Is Bone Grafting Necessary After Tooth Extraction?

Is Bone Grafting Necessary After Tooth Extraction?

Whether the cause of your problems was trauma or tooth decay, tooth extraction is sometimes the best solution for preserving a patient’s oral health. However, removing teeth can impact a person’s wellbeing in other ways. Bone grafting is an excellent solution to help protect dentition and prepare an individual’s smile for future restorative care. Here’s why.

Why Do You Need Bone Grafting?

You wouldn’t know it from looking at your teeth, but every part of your smile plays a critical role in preserving your oral health. Below the surface, teeth roots provide valuable stimulation to the supporting jawbone, which in turn maintains your bite position and ability to chew, speak, and much more. 

When teeth are missing, the jaw loses this important stimulation. When combined with the inability to bite and chew, the jawbone can begin to degrade and shrink. This opens the door to a number of other potential health issues, which can require much more extensive treatment. Bone grafting, or the placement of donor tissue along the deteriorated area, can help reinforce the structural integrity of your smile while preparing your dentition for future treatments such as dental implants. 

Exploring Different Bone Grafting Techniques

Different oral health scenarios call for different bone grafting solutions. Thanks to innovations in modern oral surgery, patients have a number of advanced bone grafting options that can be tailored to meet their needs. Depending on where teeth are missing as well as each patient’s long-term treatment strategy, our Austin, TX oral surgeon may recommend one of the following popular grafting solutions:

Socket Graft

Typically recommended if the original tooth is still in place, socket grafts help limit potential jawbone deterioration by immediately adding graft material into the space left after a tooth is extracted. This helps maintain bone stimulation while also supporting bone fusion with the grafted tissue. 

Block Bone Graft

In some cases, patients have to wait before bone grafting can be completed. This disruption in stimulation can cause the surrounding bone tissue to deteriorate, ultimately requiring more grafting material in order to rebuild the jaw. Block bone grafts refer to procedures in which a small “block” of tissue is taken from the patient’s chin or lower jaw and placed in the deficient area. Over the recovery period, the surrounding bone tissue accepts the grafted tissue and fuses to it – creating a strong and healthy foundation for dental implants.

Sinus Lift Graft

Missing teeth from the upper jaw can have secondary consequences for an individual’s overall health. As the surrounding bone tissue gradually deteriorates, the bone separating the oral cavity from the nose becomes thinner. This can make implant placement more difficult without a sinus lift graft (sinus augmentation). During this procedure, an experienced oral surgeon will delicately lift the sinus membrane and place the bone grafting material between the sinus membrane and bone. Once the grafted material has fused to the upper jawbone, patients can proceed with further restorative care. 

Choosing the Right Materials

Modern oral surgery techniques have also brought along new types of grafting material. While each individual’s unique oral health conditions will dictate the appropriate bone grafting material, patients have many options to choose from:

Xenograft 

Xenograft tissue is bone tissue taken from an animal source, often bovine. This type of bone grafting material has a long and successful surgical history. Although xenografts have not been shown to directly stimulate bone production, surrounding bone tissue will still successfully adhere to the tissue.

Alloplast 

This form of synthetic material also is a popular option, particularly for patients who cannot provide their own bone grafts or are unable to tolerate xenografts. Readily accessible and commonly used in surgery, alloplast grafts have no risk of disease transmission, making them an excellent option for vulnerable patients. However, the synthetic material will not stimulate bone tissue development. 

Autograft 

Autografted tissue is tissue taken from one part of the patient’s body and grafted to another. Since it’s coming from the same patient, autografts have high tolerability – most patients are able to accept the grafted tissue easily, and the use of your own bone can help stimulate healthy bone development. However, this type of graft can require multiple procedures – first to harvest the tissue and then to place the graft. 

Allograft

Similar to autografts, allografts leverage human bone tissue to repair bone deterioration. However, in the case of allografts, donor tissue is coming from other individuals, not the patient. The best matches typically come from relatives of the patient to ensure the bone tissue accepts the graft. While allografts may not stimulate a patient’s cells to produce bone tissue, they can heal small defects on their own and readily fuse to the surrounding bone tissue.

Learn More at Hill Country Oral Surgery

At Hill Country Oral Surgery, our goal is to help our patients put their best smile forward. To learn more about the benefits of bone grafting post-teeth extraction or to explore your options for bone grafting, call Hill Country Oral Surgery at 512-327-7233. Our expert oral surgeons, Dr. Cavaretta and Dr. Rasmussen, are here to help you achieve optimal oral health! 


