Bone replacement and regeneration
Difficult initial conditions for implants. What now?
What is bone regeneration?
Our bone takes longer to regenerate than soft tissue. If new bone is to be formed, it is covered with a membrane during several months of growth and protected against the ingrowth of soft tissue. Bone replacement material or your own bone can also support the reconstruction.
Bone augmentation should only be performed after conservative, non-surgical gum treatment to combat chronic inflammation of the periodontium. Otherwise, it cannot be assumed that the bone situation will improve, as the bacteria present can provoke a rejection reaction of the bone augmentation material used.
The modern bone augmentation procedures we perform follow the principles of biologically gentle, microsurgical therapy in order to obtain a newly formed implant bed as minimally invasive as possible, on which optimally positioned implants can be placed.
Only when the “pillars” are optimally positioned can the dentist, in close consultation with the dental technician, produce perfectly fitting crowns and bridges that harmonise with the overall aesthetic appearance.
What requirements should the bone substitute fulfil?
An ideal bone replacement material should have sufficient stability and fulfil 3 basic conditions for new bone formation:
Osteoconductivity
Osteoinduction
Osteogenesis
Which material is used?
Procedure and behaviour
At Leipziger 14 – Your dentists, we operate with special super-fine instruments. Some of our suture materials originate from vascular surgery and can only be used with 5x optical magnification.
Augmentation methods
Sinus lift – bone augmentation in the maxillary sinus
Approximately 6 months should pass after the operation so that the body has sufficient time for the replacement material to grow through the bone. Now implantation is comparatively uncomplicated.
There are two types of sinus lift: external and internal sinus lift.
In an external sinus lift, a bone window to the maxillary sinus is prepared from the oral cavity and the maxillary sinus mucosa, comparable to the inner skin of an egg, is detached from the floor of the maxillary sinus via this access. Bone or a mixture with bone augmentation material is then inserted into this isolated cavity under visualisation.
In the internal procedure, bone is pressed under the inner skin of the maxillary sinus via the drill hole of the implant, thus enabling the use of longer implants.
Only with such delicate, minimally invasive handling of hard and soft tissue can these complicated surgical procedures be mastered with the greatest reliability.
Socket reservation
The early insertion of an implant (immediate implantation) should also be able to stop bone loss after tooth loss. However, this method is only suitable for a few initial situations.
Bone spreading (bone splitting)
Regenerative bone augmentation for severe periodontitis
To do this, the affected gum and bone pockets are either filled with bone replacement materials and covered with special membranes as part of the surgical periodontitis treatment, or biologically active gels are used to stimulate your own bone to grow. Such procedures should always be carried out by specially trained and experienced specialists in order to achieve the best possible result for you.
Patient OPINIONS
Great doctor
Thorough diagnosis; honest recommendation not to carry out the planned special treatment in my case, thus saving me unnecessary treatment costs.
Friendly and competent
I felt safe and in good hands from the very first moment. Dr Planert took the time to answer my questions and explained everything clearly.
Outstanding!
I am completely satisfied! Very courteous reception... Advice and treatment at a very high level. Can recommend Leipziger14-Ihre Zahnärzte and Mr Planert with a clear conscience!"
Great doctor
Thorough diagnosis; honest recommendation not to carry out the planned special treatment in my case, thus saving me unnecessary treatment costs.
Outstanding!
I am completely satisfied! Very courteous reception... Advice and treatment at a very high level. Can recommend Leipziger14-Ihre Zahnärzte and Mr Planert with a clear conscience!"
Friendly and competent
I felt safe and in good hands from the very first moment. Dr Planert took the time to answer my questions and explained everything clearly.