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Archive for the ‘Bone Grafting’ Category

Monday, October 5, 2015 @ 03:10 PM
posted by Wayne G. Suway, DDS, MAGD

Dental implants are known for their very high success rate. However, just like any other surgical procedure, they are not without risk. Peri-implantitis is one of the long-term risks of dental implants. It is an infection that causes inflammation of the surrounding gum and bone of an already integrated dental implant. Unfortunately, peri-implantitis results in progressive bone loss.

Most dental implant patients never experience peri-implantitis. The patients that do will often be unaware that bone loss is occurring around the dental implant. Peri-implantitis can progress without pain. Again, not all patients have symptoms but the most common signs of peri-implantitis include the following:

  • Deep gum pockets
  • Presence of pus from the implants and gums
  • Bleeding at the gum line
  • Gums that are red or slightly purplish bluish, tartar/plaque build up
  • Metal thread exposure
  • Long tooth
  • Dull ache or tenderness at implant site
  • Bad taste, due to presence of pus

If you are experiencing any of the above signs or have concerns about your dental implant, always contact your dentist right away. Peri-implantitis may develop years after your initial implant placement.

Your dental implant can still be saved. Most peri-implantitis dental implants require surgery and bone grafting, which will also involve cleaning the gums of bacteria and eliminating infection before regrafting.

Wayne G. Suway, DDS, MAGD is a renown implants dentist who can treat peri-implantitis and correct other types implant failure. Patients can suffer from peri-implantitis due to poor surgical technique. Dr. Suway will evaluate the cement used, the quality of the crown and check for loose abutment screws. All of these can contribute to peri-implantitis. Bone loss after dental implants can also occur in patients who smoke, have diabetes or suffer from gum disease.

Posted on behalf of Dr. Wayne Suway, Wayne G. Suway, DDS, MAGD

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Wayne G. Suway, DDS, MAGDAtlanta Dentist
1820 The Exchange SE, Suite 600
Atlanta, GA 30339
Phone: (770) 953-1752


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Tuesday, September 22, 2015 @ 05:09 PM
posted by Wayne G. Suway, DDS, MAGD

When you consider bone loss, you may think of osteoporosis or joint conditions. However, you can also experience bone loss that affects your smile. The same genetics, medications or health conditions that cause bone deterioration in your spine or joints can also trigger bone loss in your jawbone. Since your jawbone is a vital support structure for keeping your teeth securely in place, it must be monitored closely.

Osteonecrosis is the destruction of bone tissue. It can occur around the teeth and throughout your jawbone. Biting and chewing can become uncomfortable and difficult with this condition. If left untreated, jawbone loss can result in tooth loss or other dental complications.

Age and disease are common culprits to bone loss, but your medication may also be the reason for your low bone density. Always inform your dentist of the medications you are taking or any newly diagnosed medical conditions, as these can make a significant impact on your oral health. Bone loss can also be caused by advanced gum disease. A diligent oral hygiene routine and professional dental cleanings is your best weapon against fighting the harmful bacteria that causes gum disease.

If you are at risk for bone loss, either due to age, genetics or medications, don’t wait for symptoms of soreness or tooth mobility to appear before you seek help. Make sure you stay on top of your scheduled X-rays. They provide an excellent way to screen for osteonecrosis of the jaw and monitor the progression of bone loss around your teeth. Your dentist may suggest a panoramic x-ray more frequently than the average 3-5 years. Just as you would stake steps to protect your bone health in your joints, be sure to work with your dentist on safeguarding jawbone health for the sake of your future smile.

Posted on behalf of Dr. Wayne Suway, Wayne G. Suway, DDS, MAGD

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Wayne G. Suway, DDS, MAGDAtlanta Dentist
1820 The Exchange SE, Suite 600
Atlanta, GA 30339
Phone: (770) 953-1752


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Thursday, April 23, 2015 @ 02:04 PM
posted by Wayne G. Suway, DDS, MAGD

If you have been told that you need a sinus lift before getting dental implants, there is no need to worry. A sinus lift procedure, also called sinus augmentation, is very common. It is designed to add height to the bone in the area between the molars and premolars. A bone graft will be performed in this area, adding bone between the jaw and sinus in cases where there is insufficient upper jawbone structure to support a dental implant.

