Dental implant applications require bone of sufficient thickness, length and quality. When one of these values is missing, the possibility of problems with the implant application increases. However, thanks to today’s advanced techniques, methods and materials, the lost bone tissue can be partially or completely regained. In this way, implant application becomes possible in areas with bone deficiency.
Osteoporosis and Assessment
In the case of bone resorption, the amount of bone remaining is usually assessed by tomography. This evaluation determines factors such as bone thickness, density and its relationship with neighboring teeth and the dental implant operation is planned accordingly. In other words, bone deficiency is not an obstacle for a dental implant. However, bone resorption above a certain level may require additional operations. These operations are generally known as bone grafting operations.
Bone Graft Operations
In bone grafting operations, various products are used. These include bone powders (bone graft), bone dressings (membrane), bone fixation pins, membrane fixation pins, PRF (Platelet Rich Fibrin), and Enamel Matrix Proteins (Emdogain etc.). These operations can be performed during the implant operation or as a separate procedure. Especially in some cases of osteoporosis, bone grafting is performed first and the implant is applied when bone formation is sufficient after the required waiting period.
Bone Formation with Bone Graft
Bone grafting operations are performed on patients with insufficient bone tissue. Before the operation, the patient’s general health status, medications and the causes of tooth loss are questioned and the bone condition is determined by Computed Tomography. These initial evaluations are important for the materials to be used and process decisions.
After planning, products such as bone powder (bone graft) and bone cover (membrane) are implanted in specified quantities and sizes, usually in a single operation session. It is important that no infection or abscesses occur during the healing period, because a closed environment is created with the materials used and the integrity of this environment is critical for new bone formation.