Build-up of the bone

A solid jaw bone and solid implants in spite of bone loss

The regeneration of lost jaw bone is the most sophisticated discipline in the field of implantology and periodontology. The choice of the suitable concept of treatment as well as the material is just as important as the surgeon’s experience.

The biggest obstacle on the way to an implant is a progressed bone resorption. After the loss of the natural teeth an obvious shrinkage of the jaw bone occurs within a few months. After a few years, often less than half of the original height and width of the jaw bone still exists.

An untreated infection of the jaw bone as a result of periodontitis (inflammation of the periodontium) or sick teeth often lead to a loss of bone tissue. Unfortunately, the jaw bone, once it is lost, does not regenerate itself completely even if the cause of the inflammation is eliminated. As a rule, a more or less obvious osseous defect remains. This has to be adjusted to give the implant a long-ranging halt. In case the loss of bone is rather low, the reconstruction can take place simultaneously with the implantation. As for progressed bone resorption, first of all a separate bone reconstruction is necessary. Then, the dental implantation takes place about four to six months later. Despite a high success rate, an additional reconstruction of the jaw bone is an additional treatment which may cause additional complications.

So please: Make a decision in favour of an implantation in time so you can avoid an extensive rebuild of the jaw bone.

Regeneration of the bone

We know how to help!

Research for the fabrication of pharmaceutical compounds to ensure a safe and faster bone regeneration has been going on for many years. A scientifically proven method to support the bone healing is the isolation of growth factors from the patient’s own blood. For this purpose we extract a small amount of blood from the vein prior to the dental procedure and process it under sterile conditions. PGRF, a highly concentrated fraction of body’s own growth factors from the thrombocytes (part of the blood platelets) remains as a product of that procedure. This body’s own biological active compound will be supplied to the bone cells. The consequences are less inflammations and a plus of safety with the bone regeneration.

Especially in the case of growth factors exclusively taken from our patients’ body’s own material allergies and inflammatory reactions are impossible to a great extent.

Alternative bone regeneration with the Bone Morphogenetic Protein-2 (BMP-2)

An even more efficient alternative is represented by bone building proteins (albumins). Being one of the few clinics in Europe, we have several years’ experience with the utilisation of such compounds and obtain satisfying results. The extensive extraction of body’s own bone cells can be reduced or even completely avoided.

Build-up of the bone combined with implantation:

Whenever possible

In an ideal situation, there is still enough of the jaw bone so that the implantation can take place at the same time as the build-up of the bone. This happens very often if the period of time between the loss of the tooth and the following implantation has been reasonable. It also proves beneficial if prior inflammations within the jaw bone had only a minor extension.

Wherever it seems to be medically sensible, we aim at a simultaneous build-up of the bone and the implantation to avoid additional surgery and to shorten the treatment time. A precise diagnostic radiology with the use of 3-D technology gives us some indication of how high the prospects of success of a combined procedure will be already prior to the surgery.


Implants also in the upper jaw

The implantation in the lateral tooth area of the upper jaw poses a sophisticated challenge to the dentist. Especially after a long-time adontia (absence of teeth) or heavy inflammations (periodontitis) on the former teeth, in many cases only a few millimeters of the original height of the bone underneath the bone cavity still exist. If an implantation is planned in this area we use a particular kind of surgery and is known as the Sinuslift. Here, the re-build of the bone can be employed.

The so far safest and quickest kind of bone regeneration comes off with body’s own bone cells in addition to special proteins on a biological basis. With the use of a suitable surgical technique, the Sinuslift may nowadays be described as a method with a good prognosis.

Alternatives to bone build-up

New treatment concepts leading to success

We only take the decision about a necessary bone build-up after a special X-ray examination. Since the bone build-up in some circumstances involves additional surgical risks and extra costs in any way, alternatives should be checked beforehand. Especially patients with healthwise handicaps benefit from that.

Therefore special procedures of treatment have been developed in recent years which deliberately do without additional bone build-up. Particularly the All-on-4®-method as well as the use of Zygoma®-implants have to be named. Both are technically sophisticated variants of treatment which lead to pleasing results carried out by experienced surgeons.

The All-on-4®-technique has been a regular feature of our surgical scope of performance for more than five years. Even the most difficult starting situation including a progressed loss of bone material can be operated successfully with this.

Learn more on the subject of firm teeth without bone buildup on our page dedicated to the topic! Information leaflets will be sent to you on request and free of charge with pleasure.

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