Why A Sinus Lift?

Sinus lifts are used when placing dental implants to replace the upper back teeth or molars. This type of graft is necessary if bone has been lost due to disease or simply because of the skull anatomy, as there is typically less bone in the upper jaw compared to the lower jaw.

The Technology

You can rest assured that your sinus lift procedure will be conducted in the most precise way, using the highly advanced technology of a cone beam scan. Cone beam scanning is an in-office 3D CAT scan system that allows the surgeon to accurately measure the width and the height of the bone and the detailed relationship of the jawbone and sinus cavity. This technology reveals the specific amount of bone available for dental implant placement, which determines whether or not you may need a bone graft or sinus lift.

Procedure Details

A small window is made in the back wall of the maxillary sinus with special burrs. These burrs are designed to safely cut a window in bone without damaging the underlying tissue or sinus membrane. The sinus membrane is then carefully lifted. Typically, a resorbable collagen membrane is placed in the sinus against the sinus membrane to protect it while bone graft material is placed on top of the sinus floor.

There are several types of bone graft materials that can be used, including autogenous bone (the patient’s own bone), allogenic bone (freeze-dried cadaver bone), bovine bone (cow bone), and BMP (bone morphogentic protein). Your implant dentist will decide which is best for you.

In many cases, your sinus graft can be performed at the same time as your dental implants. However, there are situations where the sinus graft needs to heal before implant surgery. Dr. Wayne Suway is distinguished in the field of implant dentistry and he is more than happy to answer your questions surrounding sinus lift procedures for dental implants.

Posted on behalf of Dr. Wayne Suway, Wayne G. Suway, DDS, MAGD

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Wayne G. Suway, DDS, MAGDAtlanta Dentist
1820 The Exchange SE, Suite 600
Atlanta, GA 30339
Phone: (770) 953-1752


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Wednesday, February 11, 2015 @ 04:02 PM
posted by Wayne G. Suway, DDS, MAGD

What does your osteoporosis have to do with replacing your missing teeth? Osteoporosis is a disease of the bone that leads to decreased density of bone and subsequent increase in risk of fracture. If you have missing teeth and are considering the gold standard replacement option of dental implants, you have to take your bone volume into account. Dental implants require that patients are in overall good health and that they have enough bone volume and density in the jaw to support dental implants successfully. Before you count yourself out of getting dental implants because you have osteoporosis, talk to your dental implants dentist first. You may have bones that are weak in other parts of your body but adequate jawbone volume. In addition, you may be a candidate for bone grafting, a very common and predictable procedure that is performed in many dental implants cases.

Your implant dentist will first want to make sure your osteoporosis is under control, which includes proper medication, diet and exercise. As previously mentioned, it is important that you are also in good overall health as well to ensure your dental implants have the best chance of healing successfully. Your oral health is a major factor in determining your candidacy of dental implants. The presence of periodontal disease can contribute greatly to dental implant failure.

As an osteoporosis patient, you can expect your implant dentist to thoroughly evaluate the strength, density and volume of your bone tissue in your jaw. For a dental implant to heal properly and be successful, it must have sufficient volume of bone around it in height, width, and depth to envelope the implant and support the tooth (crown) on top of it. If there is not adequate bone left in your jaw, then your dentist will likely consider bone grafting.

Bone grafting is very common with dental implants and it has been significantly improved over the years. This process now uses processed and sterilized bone from animals (usually cows) to basically trick our body’s biochemically into accepting the graft as our natural bone. The graft can then be absorbed and replaced by the your own native bone over time.

The bottom line is this – don’t let your osteoporosis diagnosis keep you from inquiring about the most revolutionary permanent tooth replacement option available. An experienced and skilled implants dentist, such as Dr. Wayne Suway, can properly evaluate your candidacy and offer the latest bone grafting procedures to help you. Recent research (International Journal of Oral and Maxillofacial Implants, Vol 21: 349) has shown a lowered success rate in patients with osteoporosis but the difference was less than 2%. The general success rate for dental implants is about 97% whereas the success rate in this limited study was 95%. Therefore, you still have a very high chance of success with dental implants as an osteoporosis sufferer.

