Bone Grafts

Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants.

If you are considering cosmetic surgery in Vero Beach, FL, Dr. J. Andrew Colgan offers the highest oral surgery, cosmetic facial surgery and reconstructive surgery care in the Vero Beach area



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 functionality and esthetic appearance.

Dr. Colgan has extensive bone grafting experience and can safely and permanently secure dental implants for those patients who require this procedure.

Dr. Colgan has performed hundreds of bone grafting procedures for the treatment of post-traumatic deformities of the facial bones and for patients who have lost bone as a result of benign and malignant pathology or simply for the reconstruction of lost bone for the support of dental implants.

Socket Preservation

At the time a diseased tooth is removed, the bone at the extraction site can be maintained and even improved in terms of its volume and density by the addition of a processed mineral matrix to the site. This mineralized matrix resembles granules similar to grains of salt and is packed into the site and then sealed off from the oral environment. The bone over four to six months around the extraction site then replaces this matrix and allows the formation of a good quality, dense bone for future implant placement.

Sinus lift procedure

When teeth are lost in the back of the upper jaw, the sinus above the roots of these teeth tends to expand downward and reduces the available bone for implants in this area. This office procedure involves a small incision in the gums and a small opening into the floor of the sinus. This allows gentle elevation of the sinus membrane to its previous position and the placement of particulate bone grafting onto the sinus floor, thus permitting implants to be placed in these locations.

Ridge-augmentation

In some cases where teeth have been missing for extended periods of time, the residual ridge may become too narrow and/or too short for implant placement. In these instances, small, carefully prepared and fitted grafts can be placed at the proposed implant sites to provide needed bone thickness and/or height.

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 upon the individual's condition. There are several areas of the body which are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. All of these “donor” areas of the body heal without deformity or resultant deficit and provide excellent bone sources for reconstructive surgery.

These surgeries are performed in our in-office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day and limited physical activity for one week.