Why do bone grafts?
Dental implant fixtures need to be embedded and anchored in good bone, (link to An dental implant page) so we need to increase bone volume for implants if the CT scan shows lack of bone.
How are bone grafts done?
We will first take a CT scan for you to determine how much bone is lost and how much bone needs to be replaced. We will sit down and discuss what type of bone graft material you will require. There are many different kinds and we can choose the bone graft depending on the size of the bone graft required and your preferences. There are some types of bone graft materials that come from animals. If you are vegan or have religious preferences, you may want to consider using your own bone or bone from a non-animal source.
Once you have decided, our dental surgeon will give you numbing cream, then give you an injection to numb the area.
We tease the gums open and create little holes in your bone bed to enhance bleeding. The bone graft you have chosen will be carefully applied to the area. We may also use a membrane, which is usually a sheet of collagen, to hold the bone graft in place. The gums are then stitched back into place.
You may wonder why we need to create little holes in your bone! This is a technique to enhance blood flow to the area so the newly grafted bone can form a nice stable blood clot. This blood clot will convert to nice new bone that will mesh with your native bone. And tadah ✨✨ more voluminous bone! There are many other techniques for bone grafting, but bone particulate grafts are the most common. If you want to nerd out, you can check out this article here.
https://pubmed.ncbi.nlm.nih.gov/30947846/?from_term=horizontal+ridge+augmentation&from_pos=1 You’re welcome!
Activity: It is recommended that you restrict your activity on the day of and the day after surgery. Typically, patients return to work or school the following day. It is in your best interest not to participate in any physical activity for at least two days following surgery. Avoid sleeping on the side where surgery was done. Smoking is not advised 7 to 14 days after surgery.
Medications: You may experience some discomfort as the local anaesthetic wears off. If a medication is prescribed or recommended, you are advised to take it as directed, even if you initially do not have much discomfort – it is much easier to prevent discomfort than it is to treat it once it occurs.
Swelling: Some swelling is normal following surgery and should reach its peak by 48 hours. For the first 24 hours following surgery, apply an icepack on your face, outside the operation site, for 15 minutes on/15 minutes off. A reusable ice bag or a frozen vegetable bag, wrapped in a soft towel, may be used as an ice pack. After the first 24 hours, warm, moist heat may be applied to the area to break down the blood clot. You may get a towel and wet with some warm water from a bowl or tap. Wring dry then apply to your face. Keeping your head elevated above your heart will also help. Most swelling can occur in the morning and up to 3 days after surgery. Avoid sleeping / laying on the side that surgery was performed.
Bleeding: A small amount of oozing for the first 24 hours following surgery is normal. If slight bleeding is noted gently apply moderate pressure to the area with gauze for 20 minutes. If you run out of gauze, get a caffeinated tea bag and run it under distilled or clean water. Squeeze dry and place it with compression onto the area with bleeding. The caffeine will cause the blood vessels to constrict and reduce bleeding. Don’t rinse too hard or spit forcefully! If bleeding cannot be controlled, contact An Dental at Tel 85889868.
Mouth Care: Please refrain from pulling on your lips and keep your TONGUE and fingers away from the surgical site. Minimizing post-surgical movement and trauma will help the site to heal faster and more effectively. Sutures have been placed and will either be removed in 1-2 weeks or resorb away on their own. The sutures may also become loose as the surgical site heals. Please refrain from smoking during the healing phase.
Diet: Avoid hot, spicy, brittle, or abrasive foods following surgery. Often a soft diet is best for the first 24 hours. Minimize chewing on the side where surgery was performed. A balanced diet is important for optimal healing.
Oral Hygiene: Refrain from brushing the surgical area until instructed. You have been given a prescription for Chlorhexidine. Beginning 24 hours after surgery, begin rinsing your mouth twice a day for 30 seconds. Also, do not eat or drink anything for 30 minutes following rinsing. Side effects of this mouth rinse may include staining and taste alterations, which are reversible.
Follow-up appointments: You will be scheduled to return to our clinic for a follow-up appointment at 1-2 weeks. This is a short appointment (20 minutes) and is very important. At this time, sutures may be removed and additional oral hygiene instructions are given.