I am worried that I got dental implants without the jaw being properly prepped with a bone graft and sinus lifting?
Doctor Answers 5
Sinus grafts or lifts can be performed with bone from your own body, donor bone, or in some cases only the PRP or PRGF. It would be best for you to contact your surgeon once again to ask for an explanation regarding his/her decision-making process in your case.
Sinus Lifts don't always require your bone to make you new bone
Dana, Nothing that you mention gives me any concern except for the fact that you went to Istanbul for dental care. I'm sure they have many talented surgeons, but I've also seen medical tourism go very badly, so be careful when allowing cost to determine where you go for treatment. Of course, cost is always a factor, but just be mindful of the risk involved. As for you procedure, taking blood and using it's best components in modalities like PRP has been a common part of sinus grafting for many years now. It's very helpful and minimizes post operative pain and swelling and helps jump start the healing process. As for using your own bone, a sinus graft can be done with your own bone (autograft), donor bone (allograft), or bone from a different species (xenograft, usually cow bone). There are also grafts with things like Bone Morphogenic Protein and synthetics as well. Sinus lifts can be done with a blend of those, which is often the case where bone material is mixed with the PRP. You would likely never see the process of mixing the bone graft material with the PRP before it is placed in the sinus, so you probably have bone graft in your sinus and don't realize it. For a sinus lift to be successful, you must maintain space in the sinus, and using the PRP alone would not likely provide the space maintenance required. To put you at ease, I've done sinus lifts using every variety I mentioned except totally synthetic and bone from the patient themselves. I routinely use PRP (actually PRF in my case but very similar), allograft (donor bone -- sterile bone particles in a jar), mixed with Bone Morphogenic Protein, and sometimes cow bone. See, no patient bone to be found. This is because you don't need it, and why put the patient through having a second surgical site such as your hip, corner of your jaw, or chin. There are indications where the patient's bone is needed, but sinus lifts don't demad it.
Bone graftin material
- Readily available
- No second surgical site
- Clinically proven effectiveness
- Great track record of safety
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Hi there, thank you for your question. I see you have a concern with the amount of bone that you may or may not have had with your dental implants. There are minimal requirements for bone for implants, and thanks to the technology we have today we can regrow bone in many ways. It is not necessary to retrieve bone from other body parts. Through the technology of biologic and bone mineral particles, bone can be grown rather easily. These are questions that you should ask your surgeon regarding what bone particles, he used and how he grew your bone. I'd like to reassure that if he was able to place the implant, you have had sufficient amount of bone and should be just fine.