft. Infection from gum disease can erode the bone that supports the teeth. This can cause the teeth to become loose. A periodontal bone graft is placed around an existing tooth to reduce mobility and provide additional support.
In most cases, bone grafts for dental implants must heal completely before the actual implant is placed. Because each person is unique, recovery times vary. In rare instances, your dentist may be able to place a bone graft and a dental implant at the same time. But this is decided on a case-by-case basis.
Procedure Details
What happens before dental bone graft placement?
Your dentist will perform an oral examination to check the health of your teeth, gums and jaw. Dental X-rays or scans will be taken to determine the extent of your bone loss. Next, your dentist will discuss your treatment options with you and create a personalized treatment plan to meet your needs.
What happens during dental bone graft surgery?
First, your dental provider will numb the area with local anesthetic. Next, they'll create a small incision in your gums. Gum tissue is moved back slightly so that the jawbone is visible. After cleaning and disinfecting the area, your dentist adds bone grafting material to repair the defect. In many cases, the bone graft is covered with a membrane for additional protection. Finally, the gum tissue is repositioned and the incision is closed with stitches.
What happens after a dental bone graft?
Following a dental bone graft, you may have pain, swelling and bruising. These are normal side effects that should diminish in a few days. Symptoms can be managed with pain relievers. Your dentist may give you antibiotics as well. These should be taken exactly as prescribed.
You might notice small fragments of bone coming out of the site over the first few days. These pieces often resemble grains of salt or sand. This usually isn’t a cause for concern, but call your dentist to make sure that you’re healing as expected.
How painful is a dental bone graft?
Most people who have dental bone grafts report little to no pain. Just be sure you take all medications as prescribed and follow your post-operative instructions closely.
Are you put to sleep for a dental bone graft?
Typically, placement of a bone graft does not require being put to sleep; it can be done easily with local anesthesia. Many dental providers can offer sedation for your comfort, including nitrous oxide, oral sedation and IV sedation. If your case is more involved, general anesthesia may be recommended. Ask your dentist which option is right for you.
Can dental bone grafts fail?
Dental bone grafts have impressively high success rates. However, as with any procedure, failure is a possibility - especially among people who smoke or have certain medical conditions. Signs of dental bone graft failure include:
Pain or swelling that worsens after the first week.
Pus or drainage from the bone graft site.
Gum recession (when the gums pull away from the teeth).
No improvement in jawbone volume.
Risks / Benefits
What are the advantages of dental bone grafts?
Dental bone grafts can increase your eligibility for dental implants and other restorative treatments. This procedure restores your jaw to its original form following trauma, tooth loss or gum (periodontal) disease.
What are the risks or complications of dental bone grafts?
Bone grafts in your mouth are generally safe. However, the procedure carries some risks, including:
Infection.
Heavy bleeding.
Nerve damage.
Complications from anesthesia.
Recovery and Outlook
How long does it take to recover from a dental bone graft?
Though you will probably feel back to normal within a week or two, complete dental bone graft healing can take between three and nine months - sometimes longer. Recovery times depend on several factors, including the type of graft, the area in which the graft was placed and your body’s healing capacity.
When can I go back to work or school?
In most cases, people can return to work or school the day after the procedure. If you choose sedation, you may need to take an extra day or two to recover at home.
What are the dental bone graft healing stages?
As mentioned above, recovery times can vary significantly for each person. Once the bone graft is placed, your dentist will monitor your healing. If you’re waiting to undergo dental implant surgery, they will let you know when your new bone is strong enough to support the implant.
When To Call the Doctor
When should I contact my healthcare provider?
If you’ve had a dental bone graft placed, keep an eye out for troubling symptoms. Call your dentist if you experience:
Severe pain.
Increased swelling.
Pus around the grafting site.
A fever of 101° or higher.
A note from Cleveland Clinic
Jawbone loss is detrimental to your oral health and can cause a domino effect of problems, including mobility and tooth loss. Dental bone grafts help improve your candidacy for dental implants and other restorative procedures. If you think you have jawbone deterioration, dental surgery can restore your oral health, function and overall quality of life.
https://my.clevelandclinic.org/health/treatments/21727-dental-bone-graft
-----------------------------------------------
https://www.signaturedentalwi.com/procedures/bone-graft
-----------------------------------------------
After Your Surgery
Post-Operative Instructions
There are various types of grafting procedures, and the extent of post-operative pain and swelling will depend on the type of grafting that was done. If you had a tooth extraction with grafting into the tooth socket, there will be sutures in place. Avoid chewing directly in this area. It is normal for some very small pieces of the graft to dislodge. It will feel like small granules. Do not be concerned; most of the graft material will stay in place.
