Bone Grafting

The patient presented with a broken crown on a tooth that had previous root canal treatment. Due to it's condition, the tooth was not salvageable. Dr. Patel recommended an extraction and bone graft in order to have sufficient bone structure for a future implant, at the patient's request. Once the site had healed, an implant was placed. Dr. Patel continued to monitor the patient's healing and stability of the implant over the next few months. When ready, an abutment and same day CEREC crown were placed as the final restoration. The patient left satisfied with a natural looking tooth and continues to be seen for his routine hygiene visits.

The patient presented with two missing teeth on the lower right. She was having trouble chewing and wanted to replace them with implants. A CBCT (Cone Beam Catscan) was taken in our office, which revealed there was bone loss in the area, however the remaining bone and space made her a good candidate for implants. Dr. Patel placed bone grafts in each area to help increase the bone density, resulting in the stability needed. Once the implants were placed Dr. Patel continue to monitor the patient's healing and approximately two months later he restored the implants with abutments and crowns. The patient continues with her routine visits in our office along with her own homecare to maintain good oral health.

The patient was seen in our office for a dental emergency. She was experiencing pain and sensitivity when biting and chewing. The pain woke her up in the middle of the night, prompting her to request an emergency appointment. An exam and xray revealed that a tooth on her lower right was abscessed and due to bone loss, was now non restorable. Dr. Patel diagnosed that the tooth needed to be extracted. After discussing replacement options, the patient decided that she wanted to replace the tooth with an implant. The tooth was extracted and due to insufficient bone structure, a bone graft was placed in the site. A few months later once the site healed, an implant was placed and subsequent appointments were made to check the healing and implant stability. The implant was restored about three months later with a same day crown. (Depending on the patient's healing time and regeneration of bone, the entire implant process usually takes between 5-12 months.) Once her treatment was completed, the patient was instructed to continue with her routine care in our office.

The patient presented with an old bridge on her lower right that was placed many years ago. During an exam with Dr. Patel, he found extensive decay under the bridge causing the two remaining teeth to be un-restorable. A CBCT (cone beam ct scan) was taken and revealed that the patient was a good candidate for implants. After removing the old bridge, Dr. Patel extracted the teeth and placed bone grafts at both sites, due to there being insufficient bone to support the future implants. Over the next 3 months the patient was seen to monitor healing until the implants were placed and then subsequent appointments were made during the next 2 months to again monitor healing and check implant stability. Using our CEREC unit, Dr. Patel was able to fabricate and place the implant bridge in the same day. The patient continues to be seen for her routine care in our office.

The patient presented for a second opinion due to her history of recent dental treatment that generated complications. These included infection and bone loss around a recently placed implant, as well as recession of the gums around it and adjacent teeth. With the aid of digital diagnostic tests such as an intra-oral camera, digital x-rays and cone beam ct scan Dr. Patel verified infection and un-restorability of the adjacent tooth. After discussing benefits and alternatives with the patient, Dr. Patel helped with removal of the infected tooth, that would have compromised the longevity of the recently placed implant. The cone beam ct scan revealed bone loss around the implant, but that it could be restored. For the purpose of maintaining space, providing a cosmetic solution and helping the bone graft healing, a transitional partial was provided at the end of surgery for the healing period. The patient was monitored with follow up appointments and in 2-6 months she will be ready to restore her implant.

The patient presented for an emergency appointment because he had broken a tooth on the lower right. Dr. Patel examined the patient and reviewed his x-ray, which revealed the tooth was fractured and un-restorable. He recommended an extraction and an implant as replacement. After the tooth was extracted, Dr. Patel placed a bone graft, due to there being insufficient bone structure for an implant. Since the bone graft provided good primary stability, the patient was able to receive his implant the same day. Dr. Patel will monitor the patient's healing and in a couple months will be able to restore the implant with a CEREC crown.

The patient presented with a cracked crown on an upper right tooth. An emergency exam and digital x-ray revealed deep decay and a fractured root, resulting in the tooth being un-restorable. Due to insufficient bone in the area and the patient's desire to eventually replace the missing tooth, Dr. Patel recommended an extraction and bone graft to help support a future implant. The patient was seen for follow up visits to monitor his healing and eventually began the implant process.

The patient presented for an emergency appointment to address a tooth on the upper left that had broken off at the gum line. During an exam with Dr. Patel, a digital x-ray revealed the tooth had decay into the nerve and was not salvageable. An extraction was recommended, along with a bone graft, due to insufficient remaining bone structure to support an implant as replacement. The patient's healing was monitored and two months later the implant was placed. Dr. Patel continued to monitor the patient's progress and one month later, the implant was stable with zero mobility noted. A same day CEREC crown was provided as the final implant restoration.