Rockwall & Paris, Texas
Bone loss begins the moment a tooth is lost or extracted, and over 50% of the bone can be lost or reabsorbed after only one year. If multiple teeth are lost, this amount of bone loss can have a serious impact on your physical (facial) appearance and oral health. Bone loss can occur due to severe gum disease that eats away at the jawbone and ligament that attach the tooth to the bone, or when teeth are seriously injured or misaligned to the point they no longer provide sufficient stimulation to the bone structure. Over time, due to this bone loss your facial structure will shrink, your lips will begin to recede into your face, and wrinkles will develop around your mouth, causing you to appear older than you are. While dentures are often used by people who are missing most or all of their teeth, they do not provide the necessary stimulation to maintain a healthy volume and density of your bone, and can actually cause the rate of bone loss to accelerate.
The most effective, natural feeling, looking and functioning solution to a missing tooth or teeth is a dental implant. Unfortunately, patients whose teeth have been missing for too long and who have had too much bone loss may not be able to support a dental implant. However, a bone graft can be performed at the implant site to regenerate enough new bone to support placement of a dental implant. To learn more about bone grafting or other services available in our office, please refer to the following. To schedule an appointment for bone grafting, contact our Rockwall office today at (972) 771-8640 or our Paris office at (903) 785-4832
In addition to ensuring there is adequate bone to support a dental implant, a bone graft can also be performed for the following reasons:
- Preserving a tooth: Bone graft material can be used to regenerate new bone for a tooth that has bone loss around it due to gum disease in order to give it additional bone support.
- Ridge preservation after tooth extraction: To avoid causing deterioration to adjacent teeth, preserve your jaw line, and/or prepare the site for a dental implant, a bone graft can be placed in the tooth socket and secured by a membrane and suture.
- Sinus Lift: Patients who are missing back teeth on the top jaw may require a sinus lift. Because of the bone loss and sinus cavity changes caused by the loss of these teeth, the floor of your sinus cavity can drop, which makes the depth of the bone shallow and not adequate for placing an implant. To make the bone deep enough to support an implant, we will lift up the soft tissue membrane of your sinus cavity and place bone graft material underneath it. Over time, new bone will regenerate and an implant can be securely placed in the area of the sinus lift.
- Aesthetic ridge augmentation: When a tooth has been lost, the ridge of bone that was previously supporting that tooth can begin to sink. A bone graft can be placed under this ridge line to restore it to its normal width and height and restore your natural looking smile.
To determine if bone grafting is necessary, we will perform a thorough evaluation to determine the underlying cause of your tooth loss and discuss available treatment options. We will also take 3D images using a dental CT scanner to determine the bone density and volume in your jaw. These images will allow us to determine where grafting is needed, or find points where there is an adequate volume of bone to support an implant without the need of a bone graft.
Before placing the graft, it may be necessary to first prepare the bone. Once prepared, we will place the graft material into the implant site, which will regenerate new bone and act as a platform or scaffold for the bone to form around. Over time this graft material will dissolve, and your own healthy bone will remain in its place. We often also apply growth proteins that will help prevent infection, minimize swelling, and speed up the bone regeneration process. If possible, we will place the implant immediately with the bone graft, but in many cases, it will be necessary to wait for the bone to regenerate first then come back at a later time to place the implant. This decision is based on the amount of bone grafting necessary for the implant to be placed.
The cost of the bone graft will largely depend on any additional procedures being performed along with your dental bone graft, what type of dental sedation is used, and your dental insurance plan. It is also important to factor in the cost of the initial visit and any follow up appointments that may be necessary. There may also be additional costs if antibiotics or pain medication is prescribed.
For patients who are covered under a dental insurance plan, although we are not in-network, we will gladly help prepare and file your claim to ensure you receive your maximum reimbursement. Payment is due in full on the day of treatment. We accept cash, check, Visa, Discover, Mastercard, and American Express. If you are concerned about the cost of receiving treatment, please know that we offer our patients Compassionate Finance, which offers a variety of payment solutions with fixed interest rates and manageable monthly payments and CareCredit®, which offers 24-monty payment plans with zero interest, as well as low-interest financing for 24-60 months.