Are they really necessary?
Not enough bone …. Do not loose hope
Do not anguish if u have been told by your implantologist that u do not have sufficient bone and need BONE GRAFTS to place dental implants.
Have u ever heard the old adage ” when u don’t use, u loose” this applies to jaw bone too. Your bone stays thick and tall when your teeth are there stimulating your bone everyday if u loose your teeth your jaw bone shrinks from disuse.
Bone grafting is a surgical procedure that replaces missing bone. Bone has the ability to regenerate completely but requires a very small fracture space or some sort of scaffold to do so. Bone grafts may be,
- Autologous ( bone harvested from patients body)
- Allograft ( cadaver bone obtained from bone bank)
- Synthetic ( made of hydroxyapatite or biocompatible substances)
DISADVANTAGES OF BONE GRAFTS:
- Delayed treatment time: Patient has to wait for 4- 10 months for their teeth after mandibular block grafts and sinus lifts.
- Postoperative infection.
- Unpredictable healing.
- Less mineralised than native bone.
- Commercial BONE GRAFTS are very expensive.
Jaw bone consists of spongy alveolar bone which supports the teeth and the basal bone below alveolar bone.Conventional two piece implants are inserted in spongy alveolar bone and due to its nature, spongy alveolar bone requires 3 -6 months in order to fuse together with implants to provide a stable foundation for new teeth. In cases of bone recession it is spongy alveolar bone which recedes and as conventional two piece implants are fixed in spongy alveolar bone, bone recession renders their immediate installation impossible.
Dental implants when placed in the jaw bone act as roots of the replaced teeth, the implant body made of Titanium, osseointegrates with the jaw bone, thereby providing a stable foundation to the replaced teeth.
The implant associated fixed replacement has become an essential part of FULL MOUTH REHABILITATION today, and it is recommended to place implants in the native bone rather than using BONE GRAFTS, the reason being, the original native bone will be highly mineralized and there are many incidences of DENTAL BONE GRAFT COMPLICATIONS, which ultimately led to the failure of the implant.
Experts are avoiding BONE GRAFTS,because of the frequent SIGNS OF DENTAL BONE GRAFT FAILURE, and are now resorting to FULL MOUTH DENTAL IMPLANTS using IMMEDIATE LOADING IMPLANTS which avoid BONE GRAFTS as they are placed in the native basal bone which is present in all and is devoid of infection.Apart from this these SINGLE PIECE IMPLANTS are a single entity and therefore reduce the DENTAL IMPLANT COST.
Do we use BONE GRAFTS : NO almost extinct
Swiss Ihde AFFORDABLE DENTAL IMPLANTS are inserted into the layer of hard bone beyond the spongy bone known as basal bone. This basal bone provides a immediate stable foundation for new teeth, while the implants gradually fuse together with the spongy alveolar bone. It is highly preferable to place implants in native or basal bone which is more highly mineralized in comparison to grafted bone.
Main objective of the SINGLE PIECE IMPLANTS is to contribute to the appearance,function and relief to the patient.
ADVANTAGES OF UTILIZATION OF PATIENTS OWN BONE SUBSTANCE:
- Avoidance of augmentation ( bone build up )
- Avoidance of additional surgical risk procedures.
- Cost & time savings ( bone grafts are very expensive)
Cost savings though is only one consideration, it is certainly an advantage to be able to save 1/3 of the overall treatment costs by dispensing with BONE GRAFT procedures but what is really more important for many patients is that BASAL IMPLANTS finally give them the treatment option they really want. BASAL IMPLANT CASES are multiplying in recent times owing to the simplicity of the technique,sensitive approach and conservation of soft tissue scaffold to design an image of native teeth.