South Florida Boca Raton Cosmetic Dentist Office FL
Boca Raton Dentist
   Dr. Mitchell Pohl
 2900 N. Military Trail
          Suite 105
   Boca Raton 33431
South Florida Dentistry
   (561) 368-3440
 Broward County

dental anesthesia





Jawbone Porosity


Immediate Load Teeth
mini implants
One Day Denture
Cosmetic False Teeth
cosmetic dentistry
Zoom Whitening
Enamel
New Arch
Instant Orthodontics Boca Raton
Invisalign Clear Braces
Invisalign Clear Braces
Dental Face Lift
Overbite Repair
Gum Disease

Photos
Photos

DaVinci Boca Raton
Diastema
Missing Teeth
Lumineers Boca Raton
Fix Bad Veneers
SnaponSmiles
Failed Porcelain Veneers










Smile Makeovers


Broward County



oral surgery, restorative dental work, tooth whitening
         Office Tour

Jawbone Augmentation - Rehabilitation

Bone Grafting

In some cases prior to placing an implant, the site needs to be augmented to allow for adaquate height, width and quality of bone. This is done through bone grafting, or using special types of implants.

If teeth require extraction, it is imperative that they are removed with minimal trauma to the remaining bone. Many times grafting could have been eliminated if the bone surrounding the extracted teeth was protected.

Types of Bone Grafting Materials

Self donated (autogenous) can be harvested from the lower jaw (chin block - ramus), illiac crest, calvarium (skull), rib and tibia. Although autogenous grafts are considered the "gold standard" of grafting, it involves an additional surgical site.

Extractions - Gum Disease Dentures
Total Extractions - Socket Grafting Needed
An osseous coagulum trap can be used to save bone during an implant placement. This bone is excellent for grafting an immediate implant placement.

Human source (allograft) Bone Banks may be demineralized freeze dried bone, freeze dried bone matrix, irradiated bone, fresh frozen bone and human bone ash. When combined with Platelet Rich Plasma (PRP) these materials serve as an excellent graft for sinus lifts and ridge-splitting techniques.

Species other than man (xenograft) include bovine porcine are readily available. CeraMed adds Pepgen P-15, a synthetic biomimetic of the 15 amino acid sequence of Type I collagen, that is responsible for cell binding. This results in more rapid bone growth.

Full Arch Jawbone Rehabilitation photo
After Full Arch Bone Grafting
Dental Implant Combination
Artificial synthetic bone materials (alloplasts) can be ceramic or glass. In some cases synthetic bone grafts can actually retard natural healing mechanisms and cause immuno-inflammatory reactions.

Membrane Grafts

Membranes are used to prevent the soft tissue from migrating into the graft material before the bone has a chance to grow.

Nonresorbable membranes require an additional surgery to remove, but can stay longer in the graft site and in some cases are more predictable.

Resorbable membranes dissolve by themselves after a few months which eliminates the need and additional cost for surgery.

Types of grafting

Onlay grafts are used to increase the width or height of a particular implant site. Generally the bone is self donated. Several tissue banks are now offering block grafts to be used with PRP that can promote and accelerate tissue healing.

Sinus lifts - by type:

Caulldwell Luc: Surgical entry is made from the side of the upper jaw. Grafting materials may be allograft or xenograft with PRP.

Osteotome technique: Surgical entry to the sinus can occur at the crest of the ridge (where the teeth used to be). This procedure nonetheless has limitations, depending on the condition of the ridge. In general terms this type of entry is much less traumatic when it is possible to perform.

Ridge splitting: A thin ridge on the upper jaw in the front with adaquate height can be split. Allograft or xenograft material can be used, along with PRP to faciliate healing. This procedure increases the width of the ridge. In some cases the implants can be placed immediately following the graft procedure.

Visit our pages on Dental Implants and Immediate Load Implants for more discussions and examples of popular bone grafting issues.

Questions?

Contact our office at 561-368-3440 to schedule an evaluation with Dr. Pohl to learn more about bone grafting procedures and how they can be used to treat a number of current or potential bone, tooth or connective tissue loss conditions.

Patients having specific questions about bone grafts or any of the material on this page can contact Dr. Pohl directly with our on-line Ask The Dentist form. Dr. Pohl will reply to you directly with the answers or information you are seeking.

[ Credentials ] [ About Us ] [ FAQ ] [ Testimonials ] [ Links ]
[ Inquiries ] [ Cosmetic ] [ Instant Ortho ] [ Restorative ] [ Implants ] [ Imtec MDI ]
[ Enamel Repair ] [ Zoom Whitening ] [ Failing Veneers ] [ Preventive ] [ Snap On ]
[ Gum Disease ] [ Root Canal ] [ Emergency ] [ Interview ] [ Replace Veneers ]
[ Bite-Occlusion ] [ Gum Shaping ] [ Dental Laser ] [ Adult Overbite ] [ Denture Cosmetics ]
[ Procedure Videos ] [ Photo Gallery ] [ Consult Request ]
[ Celebrity Photos ] [ Extreme Makeovers ] [ Face Lift Dentistry ]
[ Map-Directions ] [ Home ]

Boca Raton Cosmetic Dentist ®
Cosmetic and Restorative Dentistry in
Palm Beach County Southern Florida
2900 N. Military Trail, Suite 105
Boca Raton, South Florida FL 33431
561-368-3440
Copyright© 1997 - 2008