Is Bone Grafting Necessary After Tooth Extraction?

Whether the cause of your problems was trauma or tooth decay, tooth extraction is sometimes the best solution for preserving a patient’s oral health. However, removing teeth can impact a person’s wellbeing in other ways. Bone grafting is an excellent solution to help protect dentition and prepare an individual’s smile for future restorative care. Here’s why.

Why Do You Need Bone Grafting?

You wouldn’t know it from looking at your teeth, but every part of your smile plays a critical role in preserving your oral health. Below the surface, teeth roots provide valuable stimulation to the supporting jawbone, which in turn maintains your bite position and ability to chew, speak, and much more. 

When teeth are missing, the jaw loses this important stimulation. When combined with the inability to bite and chew, the jawbone can begin to degrade and shrink. This opens the door to a number of other potential health issues, which can require much more extensive treatment. Bone grafting, or the placement of donor tissue along the deteriorated area, can help reinforce the structural integrity of your smile while preparing your dentition for future treatments such as dental implants. 

Exploring Different Bone Grafting Techniques

Different oral health scenarios call for different bone grafting solutions. Thanks to innovations in modern oral surgery, patients have a number of advanced bone grafting options that can be tailored to meet their needs. Depending on where teeth are missing as well as each patient’s long-term treatment strategy, our Austin, TX oral surgeon may recommend one of the following popular grafting solutions:

Socket Graph

Typically recommended if the original tooth is still in place, socket graphs help limit potential jawbone deterioration by immediately adding graft material into the space left after a tooth is extracted. This helps maintain bone stimulation while also supporting bone fusion with the grafted tissue. 

Block Bone Graft

In some cases, patients have to wait before bone grafting can be completed. This disruption in stimulation can cause the surrounding bone tissue to deteriorate, ultimately requiring more grafting material in order to rebuild the jaw. Block bone grafts refer to procedures in which a small “block” of tissue is taken from the patient’s chin or lower jaw and placed in the deficient area. Over the recovery period, the surrounding bone tissue accepts the grafted tissue and fuses to it – creating a strong and healthy foundation for dental implants.

Sinus Lift Graft

Missing teeth from the upper jaw can have secondary consequences for an individual’s overall health. As the surrounding bone tissue gradually deteriorates, the bone separating the oral cavity from the nose becomes thinner. This can make implant placement more difficult without a sinus lift graft (sinus augmentation). During this procedure, an experienced oral surgeon will delicately lift the sinus membrane and place the bone grafting material between the sinus membrane and bone. Once the grafted material has fused to the upper jawbone, patients can proceed with further restorative care. 

Choosing the Right Materials

Modern oral surgery techniques have also brought along new types of grafting material. While each individual’s unique oral health conditions will dictate the appropriate bone grafting material, patients have many options to choose from:

Xenograft 

Xenograft tissue is bone tissue taken from an animal source, often bovine. This type of bone grafting material has a long and successful surgical history. Although xenografts have not been shown to directly stimulate bone production, surrounding bone tissue will still successfully adhere to the tissue.

Alloplast 

This form of synthetic material also is a popular option, particularly for patients who cannot provide their own bone grafts or are unable to tolerate xenografts. Readily accessible and commonly used in surgery, alloplastic grafts have no risk of disease transmission, making them an excellent option for vulnerable patients. However, the synthetic material will not stimulate bone tissue development. 

Autograft 

Autografted tissue is tissue taken from one part of the patient’s body and grafted to another. Since it’s coming from the same patient, autografts have high tolerability – most patients are able to accept the grafted tissue easily, and the use of your own bone can help stimulate healthy bone development. However, this type of graft can require multiple procedures – first to harvest the tissue and then to place the graft. 

Allograft

Similar to autografts, allografts leverage human bone tissue to repair bone deterioration. However, in the case of allografts, donor tissue is coming from other individuals, not the patient. The best matches typically come from relatives of the patient to ensure the bone tissue accepts the graft. While allografts may not stimulate a patient’s cells to produce bone tissue, they can heal small defects on their own and readily fuse to the surrounding bone tissue.

Learn More at Hill Country Oral Surgery

At Hill Country Oral Surgery, our goal is to help our patients put their best smile forward. To learn more about the benefits of bone grafting post-teeth extraction or to explore your options for bone grafting, call Hill Country Oral Surgery at 512-327-7233. Our expert oral surgeons, Dr. Cavaretta and Dr. Rasmussen, are here to help you achieve optimal oral health!


