Surgical

Wisdom Teeth Extractions

Wisdom teeth extractions are a common procedure aimed at preventing or addressing potential issues associated with the emergence of third molars. The decision for extraction is made based on a careful assessment of the individual's oral health and the position of the wisdom teeth.

Bone Grafting

Bone grafting is a surgical procedure used to augment or replace bone in areas where it is deficient or has been lost, in both dental and orthopedic contexts.  The procedure often results in improved function and aesthetics.  Grafting is commonly employed in oral and maxillofacial surgery for dental implants, treating jawbone defects, correcting congenital abnormalities and repairing fractures.

  • Different types of bone grafts are used including autografts (from the patient's own body), allografts (from a donor), xenografts (from another species) and synthetic grafts (lab-created materials).

  • In the context of dental implants, bone grafting is often used to enhance the quantity and quality of the jawbone, providing a stable foundation for the implant.

  • During the procedure the surgeon places the bone graft material in the targeted area, securing it with screws or pins if necessary.  Over time, the graft integrates with the existing bone.

  • Autografts are commonly harvested from other parts of the patient's body such as the hip, jaw or tibia. This is often done during the same surgical session.

  • Allografts and xenografts are processed bone materials that are obtained from human or animal donors, respectively.  These materials serve as scaffolding for new bone growth.

  • Synthetic grafts are engineered materials that mimic the properties of natural bone.  They may be composed of biocompatible materials such as hydroxyapatite or other ceramics.

  • The healing process involves the gradual integration of the graft with the recipient's bone. Over time, new bone cells fill the graft material, resulting in a stronger and more stable bone structure.

  • Patients are typically provided with post-operative care instructions, including guidelines for managing pain, swelling and oral hygiene.  Follow-up appointments are scheduled to monitor healing progress.

  • The success of bone grafting depends on various factors including the patient's overall health, the type of graft material used and adherence to post-operative care instructions.

Sinus Grafting

Sinus grafting is a well-established and effective procedure that enables patients with insufficient bone in the upper jaw to receive dental implants, restoring functionality and aesthetics.  It is often part of a comprehensive treatment plan that ensures a stable and durable foundation for implant success.

  • This procedure is indicated when the natural bone height in the upper jaw is inadequate due to sinus expansion or resorption, often a result of tooth loss or the natural aging process.

  • Bone graft material, either from the patient's own body (autograft), donor sources (allograft), animal sources (xenograft) or synthetic materials is used to supplement the existing bone.

  • Sinus grafting involves lifting the sinus membrane away from the jawbone and placing bone graft material into the resulting space between the sinus floor and the upper jaw.

  • There are different techniques for sinus grafting, including lateral window technique and osteotome technique. The choice depends on the amount of bone needed and the specific anatomical considerations.

  • The primary goal of sinus grafting is to create a more stable and supportive foundation for the placement of dental implants. The graft material integrates with the existing bone over time, providing a secure base for implant anchorage.

  • After sinus grafting a healing period is necessary to allow for the integration of the graft material with the surrounding bone.  This period typically takes from several weeks to six months.

  • Patients receive post-operative care instructions, including guidelines for managing discomfort, swelling and oral hygiene.  Follow-up appointments are scheduled to monitor healing progress.

  • The success of sinus grafting depends on factors such as the patient's overall health, the quality of the graft material and proper post-operative care.  There are high success rates with this procedure.

Platelet Rich Fibrin

Platelet Rich Fibrin is a valuable adjunct in regenerative dentistry, harnessing the body's natural healing mechanisms to enhance tissue regeneration and improve outcomes in various dental procedures.  Its autologous nature and ease of preparation make it a versatile and increasingly popular tool in clinical practice.