A dental bone graft is a surgical procedure to create bone tissue providing the necessary support for dental implants or other dental procedures. In case of bone loss, we need a bone grafting procedure.
The bone grafting procedure is a treatment method for strong and healthy teeth and gums that are essential for a healthy smile.
Bone graft procedure has a 99% success rate. We give strong teeth to you at a 99% rate.
In this article, we will go through the details of this procedure. Here are the key points:
- Bone grafting provides volume and density to support other dental procedures.
- Types of grafts are divided into four categories: Autografts, Allografts, Xenografts, and Alloplasts.
- The cost of bone grafting varies from €200 – €600 in Turkey with a quality service at the cheapest price.
- The procedure involves placing a graft and fusing it with local bone to regenerate the new bone.
- If you have gum disease or tooth loss and planning to get some dental procedure, bone grafting may be necessary.
- Recovery takes 2 to 9 months involving multiple healing phases.
What Is A Bone Graft In Dentistry?
A bone graft (membrane) in dentistry is a surgical procedure and it is used to replace missing or insufficient bone tissue. This bone loss usually starts if the patient loses one or more adult teeth or has gum disease. A dental bone graft is done to the area where the bone loss has started.
This procedure gives the volume and density that the jaw or that area needs. The most common use of bone grafting is to provide adequate bone support for dental implants. Besides this, the procedure can be used to fuse joints, prevent movement, and repair broken bones.
How Does Bone Grafting Work?
Bone grafting is a common procedure used to repair or rebuild bone. During this process, your dentist places grafting material at the site of bone loss. This material acts as a scaffold, encouraging new bone tissue to grow and regenerate.
The grafting material is carefully placed so it meets the existing bone tissue. Over time, it fuses with the local bone, promoting natural growth and healing.
Sometimes, your dentist might also use platelet-rich plasma (PRP) to help with healing and tissue regeneration. PRP is made from your own blood and is rich in growth factors that speed up the healing process.
How Is Bone Grafting Procedure Done?
To detect the bone loss, a CT scan and X-rays are necessary. The procedure is done under local anesthesia.
Your gum will be cut and grafting material will be placed. Then, the gum will be stitched back.
Your dentist may prescribe pain relievers and antibiotics to prevent the discomfort and infection. Also, your dentist will give you tips about how to care for surgical sites and the tips include diet, oral hygiene, and activity restrictions. Follow-up visits can be scheduled to see the healing process.
We, as Dentfix, will always be by your side for the as quick as possible healing process.
What Are the Types of Dental Bone Grafts?
There are four different types of tissue sources for dental bone grafts. These are alloplasts, autografts, allografts, and xenografts. Here’s a table of how and why they are used.
|
TYPES
|
TAKEN FROM
|
WHY CHOSEN
|
|---|---|---|
|
Alloplasts
|
These are synthetic materials that mimic natural bone
|
Chosen because they are customizable and it can eliminate the risk of disease transmission
|
|
Autografts
|
The patient’s own body such as the hip, leg, or jaw
|
Preferred for the high success rate and reducing the rejection and infection
|
|
Allografts
|
A donor or cadaver
|
Chosen for the availability and convenience
|
|
Xenografts
|
Animals
|
Chosen when a large amount of graft material is needed
|
|
TYPES
|
Alloplasts
|
Autografts
|
Allografts
|
Xenografts
|
|---|---|---|---|---|
|
TAKEN FROM
|
These are synthetic materials that mimic natural bone
|
The patient’s own body such as the hip, leg, or jaw
|
A donor or cadaver
|
Animals
|
|
WHY CHOSEN
|
Chosen because they are customizable and it can eliminate the risk of disease transmission
|
Preferred for the high success rate and reducing the rejection and infection
|
Chosen for the availability and convenience
|
Chosen when a large amount of graft material is needed
|
How Much Does Dental Bone Grafting Cost?
Dental bone grafting ranges between €200 and €2,000. Prices can be different depending on the location of the clinic, the quality of the clinic, the expertise of the dentist, and the chosen material.
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COUNTRY
|
PRICE OF THE DENTAL BONE GRAFTING
|
|---|---|
|
Turkey
|
€200 - €600
|
|
Spain
|
€500 - €900
|
|
German
|
€600 - €1200
|
|
England
|
€700 - €1300
|
|
France
|
€600 - €1100
|
|
Italy
|
€500 - €1000
|
|
Switzerland
|
€800 - €1500
|
|
COUNTRY
|
Turkey
|
Spain
|
German
|
England
|
France
|
Italy
|
Switzerland
|
|---|---|---|---|---|---|---|---|
|
PRICE
|
€200 - €600
|
€500 - €900
|
€600 - €1200
|
€700 - €1300
|
€600 - €1100
|
€500 - €1000
|
€800 - €1500
|
When Is Bone Grafting Necessary?