Bone Grafting Recovery

Get your teeth back! Dental implants can restore aesthetic beauty and function to your smile, but they are investment, requiring both time and financial commitment. Some patients will need bone grafting to achieve optimal results from their implants. This ensures that there sufficient support for your implants and helps to avoid broken implants. Bone grafting also improves the contours of your gum line, for a natural, healthy looking result.

If you need bone grafting, it may take additional time to prepare your mouth for dental implants. This guide will help you understand the recovery process after bone grafting. Contact us today to learn more about your options for dental implants.

Why Do I Need a Bone Graft?

When teeth are missing or removed, the supporting bone underneath shrinks and atrophies. The extraction process can also damage or remove supporting bone. Without sufficient bone quantity and quality, it can be impossible to achieve a healthy and strong dental implant. Bone grafting can restore the bone, helping to improve the results of your dental implants.

Bovine (cow) or human donor grafts are often used, eliminating the need for a second surgical site. This makes bone grafting easier and more comfortable for you, the patient. If large quantities of bone are needed, we may extract bone from the lower jaw to use in your bone graft. Bone can be harvested from the body with minimal risk and no cosmetic deformity.

What’s Recovery Like After Bone Grafting?

Recovery after bone grafting is similar to recovery after tooth extraction. Plan on reducing activity for 4-5 days, although most patients are ready to return much sooner than this. We’ll give you specific recovery instructions before your surgery so you can plan time off work and make needed preparations.

  • Pain– Many patients worry about pain after dental procedures. Most find the pain to be minimal and quite tolerable with the use of pain medication. We have a variety of anesthetic and pain management options for your procedure and recovery. Your first dose of pain medication is the most important. Make sure you take before the surgical anesthetic wears off as the initial pain is often the most difficult to get through.
  • Diet– Food intake will be limited for the first few days after your procedure. Do not chew over the graft site for the first week. Start with soft, easy to chew foods like mashed potatoes, pastas, and soups. Be careful with food temperatures to avoid burning yourself.
  • Hygiene– Good dental hygiene will help you avoid infections. We may provide rinses for you to use or antibiotics for you to take. We’ll give you detailed instructions on how to brush your teeth while you heal.
  • Contact Us– Get it touch if you have any questions or concerns throughout the recovery process.

When Can I Receive Dental Implants After Bone Grafting?

Timing for implants varies after bone grafting. Some patients can receive their implants right away and others may need to wait a few months after grafting. We can give you more information about expected timeline during your consultation.

Call and schedule your consultation today.


Do I Need Bone Grafting Before Dental Implants?

Restore your beautiful smile with dental implants. If you’re missing teeth or have undergone severe dental trauma, dental implants can help you get your smile back. We often talk with patients that are interested in implants, but a bit apprehensive about the process, especially the potential for a needed bone graft. Here’s what you need to know about dental implants and bone grafting. Contact our offices and schedule a consultation to get personalized advice.

Do All Dental Implant Patients Need a Bone Graft?

Some patients will need a bone graft before dental implants and some will not. When teeth are missing or removed, the supporting bone begins to atrophy (or shrink). Dental implants are secured into the supporting bone. For the implant to hold up to the forces that teeth face, like biting and chewing, we need to use a sufficiently sized titanium screw. If the bone has atrophied too much, we won’t be able to place an implant that will hold up over time. Additionally, the bone provides the support for gum tissue. If the bone has atrophied, your gum line contours will not look natural.

In patients with significant bone atrophy, we can restore the supporting bone using bone grafting. During your consultation, we can help you determine if bone grafting is needed for successful dental implants. The longer your tooth has been missing, the more likely you are to need bone grafting.

Bone grafting may sound intimidating, but we find the results far outweigh the inconvenience. Bone grafting helps us to truly restore your smile and to create a natural look using dental implants.

Where Do You Get the Bone for a Bone Graft?

We obtain the needed bone for bone grafting from either a donor source or by harvesting your own bone.

  • Donor Bone– Donor bone, either from a bovine (cow) or human donor source, can be used for many patients. This bone is obtained from a tissue bank and is sterilized and specially processed before it is used. The advantage of using donor bone is that we don’t need to create a second surgical site on your body. This can make recovery easier.
  • Your Own Bone- For patients needing extensive reconstruction, harvested bone from your own body generally works best. This bone can be obtained with minimal risk and without cosmetic deformity.

Many patients feel intimidated by the possibility of bone grafting, but don’t let that stop you from achieving a beautiful smile. We regularly perform bone grafting with excellent results. If you have concerns, come see us. We can help you better understand the process and answer any questions you may have. Call us today and schedule your consultation.