Sometimes a dental implant is the only choice for improving the quality of life and looking after the body’s general health. Missing teeth affects the entire functioning, speech, eating and other things we are so used to doing on a daily basis. Nowadays this is easy to solve, since these days dental implanting has become a non-complicated procedure which ultimately requires only a few days of rest.
In various cases a phenomenon called bone resorption occurs after losing teeth, leaving the dentist nothing to work with. In the last decade there has been a tremendous development in treating cases where there is not enough bone for placing implants, and nowadays there are also solutions for situations in which the patient doesn’t have enough bone to serve as the basis for the dental implant. Without a proper bone, the dental implants have little chances of success. One of the solutions for bone deficiency is a bone implant.
Bone Implanting – When is it needed?
Dental implanting in the jaw can be done only on an existing basis, meaning a proper bone of sufficient quality, which serves as a basis in which out tooth sits, whether natural or implanted. Dental implanting for people without bones is done in cases where there is not enough bone left in the patient’s jaw in order to perform a regular dental implant.
The solution in such a case is to work with materials serving as bone substitutes. This could be a bone from the patient’s own bones, which is called an autogenic bone implant, done by taking a bone from the body or an extracted tooth, or from another animal or synthetic source. In these cases there is a chance of performing the dental implant under full anesthesia, based on the patient’s mouth and jaw conditions, various data concerning his health and fitness for underdoing such a procedure, and at the dentist’s discretion.
Dental Implants for People without Bones near the Sinuses
Bone implants can be done in a number of stages – or at the stage of extracting teeth even before the implant and preparing the patient for the procedure, or along with the dental implant, assuming that a reconstruction and restoration of the jaw are not necessary. It is possible to concentrate on repairing the damages which will prevent additional resorption of the bone and protect the jaw in the future.
When the dental implanting and restoration of the jaw bones are required in the rear of the mouth, near the cavity of the skull and the sinuses, and the quality of the bone in that area is not good or there is a problem of lack of volume in the jaw bone, any attempt to perform a dental implant under these circumstances will end in failure. In these cases, a surgeon must thicken and strengthen the bone before performing the dental implant.
Sinus Lifting and Bone Implanting
Before implanting the bone in the sinus area it is important to examine the patient’s general health condition and ensure he does not have any infections or diseases which will make the recovery and absorption of the bone difficult. The surgeon separates the mucosa of the sinus cavity, and inserts bone fragments into an opening he creates. The surgery’s difficulty, and accordingly its performance under general anesthetics, is determined by the scope of the damage. Occasionally, sinus lifting and bone implanting are performed together, but there should be a waiting period of several months in order for the bone to rebuild around the implanted bone, until it is possible to load a dental implant on the bone.
The success rate of sinus lifting and bone implanting procedures are highly dependent on the degree of the missing bone. In cases of a critical/ extreme bone deficiency, bone implanting or sinus lifting are not a solution because in most cases, not enough bone is created following the bone implanting, and the implants fall and do not hold. Basal implanting uses the basal bones, without entering the sinuses (upper jaw) and without approaching the nerve (lower jaw). The basal method enables performing single day dental implanting without the need for waiting 6 months as is the case with bone implanting or sinus lifting, since basal implanting uses the jaw’s existing bones (even though the bone on which the teeth are located is gone). Basal implanting lasts much longer than any traditional dental or bone implant since the implants are fixed on the jaw’s central bones. In addition, since the bones are central in the jaw, the healing time is shorter than usual. Another advantage of the basal implanting method is that spreading the implants across the jaw by basal implanting cancels the pressure on the gums in case there are dentures or a bridge (in an “all on 4” method of 4 implants in the center of the jaw). Basal implanting is performed in a single day and within a week the patient leaves with permanent non-extractable teeth, while the traditional bone implant and dental implant procedures last about a year.
If you are suffering from bone deficiency, it is recommended to consult with a dentist who specializes in dental implants in order to decide on the best solution for you.