If you have bone loss in your jaw, you need a bone grafting procedure.
Let’s see the situations where you need a bone graft procedure;
- Bone loss after tooth loss
- Bone loss due to gum disease
- Rebuilding the jaw before getting dentures
- In case of bone loss before getting implants
Do I Really Need a Bone Graft After Tooth Extraction?
No, you do not necessarily need a bone graft after tooth extraction.
After tooth loss or extraction, we recommend dental implants to prevent bone loss. Delaying dental implants may result in bone loss over time. Getting implants sooner can help maintain your oral health and prevent potential issues.
What Happens If I Don’t Get a Bone Graft After Tooth Extraction?
After tooth extraction, it’s a good idea to plan for dental implants to maintain bone support. Bone grafting is usually needed only if there’s already some bone loss.
Can I Get a Bone Graft and No Implant?
Bone grafting is also done for periodontal diseases. Your gum tissue may be infected with periodontitis, which leads to severe bone loss.
So, if you have bone loss or gum disease in the mouth, you should get a bone graft.
However, bone grafts for dental implants support your bone by stimulating pressure. If you get a bone graft and no implant, you can experience bone loss in the long term.
What Happens If You Don't Get Dental Implants?
If you have tooth loss in your mouth and it stays like that for a long time, it can be risky for your mouth health. The bone in the jaw starts to deteriorate. This can lead to bone loss with misalignment and bite problems.
When you get the procedure dental implant, the implants are placed like your natural teeth and this prevents bone loss or any jawbone problems. Dental implants are so important for preventing bone loss.
But, if there is excessive bone loss in the upper jawbone, dental implants cannot be done. Zygomatic implants are for this situation.
Can I Get a Bridge Without a Bone Graft?
It depends on the situation of your jawbone. Placing a dental bridge requires strong and healthy support from the teeth. If you have healthy and strong teeth even if you have an extracted tooth, you can get a bridge without a dental bone graft.
If you experience limited density in your jawbone and there is bone loss, you have to get a bone graft.
What Is the Recovery Time After a Bone Graft?
Recovery time after a bone graft takes generally a few months. It can range from 2 to 9 months because it has different phases in the whole healing process. Here are the 5 healing stages after a bone graft:
- Inflammation Phase
- Initial healing
- Bone Formation
- Bone Remodeling
- Complete Integration
Inflammation Phase
This phase starts in the first few days. This is the first reaction of the body to the surgery. The inflammation phase of the dental bone graft helps to clean the site of any debris, so this can start the dental bone graft healing process.
Swelling, redness, and mild discomfort can be seen in this phase.
Initial Healing
Initial healing happens in the first few weeks. Tissue formation (blood vessels begin to grow) and graft integration (graft material starts to integrate) start in this phase.
Bone Formation
This is the stage where the new bone cells, osteoblasts, start to form. Stabilization is also key in this phase. The graft becomes stable as new bone tissue replaces the graft material. This phase happens in the duration of 1-3 months.
Bone Remodeling
The maturation and remodeling phase happens in 3-9 months. The new bone continues to mature and the bone undergoes a natural process of remodeling where old bone is broken down.
Complete Integration
This is the final phase of bone grafting. The grafted bone finally fully integrates into the surrounding bone. So, this provides a strong and stable foundation for dental implants, dental bridges, or dentures.
Why Does My Bone Graft Hurt So Bad?
If your gum tissue hurts after local anesthesia wears off, you can use pain relievers. However, if you feel pain from your bone, that’s most probably a sign of a bone augmentation failure.
You should contact your dentist.
How Do I Know If My Bone Graft Is Failing?
Sometimes, the body reacts differently to bone grafting. The body may reject a foreign material and attack it. When the body attacks it, bone graft rejection starts and bone graft failure comes out.
Signs of bone graft failure are:
- Severe Pain
- Infection
- Intense Dental Bone
- Graft Swelling
- Large Volumes of Leakage
- No Bone Growth
- Gum Recession
- Bleeding
- Membrane exposure (white marks)
Are there any downsides of bone grafting?
