26 Mar Socket bone grafting : Do I need it for my dental Implant?
If you are undergoing dental implantation, bone grafts for extractions may not always be necessary. For instance, a socket bone graft is only intended to prevent shrinking of the bones, and this is performed during extraction. In case the tooth is left undisturbed after extraction, it will only be a matter of days before the bone starts to melt away. Preservation is key to socket bone graft, so that atrophy of the bone can be prevented.
Is Socket Bone Grafting a Necessity?
Perhaps you are wondering if there is indeed a necessity for you to go through socket bone graft or not. Keep in mind that the area in your oral cavity where all socket bone grafts are considered as crucial are located in your front teeth extending to your middle bicuspids. The outer wall of your front teeth are thinner in quality, as compared to the ones in your molars.
However, there are differences in the thickness of the outer wall bone, as this varies from one person to another. Generally, the thickness is affected by genetics. There are people whose outer walls of their bone are thicker while others have thinner bone. In this case, thin outer walls do not do well with dental implants, so patients who have this condition are not advised to undergo this intricate surgical procedure.
For people with thin bones, they are also likely to have thinner gums. With this in mind, they are susceptible to gum recessions that may occur around the teeth, and in case they choose to get dental implants. If you have thin gums and bones, there is a need to overengineer these components to ensure positive results from dental implants. At this point, it may be necessary for these people to undergo bone grafting. This is a technique that improves the quality of the bone’s outer wall, so it can resist shrinking. Surgical processes are done and the appropriate bone materials are selected, based on your unique condition.
If your outer bone is quite thin, it is expected that collapse eventually, specifically after the removal of the tooth since there is no longer any support on the bone’s thin wall. Thus, collapse of the bone occurs to keep the socket closed, which results to bone depression in the affected area. If there are no strategies in place to prevent or correct depression, the implant will need to be placed in a location that is no longer in the center, but in the least ideal position.
In several instances, the tooth that are often extracted are those with a history of root canal. This can result to severe pain due to inflammation and presence of abscess. What’s more, in the presence of an abscess, the bone is dissolved naturally on the outer surface. Bone graft may not be necessary during extraction when there is a severe infection in the tooth needed to be pulled out when the bone is thick enough.
Overall, the need for socket bone grafting among candidates for dental implants depends on the professional performing this technique. These specialists should have ample length of time in training and experience in checking the bone quality via 3D scan, as well as how the bone feels during dental impantation. They should also know how the bone can hold up for a number of years to achieve positive results.