Dental Implants with Bone Loss on Jaw?
- Asked by DentalQ in Seattle
- 4 years ago
I have severe bone loss in my upper jaw, and the dentist wants to extract my teeth and give me dentures. I want dental implants, but with the amount of bone loss that may not be possible. Do I have options? Has anyone tried Emdogain or other bone regeneration techniques, or would bone grafting give me the bone I need? I really don't want dentures.
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Not enough bone for implants? There are treatment options.
Dental implant success and longevity requires adequate amount and quality of bone. If teeth are still present but have bone loss, there are several treatment options. First, once the teeth are removed, the surgeon can assess the remaining bone and determine if immediate implants are possible in certain sites to support an overdenture. If there is extensive bone loss around the teeth, then it may be possible to graft the extraction sites to restore its form and then return in 4-6 months to place the implants. For overdenture, four implants are typically adequate, although two implants can be done as minimum. More implants will be needed to support a fixed prosthesis (bridge) that does not come out. If you don't want denture, this may be a prefered option for you.
The key is to determine the amount of existing bone and plan for either immediate implants or graft and place implants at later time. Conventional dental X-rays complemented by CT scan can provide a lot of information to the surgoen to make this determination.
Bone Grafts For Dental Implants
There is no reason anyone can not get implants because of bone loss today. There are several techniques for bone grafting including Platelet Rich Plasma (uses growth factors for your own blood), rhBMP (bone morphogenic protein), harvesting a patients own natural bone and using other cadaveric bone and bone substitutes. There are also implant placement techniques, such as the All-On-Four which avoids the need for bone grafting if one so chooses. With CT Scans and computer guided implant placement this is a possibility It all depends on what type of prosthesis you want in the end. An overdenture vs individual implants and teeth vs. a bridge on dental implants. I can honestly say that in my hands there is no reason for someone not to be able to have dental implants placed ( unless they have severe medical health issues which would prevent it) Seek a consultation with a Board Certified Oral & Maxillofacial surgeon, they are the most qualified individuals and have more training in these complicated cases than any other specialist.
Web reference: http://drbdorfman.com
Patients with Severe Bone Loss Can Have a Successful Outcome with Dental Implants for Permanent Teeth
With the latest technologies that we have as surgeons, Dental Implants can have a successful outcome for almost any patient who wants permanent teeth. With computer imaging and a CT scan we map out the bone quality and quantity to see where we can place dental implants using what is called “A Graftless Solution” and “Guided Technology” Nobel Biocare is a leader in this new technology allowing many patients to have extractions, and fixed permanent teeth the same day. These techniques are called Teeth in an Hour and Teeth in a Day and are specialized procedures that need to be performed by well-trained surgeons.
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Bone loss and Implants
Modern surgical techniques allow for nearly anyone (in good health) to have implants. Bone can be added or grafted if necessary. Tissue can be grafted to add appropriate balance to the gum line in the esthetic zone.
Dental Implants and Bone Loss
Even when bone loss is severe, it is possible to augment bone and place dental implants in most cases. Usually major bone augmentation is done with patient's own bone, allograft bone material or a combination of boss. Emdogain in particular is an enamel matrix protein that will not be significant for this procedure. In order to evaluate the outcome, your Periodontist must look at the amount of horizontal and vertical bone loss, the anatomy of the defect, and then treat/erradicate any periodontal disease prior to implant placement.
If you don't have enough bone to replace all teeth with implants, you have several options available to you. You may choose to go with a hybrid prosthesis (5-6 implants supporting a fixed denture without the flange) or an overdenture (2-6 implants supporting a removable denture). These options may provide enough stability and comfort for you and may minimize the amount of procedures you need to have for implant placement. Please discuss your concerns with your Board Certified Periodontist so he/she can present the best options for you.
Bone loss and Dental Implants
It is possible to place dental implants on a patient with severe bone loss.
You will need a dentist who can graft your upper jaw bone if necessary. The grafting process can take some time and it can be costly.
A CT scan can reveal exactly how much bone you have remaining.
Today the surgeries can be designed on a computer ahead of time to ensure that the implants are placed into adequate bone.
Bone loss and dentures
There is an option to still get implants. In my experience, I have seen that people with bone loss have a better chance with Mini Dental Implants, this can be achieved as well with probably a sinus lift, but I have tried both options in the same patient and the success rate is high. Bone loss is controllable and of course you do have many options. It is very difficult to say without any X-rays, however, it sounds like a sinus lift and mini implant retained dentures could be a good option, also you can try with regular dental implants. Xrays would be a must to give a proper diagnose in your case. Thank you.
Advancement in bone graft techniques
There is a great advancement in bone augmentation(increase or restoration of lost bone) for successful placement of Dental implants.As a result there are plenty of options available.Depending on where the bone loss has occurred, one of the following procedures will be selected – sinus lift(graft), ridge splitting, distraction osteogenesis, onlay autologous bone grafts, PRP mixed hydroxyapatite crystals/ any bone graft etc..
Maxillary bone loss and choices of prosthesis
The time of dentures as the only type of treatment for maxilla has finished long time ago. Modern Implantology has various techniques that can provide you with fixed implant supported restorations even with extensive bone loss of the alveolar ridge. Most current up-to-date combination of surgical and restorative techniques have strong scientific bias and they can offer different types of treatment for patients with medium to severe bone loss of maxillary bone and pneumatized sinuses. The type of final restoration is planned usually by a prosthetic dentist, who can treatment plan the case, discuss with the surgeon details about sites for the implants. There are basically 2 types of immediate restorations that are placed after extraction of the teeth with hopeless prognosis - with pink acrylic or porcelain or without. The difference can be in a number of implants inserted, their height and diameter, position. With increasing popularity of ClearChoice - Teeth in a Day and Nobel Biocare zygomatic implants even patients with severe bone loss and extremely small amount of bone have got the chance to leave the surgery with immediate FIXED teeth. You shouldn`t settle for a denture. In this situation Prosthodontic consult can be beneficial. Try to discover your options and find a dentist or a group of dentists who are specializing on the cases with immediate load restorations, who will be able to provide you with the beautiful smile in the day of the surgery.
Sinus lifts and ridge augmentations can give you the implant option.
Sinus lifts are procedures that can provide bone height to allow implants to be placed. On the upper jaw, bone resorption in the sinus area is a common reason for a person to not be a candidate for implants. The procedure itself is very delicate but not uncommon. Ridge augmentations can also provide width and in some cases height. This procedure may be limited as far as results go but sometimes a millimeter or two can be the difference in whether a patient is a candidate or not.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.