New York Bone Grafting

The Impact of Missing Teeth on Jaw Bone Health

Losing teeth can lead to jaw bone loss, causing various issues including discomfort, changes in appearance, and difficulty speaking and eating. Natural teeth stimulate the jaw bone through chewing and biting. When teeth are missing, the jaw bone no longer receives this stimulation, leading to deterioration.

Potential Consequences:

  • Problems with remaining teeth like misalignment and drifting.
  • Facial profile collapse and wrinkles around the mouth.
  • Jaw pain, headaches, and difficulty speaking.
  • Challenges in chewing and inadequate nutrition.
  • Sinus expansion.

Prompt dental care and treatments like dental implants can help mitigate these issues.

Common Causes of Jaw Bone Deterioration

  • Tooth Extractions: When a tooth is removed without replacement, the jaw bone loses stimulation from chewing and biting, leading to deterioration over time.

  • Periodontal Disease: Infections of the gums gradually erode the support structures of natural teeth, including the alveolar bone, contributing to bone loss.

  • Dentures/Bridgework: Dentures lacking stimulation to the underlying bone and bridges without direct bone contact can cause bone resorption, affecting stability and function.

  • Facial Trauma: Severe tooth or jaw injuries can halt bone stimulation, resulting in bone loss that may require intervention to restore function.

  • Misalignment: Unopposed teeth, TMJ issues, and abnormal forces during chewing can lead to bone deterioration over time.

  • Osteomyelitis: Bacterial infections in the jaw bone can cause inflammation and reduced blood supply, necessitating bone grafting after treatment.

  • Tumors: Benign or malignant tumors may require jaw bone removal, often necessitating reconstructive bone grafting for restoration.

  • Developmental Deformities: Birth defects can lead to missing portions of facial structures, potentially requiring bone grafting to restore function.

  • Sinus Deficiencies: Bone resorption due to missing molars can lead to enlarged sinuses, affecting implant placement; a sinus lift procedure may be necessary.

Understanding these factors can help address jaw bone health and the need for bone grafting procedures when necessary.

For more information about Bone Grafting or to schedule a consultation with Madison Avenue Periodontics, call our office in New York, New York at Madison Avenue Periodontics Office Phone Number (212) 755-1144.

What is Bone Grafting?

Bone grafting is a surgical procedure that involves the transplantation or addition of bone tissue to an area where it is needed. It is commonly performed in dentistry to address various issues such as:

  1. Dental Implant Placement: Insufficient bone volume or density in the jaw can compromise the success of dental implant placement. Bone grafting helps to build up the bone in the implant site, providing a stable foundation for the implant to integrate properly.

  2. Treatment of Periodontal Disease: Advanced periodontal (gum) disease can result in bone loss around the teeth, leading to tooth mobility and eventual tooth loss. Bone grafting may be recommended to regenerate the lost bone support and improve the prognosis of affected teeth.

  3. Ridge Augmentation: When a tooth is lost or extracted, the surrounding bone may resorb or shrink over time, leading to a sunken appearance in the jaw. Ridge augmentation involves adding bone graft material to rebuild the height and width of the alveolar ridge, creating a more natural contour for future dental restorations.

  4. Socket Preservation: After tooth extraction, socket preservation techniques, including bone grafting, are used to prevent bone loss and maintain the integrity of the alveolar ridge for future tooth replacement options.

Major Bone Grafting

Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee). Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum to protect the bone graft, as well as encourage bone regeneration. This is called guided bone regeneration, or guided tissue regeneration.

Major bone grafts are typically performed to repair defects of the jaws. These defects may arise as a result of traumatic injuries, tumor surgery, or congenital defects. Large defects are repaired using the patient’s own bone. This bone is harvested from a number of different areas depending on the size needed. The skull (cranium), hip (iliac crest), and lateral knee (tibia), are common donor sites. These procedures are routinely performed in an operating room and require a hospital stay.

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