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W.
Ronald McIlwain, D.M.D.
J. Terry Carlson, D.M.D., M.D.
James J. Link, D.D.S.
S. Craig Fairburn, D.M.D., M.D.
     
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Over a period of time, the jawbone associated with missing teeth
reabsorbs or melts away. This often leaves a condition in which
there is poor quality and quantity of bone suitable for placement
of dental implants.
In these conditions, most patients are not candidates for placement
of dental implants. We now have the ability to grow bone where
needed. This not only gives us the opportunity to place implants
of proper length and width, it also gives us a chance to restore
functionally and esthetic appearance. Bone grafting is broken
into three divisions:
- Sinus Lift Procedure - This procedure involves elevating
the sinus membrane and placing the bone graft onto the sinus
floor, allowing implants to be placed in the back part of
the upper jaw.
- Ridge-Augmentation - In severe cases the ridge has
been reabsorbed and a bone graft is placed to increase the
ridge height and/or width.
- Nerve-Repositioning - The inferior alveolar nerve,
which gives feeling to the lower lip and chin, may need to
be moved in order to make room for placement of dental implants
to the lower jaw.
These procedures may be performed separately or together, depending
on the patient's condition. There are areas in the body suitable
for attaining bone grafts such as the jaw, hip or knee. During
an implant consultation, issues such as these will be addressed.
Pre-operative prescriptions and instructions will be given and
explained. Patients are encouraged to ask pertinent questions.
These procedures are performed in-office under intravenous sedation
or general anesthesia. Caregivers and patients are given explicit
post-operative instructions for Implant
surgery. Swelling and bruising are associated with bone grafting
surgeries. After surgery, patients are observed for thirty minutes
or until discharge criteria have been met. |

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