Posted on behalf of Dr. Wayne Suway, Wayne G. Suway, DDS, MAGD

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Wayne G. Suway, DDS, MAGDAtlanta Dentist
1820 The Exchange SE, Suite 600
Atlanta, GA 30339
Phone: (770) 953-1752


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Tuesday, December 23, 2014 @ 03:12 PM
posted by Wayne G. Suway, DDS, MAGD

One of the biggest downsides to tooth loss is often ignored. Many people are well aware of the functional disability from missing teeth or how it can negatively affect your smile. However, missing teeth can also result in bone loss in the jaw, which leads to facial collapse and premature aging.

Why does missing teeth cause bone loss? Our jawbone carries an important role in the overall skeletal system. Essentially, your jawbone is the framework of your face. Strong muscles need the jawbone to hold on to for support. Bones need correct chewing forces to maintain their density and form. When a tooth is lost, the lack of stimulation to its supporting bone causing a decrease in volume. This happens quicker than most people realize; as much as 25% of bone loss occurs during the first year of losing a tooth.

While traditional teeth replacement options such as dentures or bridges may fix your ability to eat and speak properly, they do not address the bone loss issue. Dental implants are considered a permanent replacement of tooth loss. They fully address this critical concern of bone loss from missing teeth. A dental implant involves a surgical placement of a titanium post that acts as a tooth root. The implant is allowed to fuse to your existing jawbone; thus keeping your jaw bone and muscles properly stimulated during chewing a speaking. Patients who choose dental implants for multiple missing teeth enjoy the aesthetic, functional and psychological benefits of a more symmetrical and younger looking face, as bone loss in your jaw bone gives a sunken and aged appearance.

Ask a dental implants specialists about how you can avoid bone loss after missing teeth. An attractive smile needs to be a healthy one as well!

Posted on behalf of Dr. Wayne Suway, Wayne G. Suway, DDS, MAGD

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Wayne G. Suway, DDS, MAGDAtlanta Dentist
1820 The Exchange SE, Suite 600
Atlanta, GA 30339
Phone: (770) 953-1752


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Monday, February 3, 2014 @ 02:02 PM
posted by Wayne G. Suway, DDS, MAGD

Gingivitis and Periodontitis are both forms of periodontal disease. So what is the difference? The answer is that periodontal (gum) disease is progressive in nature and can range from mild inflammation of the gums to serious infection that can damage the soft tissue and bone supporting the teeth.

Gingivitis refers to a mild form of gum disease that is characterized by an inflammation of the gums. It is caused by the buildup of harmful bacteria on the surface of teeth. With Gingivitis, the gums become red and swollen and may bleed easily. In most cases, Gingivitis can be treated easily by flossing and brushing your teeth daily and visiting your dentist for regularly scheduled professional dental cleanings. This mild form of gum disease does not result in the destruction of bone and soft tissue supporting the teeth, however, if it is not treated properly in a timely manner, it can lead to Periodontitis.

Periodontitis is a more serious form of gum disease that can lead to destruction of the bone and soft tissue supporting your teeth and ultimately, tooth loss. With Periodontitis, the gums start to pull away from the teeth leaving spaces below the gum line called “pockets” that become infected. As the plaque spreads and grows below the gum line, the body’s immune system fights this harmful bacteria. The body’s natural response to the infection will start to break down the bone and connective tissue that hold the teeth into place. If Periodontitis is not properly treated in a timely manner, the teeth may become loose and have to be removed. Treatments for Periodontitis may include deep cleaning (scaling and root planing), medications or even surgery.

