Dental Health Magazine Dental Health Magazine Issue 8 | Page 28

Issue #8, December 2017 28 Dental implants been inserted painlessly under local anesthesia and after 3 months of healing process. 6 What is bone grafting and bone regeneration? Bone grafts Bone grafting procedure is performed to increase the width and height of the jawbone at the implant site. The best success can be achieved when bone from another part of your own mouth or body is used and this is known as autogenousgrafting. Typically, bone is harvested from inside the mouth, as it is a good source of marrow which contains many bone cells. Allograft is a graft that use donated human bone taken from a ‘bone bank’ and work in the same way as autogenous grafts but with lesser success rate. Xenograft is a procedure that use bone from an animal donor, with cows acting as the main source (bovine bone). The bovine bone in the graft is replaced by your own bone tissue over time. Alloplast is grafting that use synthetic bone substitutes that are chemically similar to human bone. These grafts act as a sort of framework for new natural bone formation and may be replaced by natural bone (resorbable alloplast) or retained (non-resorbable alloplast). An autogenous graft is the preferred choice because there is absolutely no risk of your body rejecting it. After the procedure, you will need to allow appropriate healing for at least 3-6 months before having implants placed. The exact waiting time will depend how much bone has been grafted. Bone regeneration using barrier membranes (guided tissue regeneration) This is a special surgical method to enable bone cells an advantage over other types of cell to multiply and cover an area where bone loss has happened. Frequently, cells from the gum surface and the connective tissues multiply much faster at filling the gaps created by bone destruction compared with the bone cells and so bone may not have an opportunity to regenerate even when inflammation has been eliminated. In this procedure, the barrier membrane covers the area of bone loss and prevents access to it for the other cell types, giving the bone cells a better opportunity to fill in the defect. The barrier membrane may disintegrate and disappear over time (resorbable) or may need to be removed in a later procedure (non-resorbable). The natural looking implant teeth