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Dr. Andrew Aiken
Dr. Drew Shessel

Oral Surgery Specialists of Atlanta

Bone Graft Procedures

Dr. Andrew Aiken
Dr. Drew Shessel
Welcome to Oral Surgery Specialists of Atlanta, where your oral health is our foremost priority. Under the expert guidance of Drs. Aiken and Shessel, along with their dedicated team, we excel in delivering premier care in the field of Bone Graft Procedures.
Dr. Andrew Aiken
Dr. Drew Shessel

Understanding Bone Grafting for Dental Procedures

Introduction to Bone Grafting

When a tooth is removed, it’s often recommended to perform bone grafting at the time of tooth extraction to enhance bone regeneration. This practice is not only applicable for immediate post-extraction scenarios but also vital for patients who have been missing one or several teeth for an extended period. The absence of a tooth leads to the resorption and deterioration of the jawbone, complicating the placement of dental implants. Bone grafting plays a crucial role in ensuring there’s sufficient bone to support a dental implant, making it stable and capable of healing properly, thus preventing short-term or potential long-term complications.

At Oral Surgery Specialists of Atlanta, we recognize the uniqueness of each patient and the distinct nature of every case. Our proficiency in various bone grafting techniques allows us to devise personalized treatment plans that cater to the specific requirements of our patients.

Consequences of Bone Loss
Dr. Andrew Aiken
Dr. Drew Shessel

Socket Preservation

Socket Preservation: A Specialized Bone Grafting Technique

Socket preservation is a specific type of bone grafting procedure aimed at filling the empty socket left after tooth extraction. This straightforward procedure does not extend the healing period associated with tooth extraction and plays a critical role in stimulating the body to regenerate bone at the extraction site. As a result, the process of dental implant replacement becomes significantly more predictable and successful.

Socket preservation grafts ensure that patients have a viable foundation for future dental implants, enhancing the overall outcome of tooth replacement therapies. By addressing the potential bone loss at the time of tooth extraction, socket preservation grafts make subsequent dental implants procedures less complicated and more likely to succeed.

Socket Preservation

Sources of Bone Graft Materials

The materials for bone grafting can originate from different sources. Most commonly, these materials are obtained from cadaveric (human) or animal tissue banks, which ensure a supply of graft material. Alternatively, it’s possible to harvest bone from other areas of the patient’s body, with the upper or lower jaws being the usual sites for such procedures. The selection of the bone graft source is a decision made in collaboration with your surgeon during the consultation appointment, ensuring the chosen method aligns with the patient’s needs and preferences.

Dr. Andrew Aiken
Dr. Drew Shessel

Sinus Lift Procedure

All patients have maxillary sinuses on either side of their nasal cavity, and on top of their upper teeth/jaw bone. These sinuses are hollow air-filled cavities, and the bone that separates the mouth from the sinus cavity is usually very thin. When you lose a tooth in the upper jaw, it is often extremely difficult to replace it with a dental implant because there is not enough bone present. To solve this problem, the surgical team at Oral Surgery Specialists of Atlanta can perform a sinus lift procedure, in which the oral surgeon enters into the sinus cavity and lifts up the sinus membrane by adding bone graft material. Once the graft has healed, which in some instances may take several months, dental implants can be placed.

Sinus Lift in Atlanta GA: Dr. Shessel

Socket Preservation
Osteotome Sinus Lift
Sinus Lift- Lateral Window
Dr. Andrew Aiken
Dr. Drew Shessel

Platelet Rich Fibrin (PRF)

Platelet Rich Fibrin (PRF) is a component of the patient’s own blood that is rich in platelets and growth factors. Until recently, its use has been confined to the hospital setting due to the high cost of separating platelets from the blood, and the equipment necessary to do so. New advances in technology permits our doctors to harvest and produce enough platelets from a small amount blood that can be drawn chairside at the time of oral surgery procedures.

Why All the Enthusiasm About PRF?

PRF permits the body to take advantage of the normal healing pathways at a greatly accelerated rate. During the healing process, the body rushes many different cell-types to the wound to initiate the healing process. One of the primary cell types is platelets. Platelets perform many functions, including formation of a blood clot, and the release of growth factors into the wound. Common growth factors include: platelet derived growth factors (PGDF), transforming growth factor beta (TGF), vascular endothelial growth factor (VEGF), and insulin-like growth factor (ILGF).  These various growth factors function to assist the body in repairing itself by stimulating stem cells to regenerate new tissue. The more growth factors released into the wound, the more stem cells are stimulated to produce new host tissue. Thus, by adding PRF to a surgical site we can elicit faster and more efficient healing.  When PRF is added to bone grafts we are able to grow bone more predictably and faster than ever before.

PRF Offers a Multitude of Clinical Applications

  • Bone grafting for dental implants
  • Repair of bone defects post-tooth removal or cyst removal
  • Repair of fistulas between the sinus cavity and mouth.

The Advantages of PRF

  • PRF is safe as it’s derived from the patient’s own blood, ensuring no risk of disease transmission.
  • PRF is convenient, as it can be generated easily during your oral surgery appointment.
  • PRF promotes faster healing by saturating the wound with growth factors, facilitating tissue regeneration.
  • PRF is cost-effective, eliminating the need for expensive hospital or blood bank procedures.

FAQs about PRF:

  1. Is it safe? Yes, as it’s derived from the patient’s blood during a simple outpatient procedure.
  2. Should it be used in all bone-grafting cases? Not always, but in certain cases, it enhances bone growth and wound healing.
  3. Will insurance cover it? Unfortunately, no; patients typically bear the cost.
  4. Can PRF stimulate bone formation alone? No, it must be mixed with the patient’s bone or bone graft materials.
  5. Are there any contraindications? Fortunately, there are very few, but patients with bleeding disorders or hematologic diseases may not qualify. You should feel free to discuss PRF with your surgeon at the time of your consultation.
Dr. Andrew Aiken
Dr. Drew Shessel

Ridge Expansion

When the alveolar ridge bone, a special type of bone surrounding and supporting teeth, begins to deteriorate or lose density due to natural breakdown, a more complex form of bone grafting may be necessary. A ridge expansion can be performed to widen or heighten the jaw to increase the bone volume and allow dental implant placement. During ridge expansion, the bony ridge of the jaw is split surgically, and bone graft material is inserted into the space made.

Lateral Ridge Augmentation