The best way to avoid periodontal disease is to practice good daily oral hygiene, visit the dentist regularly and refrain from smoking or using other tobacco products. However, there are other factors including hormonal changes that can make you more susceptible to this disease. If you suspect that you may have some form of periodontal disease, please schedule an appointment with your dentist as soon as possible to avoid serious dental health issues and even tooth loss

Posted on behalf of Dr. Wayne Suway, Wayne G. Suway, DDS, MAGD

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Wayne G. Suway, DDS, MAGDAtlanta Dentist
1820 The Exchange SE, Suite 600
Atlanta, GA 30339
Phone: (770) 953-1752

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Wednesday, October 30, 2013 @ 03:10 PM
posted by Wayne G. Suway, DDS, MAGD

Dental implants serve as missing tooth roots and can be used to replace one or more missing teeth. The process involves inserting prosthetic screws into the jawbone and allowing them to heal and fuse with the jawbone. Once they are tightly anchored into place, replacement teeth (either crowns or bridges) may be attached to the dental implants to take the place of missing teeth. In order for the process to work correctly, a patient must have enough healthy bone to support dental implants. Unfortunately, wearing dentures can cause bone loss over time. Failure to replace missing teeth in a timely manner can also cause the bone to wear away. So, what if you do not have enough healthy bone to support dental implants? Does this rule you out for the procedure altogether? Not necessarily.

In some cases where a patient does not have sufficient bone in the jaw to support dental implants or if the quality of bone in the jaw is not acceptable, bone grafting or bone augmentation can be used to prepare the jaw for the successful placement of dental implants. There are four different types of bone grafting procedures that can be used to prepare for dental implants including the following:

Socket Preservation Graft – used immediately after a tooth is removed when a bone socket wall is thin and the likelihood of volumetric bone loss is high

Block Cortical Bone Graft – restoration of the lost bone in the cases where the width and height of remaining bone are insufficient to place an implant in the proper position

Sinus Lift Bone Graft – utilized to replace missing bone to allow for implant
placement in the back of the mouth

Guided Bone Regeneration – may be utilized when there is a localized defect in the
bone or only slightly inadequate bone in the area of implant placement

Your implants dentist or oral surgeon can best determine which type or types of bone grafting procedures are needed to suit your particular situation. If you have been told in the past that you are not a candidate for dental implants due to insufficient bone in the jaw, you may want to get a second opinion. With today’s advances in dental technology and dental implants dentistry, many patients who were turned away in the past are now able to benefit from this innovative and life-changing tooth replacement system.

Posted on behalf of Dr. Mac Worley, Mountain View Oral Surgery and Dental Implants

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Monday, May 13, 2013 @ 05:05 PM
posted by Wayne G. Suway, DDS, MAGD

Over time, failure to replace a missing tooth will lead to bone loss. This can make it more difficult to replace the tooth with a dental implant. This highlights one of the many reasons to replace a missing tooth as soon as possible after it has been extracted.

In cases where bone loss has occurred leaving patients without a sufficient quantity and/or quality of bone for the successful placement of dental implants, bone grafting procedures may be used. There are a variety of different bone grafting techniques that can be used to allow the opportunity to place implants of a proper length and width including the following:

• Socket Preservation Graft – used immediately after a tooth is removed when a bone socket wall is thin and the likelihood of volumetric bone loss is high

• Block Cortical Bone Graft – restoration of the lost bone in the cases where the
width and height of remaining bone are insufficient to place an implant in the proper position

• Sinus Lift Bone Graft – utilized to replace missing bone to allow for implant placement in the back of the mouth

• Guided Bone Regeneration – may be utilized when there is a localized defect in the bone or only slightly inadequate bone in the area of implant placement

If you have visited an oral surgeon in the past and were told that you were not a candidate for dental implant surgery, you make want to get a second opinion. Advances in dental implant technology and expert bone grafting techniques now make it possible for many more patients to benefit from dental implants. This opens up a world of opportunity for patients who are dealing with tooth loss. If you are an adult who has lost one or more of your teeth, chances are very good that you are a candidate for dental implants. There are very few reasons that would rule you out for this innovative and life-changing tooth replacement solution. Call a dental implant specialist in your local area to find out of dental implants are right for you.

Posted on the behalf of Dr. Mac Worley, Mountain View Oral Surgery and Dental Implants

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