Surgical Solutions Dr David Turbyfil 11 01 2017 (1) .pdf
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Bone Graft Substitutes
As a substitute to using real bone, many synthetic materials are available as a safe and proven alternative,
Demineralized Bone Matrix (DBM)/Demineralized Freeze-Dried Bone Allograft (DFDBA):
This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted
from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected
through a syringe.
Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of
substances. Some combinations may include: collagen/ceramic composite, which closely resembles the
composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or
a collagen/ceramic/autograft composite.
Bone Morphogenetic Proteins:
Bone morphogenetic proteins (BMPs) are proteins naturally produced in the body that promote and regulate
bone formation and healing.
Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk
and pain. Each bone grafting option has its own risks and benefits. Dr. Turbyfill will determine which type of
bone graft material is right for you.
Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a
condition which there is poor quality and quantity of bone suitable for placement of dental implants. In these
cases, most patients are not candidates for placement of dental implants. We now have the ability to augment
and grow bone where needed. This not only gives us the opportunity to places implants of proper length and
width, it also gives us a chance to restore function and aesthetic appearance. The bone graft procedures are
referred to as:
~Sinus lift procedure:
A sinus lift is surgery that adds bone to your upper jaw in the area of your molars and premolars. It's sometimes
called a sinus augmentation. The bone is added between your jaw and the maxillary sinuses, which are on either
side of your nose.
A ridge augmentation is a common dental procedure often performed following a tooth extraction to help
recreate the natural contour of the gums and jaw that may have been lost due to bone loss as a result of a tooth
extraction, or for another reason.
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