Bone and Soft Tissue Grafting

Bone and soft tissue grafting in San Antonio, TX, are restorative procedures that involve the transplantation of bone or tissue to areas where they are deficient, either due to trauma, disease, or congenital conditions. These grafts help to restore the natural contours of the mouth and provide the necessary foundation for dental implants, ensuring that they remain stable and functional.

Bone Grafting

Bone grafting is the process of adding bone material to areas of the jaw that have experienced bone loss, which may occur due to periodontal disease, tooth loss, or injury. Bone is essential for supporting teeth and dental implants. When bone is lacking, it becomes difficult or impossible to place implants or restore lost teeth effectively.

There are different types of bone grafts, which include autografts (bone from your own body), allografts (bone from a donor), xenografts (bone from animals), and synthetic bone grafts. The choice of bone graft material depends on the extent of bone loss, the patient’s overall health, and the specific needs of the area being treated.

Soft Tissue Grafting

Soft tissue grafting focuses on the gums or mucosal tissue. It is primarily used to address gum recession, a condition in which the gums recede from the teeth, exposing the tooth roots. Gum recession can result from periodontal disease, aggressive brushing, genetics, or injury. Soft tissue grafting helps restore the gums to their natural position, protecting the teeth from further damage, enhancing appearance, and preventing tooth sensitivity.

There are two primary types of soft tissue grafts: connective tissue grafts (where tissue is taken from the roof of the mouth) and free gingival grafts (where tissue is taken directly from the surrounding gums). Both techniques are designed to encourage gum regeneration, improving both functionality and aesthetics.

Why is Bone and Soft Tissue Grafting Important?

Bone and soft tissue grafting is important because it addresses the foundational issues that can undermine the function of your teeth and implants. There are several reasons why these grafts are crucial:

Supports Dental Implants

Dental implants require a stable foundation of healthy bone and soft tissue to be successful. If you have experienced bone loss or gum recession, the success rate of dental implants may be significantly reduced. Bone and soft tissue grafting provide the necessary support for the implants, increasing the likelihood of long-term success.

Prevents Further Bone Loss

Without sufficient bone and soft tissue, the jawbone can continue to deteriorate over time. Bone grafting helps to regenerate lost bone and prevent further atrophy, preserving the overall structure of the face and mouth.

Improves Aesthetic Appearance

Gum recession can create an unsightly appearance, especially when the roots of teeth are exposed. Soft tissue grafting helps restore the natural gumline, improving both function and aesthetics. Bone grafting also plays a role in improving facial contours, enhancing the appearance of the smile and overall facial profile.

Addresses Periodontal Disease

For patients suffering from severe gum disease, bone and soft tissue grafting can help regenerate lost tissues, prevent tooth loss, and restore oral health. Bone grafts may be used to treat defects in the jawbone caused by periodontal disease, while soft tissue grafts help cover exposed tooth roots and prevent further gum recession. Contact us to learn more.

Indications for Bone and Soft Tissue Grafting

Bone and soft tissue grafting is typically recommended for patients who are dealing with a variety of oral health conditions. Some of the most common indications for these procedures include:

Bone Loss Due to Tooth Loss

After losing a tooth, the jawbone in the area often begins to shrink or resorb, as there is no longer a tooth root to stimulate the bone. Bone grafting helps restore lost bone and provides the necessary foundation for dental implants.

Gum Recession

Gum recession can lead to tooth sensitivity, increased risk of decay, and an unattractive smile. Soft tissue grafting is used to cover exposed tooth roots, restore gum tissue, and prevent further recession.

Periodontal Disease

Severe gum disease can cause significant damage to the bone and soft tissues, resulting in the need for bone and soft tissue grafting to restore lost tissue and prevent further destruction.

Preparation for Dental Implants

In cases where there is insufficient bone volume to support dental implants, bone grafting can be performed to build up the bone structure and create a stable base for implant placement.

Trauma or Injury

Accidents or injuries that result in damage to the teeth, jawbone, or gums may require bone or soft tissue grafting to restore the damaged areas and ensure proper function.

The Bone and Soft Tissue Grafting Procedure

The process for bone and soft tissue grafting varies depending on the specific type of graft and the area being treated. However, the overall procedure typically follows a similar sequence.

Initial Consultation

The first step in the process is an initial consultation with our periodontist in San Antonio, TX, where a comprehensive examination is conducted. This may include taking X-rays or 3D scans to assess the extent of bone or tissue loss. During this consultation, Dr. Maller will discuss the most appropriate treatment options, as well as any concerns or questions you may have.

Anesthesia and Sedation

To ensure the procedure is as comfortable as possible, local anesthesia is used to numb the treatment area. Sedation options, such as oral sedation or intravenous sedation, may also be offered to help you relax during the procedure.

Bone Grafting Procedure

In a bone grafting procedure, Dr. Maller will make an incision in the gum to expose the bone and prepare the area for the graft. The bone material will be placed in the area where bone loss has occurred, and it will be secured in place. The gums will then be sutured closed, and the area will begin the healing process. Over time, the grafted bone integrates with the existing bone, stimulating natural bone growth.

Soft Tissue Grafting Procedure

For soft tissue grafting, Dr. Maller will make a small incision to remove tissue from the roof of the mouth or surrounding gums. This tissue is then placed over the exposed tooth roots or in areas where gum recession has occurred. The graft is secured in place, and the tissue will begin to heal and integrate with the surrounding gums, creating a stable and healthy gumline.

Recovery and Aftercare

After the procedure, you may experience some swelling, discomfort, or bleeding. Dr. Maller will provide detailed aftercare instructions, including recommendations for pain management, dietary restrictions, and proper oral hygiene techniques. It’s important to follow these instructions carefully to ensure proper healing.

What to Expect After Bone and Soft Tissue Grafting in San Antonio, TX

Recovery from bone and soft tissue grafting typically involves some discomfort, swelling, and tenderness. Dr. Maller will provide specific aftercare instructions to help promote healing. While the initial recovery period can last a few days, complete healing of the bone graft and soft tissue graft can take several months. Regular follow-up appointments will be scheduled to monitor your progress and ensure optimal results.

Conclusion

Bone and soft tissue grafting are advanced and effective treatments that restore the essential structures of the mouth, enabling patients to enjoy improved oral health, aesthetics, and functionality. Whether you’re preparing for dental implants, treating gum recession, or addressing bone loss, Dr. Steven C. Maller, DDS, MS, and his team at San Antonio Periodontics & Implants are dedicated to providing personalized care that meets your unique needs. If you’re experiencing bone loss or gum recession, or if you’re considering dental implants, contact our office today to schedule a consultation and take the first step toward restoring your smile and your confidence.

Take the first step toward optimal oral health and a confident smile. Contact Dr. Steven C. Maller, DDS, MS, at San Antonio Periodontics & Implants for expert care tailored to your needs. Call us at (210) 824-0111 or visit us at 4501 McCullough Suite 104, San Antonio, TX 78212. Your healthiest smile starts here!