Bone Grafting information and types

What is Bone Grafting?

Over a period of time, the jawbone associated with missing teeth atrophies is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants.

With bone grafting, we now have the opportunity to not only replace bone where it is missing, but also the ability to promote new bone growth in that location! This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and esthetic appearance.

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Types of Bone Grafts

Autogenous Bone Grafts:

Autogenous bone grafts, also known as autografts, are made from your own bone, taken from somewhere else in the body. The bone is typically harvested from the chin, jaw, lower leg bone, hip, or the skull. Autogenous bone grafts are advantageous in that the graft material is live bone, meaning it contains living cellular elements that enhance bone growth.

However, one downside to the autograft is that it requires a second procedure to harvest bone from elsewhere in the body. Depending on your condition, a second procedure may not be in your best interest.

Allogenic Bone:

Allogenic bone, or allograft, is dead bone harvested from a cadaver, then processed using a freeze-dry method to extract the water via a vacuum. Unlike autogenous bone, allogenic bone cannot produce new bone on it’s own. Rather, it serves as a framework or scaffold over which bone from the surrounding bony walls can grow to fill the defect or void.

Xenogenic Bone:

Xenogenic bone is derived from non-living bone of another species, usually a cow. The bone is processed at very high temperatures to avoid the potential for immune rejection and contamination. Like allogenic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void.

Both allogenic and xenogenic bone grafting are advantageous in that they do not require a second procedure to harvest your own bone, as with autografts. However, because these options lack autograft’s bone-forming properties, bone regeneration may take longer than with autografts, with a less predictable outcome.

Bone Graft Substitutes

As a substitute to using real bone, many synthetic materials are available as a safe and proven alternative, including:

Demineralized Bone Matrix (DBM)/Demineralized Freeze-Dried Bone Allograft (DFDBA):

This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected through a syringe.

Graft Composites:

Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of substances. Some combinations may include: collagen/ceramic composite, which closely resembles the composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or a collagen/ceramic/autograft composite.

Bone Morphogenetic Proteins:

Bone morphogenetic proteins (BMPs) are proteins naturally produced in the body that promote and regulate bone formation and healing.

Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits. Dr. Barabas or Dr. Barabas will determine which type of bone graft material is right for you.

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Ridgewood Periodontal & Implant Associates

5 out of 5 stars based on 12 Bone Grafting reviews

Our Latest Patient Testimonial

I was referred to Dr Barabas by my daughter's orthodontist. She was seen by a "top" oral maxillofacial surgeon prior to my visit. My husband and I wanted her to get a second opinion regarding replacing her bridge with oral implants. Dr. Barabas had already reviewed our case with her orthodontist and looked at all of the necessary x rays prior to our visit together. In short, it was his professional opinion that my daughter was not in any urgent need to undergo this procedure. I was so impressed with his professionalism and his careful consideration of how to properly care for her case. The previous doctor we saw was in a hurry to perform what amounted to 2 expensive and unnecessary procedures that required a long unpleasant recuperation. I was beyond pleased with his office and the care my daughter received.

- Eve S

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Our Latest Patient Testimonial

i was self conscious of my long tooth for several years every time i smiled. so i didnt smile as fully. i had no idea this was correctable until my dentist pointed it out. he said if he needed this done he would see dr daniel barabas. i came and in one 30 minute procedure dr dan covered my gums up so my teeth matched. i smile again like i used to

- Maria R

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Our Latest Patient Testimonial

My lower teeth have been loose and rotten for years and I went through many patch jobs. I finally came to Dr. Barabas. He works with the best dentists and referred me to one. I got my rotten teeth out and a full lower set of implants and new screwed in temporary teeth in the same few hours. I cannot believe I didn't do this years ago

- D W

5 out of 5 stars on

Our Latest Patient Testimonial

My front tooth broke off at the gum line while I was out to dinner. I called my general dentist, who was out of town. He said to call this office for an extraction. Dr Barabas stayed late after his full day to take my took out and put in an implant. Knowing I didn't have a temporary tooth, he made me a new tooth in the office and attached it to my implant. When he got back, my dentist said he couldn't have made a nicer one himself! I love this office and the service!

- Maria M

5 out of 5 stars on

Our Latest Patient Testimonial

My wife had been referred to this office for dental implants. She had a good experience so we asked if Dr. Barabas would take our kids wisdom teeth out, and he did a great job at that too. Dr. B is the man!

- Mike W

5 out of 5 stars on

Our Latest Patient Testimonial

i prefer this office because when a non periodontal problem arises, they call and make appointments to have you seen at the specialists they like in other areas. my old dentist thought he could do it all, and now i am dealing with the aftermath.

- john

5 out of 5 stars on

Our Latest Patient Testimonial

This office was the closest actual periodontist to me after I searched for LANAP laser. Two other offices wanted to cut my gums. PAul Barabas lasered my whole mouth in a morning. It no longer bleeds, my breath is better, it never hurt, and I have a new dentist for a long time!

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

i went to an office based on a direct mail piece i got at home. they told me i needed tens of thousands in treatment and surgery and extractions and sent me to the finance person. i came to dr barabas and found out i needed a fraction of the treatment i was told and he also referred me to a trustworthy general dentist in town who also found nothing additional.

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

I have been coming here for close to 30 years- just learned that in my chart. This is the most trustworthy and and professional office anywhere. They know my mouth better than I do!

- Tom M

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Barabas saved my teeth- I cannot believe everyone with gum problems doesn't come for LANAP.

- T S

5 out of 5 stars on

Our Latest Patient Testimonial

Very personable and professional. I was nervous and Dr.Barabas answered all my questions and put me at ease. Procedure was swift and easy. So glad I did it. Very happy with my implants and new smile.

- Mary M

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Our Latest Patient Testimonial

Great experience with doctor and staff!

- Michelle S

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