Bone grafting can be beneficial for you but there is always the possibility that it may also come with downsides of the procedure. These downsides are:
- Blood Loss
- Graft failure
- Swelling and discomfort
- Long recovery time
- Infection
- Rejection
Who Needs a Bone Graft?
You may need dental bone grafts if you have any of the following conditions:
- Tooth Loss
- Dental Implants
- Periodontal Disease
- Jawbone Atrophy
- Sinus Lift Procedures
- Developmental Defects
Who Is Not a Good Candidate for Bone Grafting?
Some individuals are not appropriate for the bone grafting procedure and they cannot undergo this procedure.
This can happen because they have inappropriate and risky medical history.
- Smokers
- Uncontrolled diabetics
- Those with bleeding disorders
- Individuals with immune deficiencies
Is There an Alternative to Bone Graft?
Yes, there are alternatives to bone grafting even though dental bone graft is a common and effective method. But, there are several alternatives to traditional bone grafting depending on the needs and circumstances. These are:
- Guided Tissue Regeneration
- Distraction Osteogenesis
- Zygomatic Implants
- Stem Cell Therapy
FAQ about Bone Augmentation
Does Bone Grow Back After Graft?
Yes, bone grows back after a dental bone graft. After a bone graft, the placed bone graft material fuses with natural bone tissue promoting bone formation. This allows the bone to regrow and strengthen.
How Painful Is A Dental Bone Graft?
Patients have no pain during the procedure because the dental bone graft procedure is performed under local anesthesia. The procedure itself does not involve too much pain and discomfort.
Can You Feel Dental Bone Graft?
No, you can’t feel a dental bone graft.
You can feel discomfort during the procedure or after the procedure but you can’t feel the bone graft. The chosen material for the dental bone graft procedure will be donated bone or synthetic material. So, this means that the grafts will be covered by them. You can’t feel a bone graft in your mouth.
Does A Bone Graft Leave A Hole?
Do Gums Grow After Bone Graft?
Yes, gums grow after bone graft. This happens because the graft material is surrounded by the gums. This helps the gums integrate with the graft.
References:
1- Kumar P, Vinitha B, Fathima G. Bone grafts in dentistry. J Pharm Bioallied Sci. 2013 Jun;5(Suppl 1):S125-7. doi: 10.4103/0975-7406.113312. PMID: 23946565; PMCID: PMC3722694. https://pubmed.ncbi.nlm.nih.gov/23946565/
2- Ferraz MP. Bone Grafts in Dental Medicine: An Overview of Autografts, Allografts and Synthetic Materials. Materials (Basel). 2023 May 31;16(11):4117. doi: 10.3390/ma16114117. PMID: 37297251; PMCID: PMC10254799. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254799/
3- Zhao R, Yang R, Cooper PR, Khurshid Z, Shavandi A, Ratnayake J. Bone Grafts and Substitutes in Dentistry: A Review of Current Trends and Developments. Molecules. 2021 May 18;26(10):3007. doi: 10.3390/molecules26103007. PMID: 34070157; PMCID: PMC8158510. https://pubmed.ncbi.nlm.nih.gov/34070157/
4- Roberts TT, Rosenbaum AJ. Bone grafts, bone substitutes and orthobiologics: the bridge between basic science and clinical advancements in fracture healing. Organogenesis. 2012 Oct-Dec;8(4):114-24. doi: 10.4161/org.23306. Epub 2012 Oct 1. PMID: 23247591; PMCID: PMC3562252. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3562252/
5- Kim YK, Ku JK. Guided bone regeneration. J Korean Assoc Oral Maxillofac Surg. 2020 Oct 31;46(5):361-366. doi: 10.5125/jkaoms.2020.46.5.361. PMID: 33122463; PMCID: PMC7609932. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7609932/
6- Gual-Vaqués P, Polis-Yanes C, Estrugo-Devesa A, Ayuso-Montero R, Mari-Roig A, López-López J. Autogenous teeth used for bone grafting: A systematic review. Med Oral Patol Oral Cir Bucal. 2018 Jan 1;23(1):e112-e119. doi: 10.4317/medoral.22197. PMID: 29274156; PMCID: PMC5822533. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5822533/
7- Elakkiya S, Ramesh AS, Prabhu K. Systematic analysis on the efficacy of bone enhancement methods used for success in dental implants. J Indian Prosthodont Soc. 2017 Jul-Sep;17(3):219-225. doi: 10.4103/jips.jips_19_17. PMID: 28936034; PMCID: PMC5601489. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5601489/
