Bone and Soft Tissue Grafting

What is a bone graft?


Bone grafting is often closely associated with dental restorations such as bridge work and dental implants.

A bone graft is the technique through which the lost bone can be replaced or regenerated. Bone loss can occur due to multiple reasons like infection or injury.

Therefore, the remaining bone may not be adequate in quantity or quality to support the dental implants. To optimize the implant success rate, bone graft and/or tissue graft is performed by Dr. Stella Oh.

Loss of bone can be attributed to the following factors-

  • Periodontal Disease(Gum Disease):  Untreated Gum Disease will destroy the supporting bone and soft tissue and the teeth will be lost
  • Tooth Extraction: 40 to 60% of the bone surrounding a tooth starts dissolving soon after extraction. Grafting at the time of extraction often ensures prevention of bone loss and will allow patients to have implants in the future.
  • Injuries and Infections: If the infection of the jaw and facial/jaw trauma occurs bone loss can occur.

What to expect during a bone grafting procedure?


During the earlier days, the graft was prepared from the bone of another part of patient’s body and then placed in the jaw. Nowadays, we have an option to use commercial bone grafts available that have been derived through cadaver source or is artificially created. They are accepted by your body in the same way as the natural bone is.

After the placement of this bone graft, it will be left in the grated area for few months so that the graft turns over as your bone.  Thus, a new bone and new tissue will form in the augmented area. After the completion of the healing process it will provide a great anchor for the dental implant.

For post-op instructions you may be asked to follow few dietary restrictions and will have to take antibiotics to prevent infection. This is to promote faster healing without complications. Minor discomfort in the form of gum swelling or slight bleeding may be there.  Within a week or two, most patients heal with no problems.

  • Dr. Oh or Dr. Estafan will conduct few diagnostic tests such as CT, clinical exam and radiographs to evaluate the extent of bone loss.
  • By thorough clinical and radiographic evaluation, the dentist can figure out how much of bone and soft tissue loss can be rectified through grafting. Accordingly, the nature of the graft to be used is decided.
  • Through a small incision, the graft material is placed on the existing tissue and covered with a membrane to protect the new tissue from getting invaded by bacteria.

What to expect during a soft tissue grafting procedure?


For problems like gum recession, soft tissue grafts are placed on gums to compensate for the gum tissue lost due to periodontal disease or trauma.

  • Connective Tissue Graft: tissue is prepared from the patient’s body by harvesting tissue from palate. This procedure can be uncomfortable.  
  • Regenerative Tissue Matrix(Alloderm) Grafting procedure: the harvesting is not necessary and the matrix can help regeneration.

As post-op instructions you may be asked to follow few dietary restrictions provide by Madison Avenue Dentists, PC. This is to promote faster healing. Minor discomfort in the form of gum swelling or slight bleeding may be there.

If you would like a consultation about the grafting procedures please call us today for consultation!