Bone Grafting

    Bone Grafting and Sinus Lift in Jeddah

    A dental implant needs enough bone to hold and stabilise it. Where bone is limited or weak, bone grafting builds a stable foundation before the implant is placed.

    This is less an added complication than an investment in success: an implant placed in insufficient bone is at risk of failure however good the implant itself is.

    Why does the jaw lose bone?

    Jawbone needs stimulation from a tooth root. When the tooth is lost that stimulation stops and the bone gradually resorbs, fastest in the first months after extraction.

    Advanced gum disease causes loss of the supporting bone around teeth.

    Long-term removable dentures press on the gum without stimulating the bone, so resorption continues underneath them.

    This is why replacing a missing tooth sooner reduces the need to rebuild bone later.

    Types of bone graft

    Autograft: bone taken from another site in the patient’s own body.

    Substitute grafts: processed, medically approved materials that act as a scaffold on which the body builds new bone.

    Socket preservation: placing graft material immediately after extraction to limit bone resorption before it starts.

    The type is chosen according to the size and site of the deficiency and the implant plan that follows.

    Sinus lift

    In the upper back jaw the sinus sits above the roots of the molars. When those molars are lost, the height of bone available between sinus and mouth reduces.

    A sinus lift gently raises the sinus membrane and adds graft material beneath it to gain enough bone height to stabilise an implant.

    It is performed through a lateral window or through the implant site itself, depending on how much height is required.

    Healing time and aftercare

    Most grafts need a healing period of roughly four to nine months before the implant is placed, depending on the size and site of the graft.

    In selected limited cases the graft and implant can be placed in the same visit, where the deficiency is small and primary stability is good.

    Some swelling for a few days is expected afterwards, with clear instructions on medication, a soft diet, and avoiding pressure on the area.

    Read about the stages of dental implants

    Frequently asked questions

    Is bone grafting painful?
    It is done under local anaesthetic so you feel no pain during it. Afterwards there is swelling and discomfort for a few days, managed with prescribed pain relief.
    How long after a bone graft before the implant?
    Usually four to nine months depending on the size, site and type of graft, with healing checked on imaging before the implant date is set.
    Can the body reject the graft material?
    The materials used are medically approved and designed for the body to accept and gradually replace with its own bone. Rejection is rare, and following post-operative instructions reduces the chance of problems.
    Can I have an implant without a bone graft?
    Yes, if there is enough bone. In some cases techniques such as angling implants in All-on-4 make use of available bone and reduce the need for extensive grafting.Learn about the All-on-4 technique
    Is a sinus lift dangerous?
    It is a well-established procedure performed for decades, planned from 3D imaging. Like any surgery it carries possible complications, which are discussed with you beforehand and clearly reduced by experience and careful planning.

    Before and after cases

    Before and after case from Dr. Ghias Attar’s clinic in JeddahBefore and after case from Dr. Ghias Attar’s clinic in JeddahBefore and after case from Dr. Ghias Attar’s clinic in JeddahBefore and after case from Dr. Ghias Attar’s clinic in JeddahBefore and after case from Dr. Ghias Attar’s clinic in JeddahBefore and after case from Dr. Ghias Attar’s clinic in Jeddah

    Cases from the clinic. Results vary from case to case.

    Sources and references

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