Does a Sinus Lift Bone Graft For Dental Implants Affect Breathing?

Does a sinus lift bone graft for dental implants affect breathing?  A patient asked me this today.  She does not have enough bone in her upper molar area so she needs me to rebuild the bone.  That is the purpose of this procedure.  It allows you to have dental implants for upper back teeth, if the … Read more

Burbank Implant Dentist on Extraction Defects…Relation to Dental Implants and Bone Grafts

Smile picture

Teeth are removed for several reasons, including periodontal (gum) disease, extreme decay, and for orthodontic reasons.  Once a tooth is removed, the shape of the ridge (i.e., the supporting bone and gum in which the tooth was situated and retained) changes. If there has been extensive bone loss, or if the tooth needed to be … Read more

PRP – For Accelerated Healing Of Dental Implant Procedures

Single lower lateral implant with crown

This is a great report on the use of PRP (Platelet-rich plasma) for dental implants and bone grafting.  The author referenced is an expert on the topic.  He has the same credentials in implant dentistry as I do, which is the highest achievable.  We both carry the prestigious title: Diplomate of the American Board of Oral Implantology /Implant Dentistry.

I also use PRP in my office and have had similar great sucess. I especially like the part about how it was used by an NFL team! Read this post to learn more about PRP.

SOURCE American Academy of Implant Dentistry

An exciting treatment gaining acceptance in orthopedics and sports medicine, called platelet-rich plasma therapy (PRP), is showing strong potential for accelerated healing of dental implant procedures, according to a prominent dental researcher and editor of the Journal of Oral Implantology.

James Rutkowski, DMD, PhD, reported at the recent annual scientific meeting of the American Academy of Implant Dentistry that platelet-rich plasma therapy can accelerate bone and tissue growth and wound healing and help assure long-term success of dental implant placements.

"What could be better than using the body's own regenerative powers to grow bone and soft tissue safely and quickly? For dental implant procedures, PRP treatments can jump start bone growth and implant adherence in just two weeks, which cuts down the time between implant placement and affixing the permanent crown," said Rutkowski.

Platelet-rich plasma is obtained from a small sample of the patient's own blood. It is centrifuged to separate platelet growth factors from red blood cells. The concentration of platelets triggers rapid growth of new bone and soft tissue. "There is very little risk because we are accelerating the natural process in which the body heals itself," said Rutkowski. "PRP speeds up the healing process at the cellular level, and there is virtually no risk for allergic reaction or rejection because we use the patient's own blood."

Rutkowski noted that some orthopedic physicians have been using PRP with success for painful and hard to treat injuries like tennis elbow, tendonitis and ligament damage. An avid Pittsburgh Steelers fan, Rutkowski couldn't resist mentioning that PRP was used in 2009 pre-game Super Bowl treatment for two Steeler players (Heinz Ward and Troy Polamalo), and both were instrumental in the team winning its 6th Super Bowl.

For dental surgery applications, Rutkowski explained that PRP is mixed as a gel

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Tunnel Bone Grafting for Dental Implants

Have you ever heard of laparoscopic surgery? Tunnel bone grafting for dental implants has a similar concept.

Rather than opening a large incision to rebuild bone, a tiny incision is made in an area far from the graft.  This is called remote access.

A tunnel bone graft is most commonly done to make the jaw wider if you have missing lower back teeth.  It does not make bone taller.

A small tunnel is made and bone grafting materials are added through that tunnel.  There are very few stitches since the incision is so tiny.  Pain is also reduced with this technique.

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PRP vs. BMP (Blood Growth Factors) for Dental Implant Bone Grafts

Xray of upper dental implant

If you need a bone graft for dental implants, technology from your own body can help. There are a lot of "additives" that can be added to your bone graft. Some of these additives are scientifically studied and some are just gimmicks. Some may cost you an exorbitant amount of money such as recombinant human … Read more

VIDEO -Hard or Soft Bone – What is Better for Dental Implants?

dental implant

Most people think bone is just bone!  Actually, in the mouth it can be as hard oak wood or as soft as Styrofoam!!! Your success with the dental implant procedure has got a lot to do with this.  The techniques of placing the implants into each type of bone is very different.  This video should help … Read more

Sinus Bone Lifting – Internal

xray of missing tooth

There are two ways to “lift the sinus” if you are missing bone for an upper back tooth. Read this post first  and watch this sinus graft video to understand the two main techniques and understand why this procedure is needed. Internal Sinus Lift Procedure This procedure is used when the bone loss of the … Read more

Nerve-Repositioning for Lower Dental Implants

Nerve-Repositioning or “Nerve Lateralization” is reserved for the rarest of cases, but is extremely useful in the right situation. This is a procedure that I perform.

It is only done to replace the lower back teeth with a very unique situation.  You may need this procedure if the bone is not “tall” enough to have an implant.  There also needs to be a lack of space from in-between you top and bottom teeth

Lower Back teeth with implants healing:

IMG_0112

Here is a picture of a patient with a lot of space between the bottom and top teeth:

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This space can be built back with bone with some difficulty.

This is a picture of a patient that has very little space:

LEFT

It is more desirable to have less space, which means you have more bone.

A CT scan is required for this procedure.  Below are some example images.

The orange line in this image is where the nerve is. You don’t want the

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Piezosurgery for Dental Implants and Bone Grafting

Panoramic xray of missing upper molars

Piezosurgery® is an exciting modality that enables me to cut bone without harming soft tissues. It is amazing. I have used it for 3 years now and it is just incredible.  It can cut bone, but it can't cut skin, gums, nerves, etc!  Unbelievable, but true. Piezosurgery utilizes high frequency ultrasonic vibrations—which allow the bone … Read more