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Overcoming Bone Loss Preventing You From Getting an Implant

OvercomingBoneLossPreventingYouFromGettinganImplant

Introduced to the United States in the 1980s, dental implants have quickly become the go-to restoration for tooth replacement. And for good reason: they're not only incredibly life-like, they're highly durable with a 95% success rate.

But as desirable as they are, you may face a major obstacle getting one because of the condition of the bone at your implant site. To position the implant for best appearance and long-term durability, we must have at least 4-5 mm of bone available along the horizontal dimension. Unfortunately, that's not always the case with tooth loss.

This is because bone, like other living tissue, has a growth cycle: Older cells die and dissolve (resorb) and newer cells develop in their place. The forces transmitted to the jaw from the action of chewing help stimulate this resorption and replacement cycle and keep it on track. When a tooth is lost, however, so is this stimulus.

This may result in a slowdown in cell replacement, causing the eventual loss of bone. And it doesn't take long for it to occur after tooth loss—you could lose a quarter of bone width in just the first year, leaving you without enough bone to support an implant. In some cases, it may be necessary to choose another kind of restoration other than implants.

But inadequate bone isn't an automatic disqualifier for implants. It's often possible to regenerate lost bone through a procedure known as bone augmentation, in which we insert a bone graft at the missing tooth site. The graft serves as a scaffold for new bone cells to grow upon, which over time may regenerate enough bone to support an implant.

Even if you've had a missing tooth for some time, implementing bone augmentation could reverse any loss you may have experienced. In fact, it's a common practice among dentists to place a bone graft immediately after a tooth extraction to minimize bone loss, especially if there will be a time lag between extraction and implant surgery.

Bone augmentation could add extra time to the implant process. But if successful, it will make it possible for you to enjoy this popular dental restoration.

If you would like more information on dental implant restoration, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants After Previous Tooth Loss.”

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  • "Dr Dave Brust has been our family’s dentist for 20 years - the best dentist I’ve ever had (and I lived in LA for 10 years, which supposedly has a good selection of dental professionals). Terrific hygienists, friendly, caring clinic staff, beautiful, warm office. HDC puts the P in Professional!"
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  • "1st visit was excellent. They had my records from my out of state dentist and picked up where prior dentist was in the yearly 2x visit per year. Communication was very good."
    Ed V.
  • "I strongly recommend Dr. Brust. He and his assistant do everything to make sure I’m comfortable and I always trust their diagnosis."
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  • "I have been going there 25 plus years and they have always had taken Great care of me and my teeth."
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  • "Professional and family oriented business. The hygienist was very kind and easy to talk to. She understood and listen to my needs and did a thoroughly cleaning of my teeth."
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  • "Julie has been my hygienist for 40+ years I will miss her, she's been great. Dr. Buck and his father before him have always been so nice, professional and most importantly they make sure your comfortable. Dr. Buck always makes sure you don't feel anything if your getting any work done, which I appreciate. I guess I'm wimpy when it comes to pain in my mouth."
    Kate R.
  • "Where to begin? Dr. Brust has been my dentist for almost 30 years now! Him and his assistant make the best team. Absolutely enjoy my visits to Heritage Dental. I feel as if I were part of the team and not a costumer when I go in. My daughter’s absolutely love going to get their teeth polished as well!! Hygienist Ana and Bobbi do an excellent job taking care of my girls! I don’t think I could ever switch dental offices. Thank you for all you do at Heritage Dental!"
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