In certain cases, a dissolvable suture will be used while in other cases the suture will be removed by the doctor within a few weeks. You may also have a membrane placed which may be visible as a white plastic-appearing material. Try not to disturb this, and keep it clean with gentle mouth rinsing.
Take care to minimize any sort of trauma to the area. Rinse very gently and brush very carefully on the adjacent teeth starting the day of the procedure. If you are wearing a temporary prosthesis over the grafted site, try to avoid any contact between the temporary and the grafted site. If you feel it is putting excessive force on the grafted site, please call us, and we will provide further instructions.
Immediately Following Bone Grafting
The gauze pack should be kept in place with firm pressure over the area. Remove the pack after 30 minutes. If there is continued excessive bleeding, replace with new gauze and bite firmly again. Vigorous mouth rinsing or chewing in the areas of the bone grafting should be avoided. This may cause increased bleeding or damage to the bone graft.
A liquid or soft diet is recommended for the first 24 hours. After 24 hours, you may advance your diet, but take care to avoid any chewing directly on the surgical site. Avoid eating hard, crunchy, or spicy foods. Take the prescribed pain medication before the numbness from the local anesthesia wears off.
Restrict your activities on the day of surgery and return to normal activities slowly. Place ice packs on the outside of the face where the bone grafting was performed. Use ice for the first 48 hours to decrease swelling by applying it as continuously as possible.
Bleeding
Slight bleeding and redness in the saliva are common after surgery. If there is excess bleeding, gently wipe any old clots from the mouth and then place clean new gauze over the area and bite firmly for 30-40 minutes. Repeat every 30-40 minutes with new gauze. If excessive bleeding continues, bite on a cold-water-moistened tea bag firmly for 30-40 minutes. Slowly remove the tea bag and leave the area alone. If there is continued excessive bleeding, call our office for further instructions. Also, avoid excessive talking and excessive chewing if there is continued bleeding.
Swelling
Swelling is normal after any surgical procedure. The extent of swelling varies and depends on the extent of the surgery and each individual patient. Swelling around the mouth, jaws, cheeks, and below the eyes is not uncommon. The swelling will usually reach its maximum 2-3 days after the surgical procedure. The swelling can be decreased by the immediate use of ice packs in the first 48 hours. Ice packs should be applied to the outside next to where the surgery was performed. Keep the ice on as continuously as possible. Also, sitting upright and not lying flat on the first day will help to decrease the amount of swelling.
Pain
Please refer to the pain medication sheet given to you by our office. The information will provide you with detailed instructions on how to manage post-operative pain and discomfort.
Oral Hygiene
Proper oral hygiene is important because it helps reduce chances of an infection. Very gentle rinsing should begin the day of bone graft surgery. If you were given a prescription for mouth rinse, follow the instructions on the prescription. If you were not given one, rinse gently with warm salt water twice daily. You can brush your teeth the day of your bone graft surgery, but be careful not to traumatize the area where the bone graft was placed.
Diet
If you had IV sedation or general anesthesia for a bone graft, liquids should be initially taken. Your diet can then progress to more solids as tolerated; however, take special care to not chew directly on the bone graft site until directed otherwise. Ensure adequate fluids and nutrition to prevent dehydration.
Nausea and Vomiting
After IV sedation or general anesthesia, some patients may feel nauseated and vomit. To help avoid this problem, do not take your medication on an empty stomach. Take sips of clear carbonated liquids such as ginger ale or 7Up®. Hold off on your medications, if possible, until the nausea subsides. Try to stay hydrated with liquids. Sometimes patients feel nauseated from the prescribed pain medication, particularly the stronger pain medications such as hydrocodone or oxycodone (Norco® or Percocet®). Try stopping the pain medications and see if nausea subsides. If you have continued nausea and vomiting, call our office for further instructions.
Bruising and Discoloration
After surgery, some patients may notice bruising or discoloration around the areas of surgery. This is normal post-operatively and can take several days to subside.
Jaw Tightness or Limited Mouth Opening
This is normal following surgery and will improve and resolve over time. On occasion, you may be shown jaw exercises to help increase your jaw opening.
Dizziness or Lightheadedness
After IV sedation or general anesthesia, some patients may feel dizzy when standing up. Always have someone watching you the first 24 hours after sedation. Do not get up quickly from a sitting or lying position and make sure to remain hydrated with fluids.
https://www.oklahomacityoralsurgery.com/post-operative-instructions-bone-graft/#:~:text=After%2024%20hours%2C%20you%20may,%2C%20crunchy%2C%20or%20spicy%20foods.