For the reconstruction of the jawbone, the dentist has various methods at their disposal. The desired outcome, the initial situation, and medical feasibility play important roles in choosing the appropriate approach. Generally, the dentist performs bone augmentation by lifting the gum at the respective site and introducing bone substitute material. Subsequently, the opening is closed with a membrane and sutures. It usually takes several months for the replacement material to heal and the bone to be built up. Afterward, the implantation can be carried out. Suitable bone substitute materials include:

• Own bones, transplanted

• Artificial bone material

• Animal bones, for example, from cattle

• Bones from other human donors

Preference is given to one's own bone material, as it is best tolerated and yields the best results. Bone augmentation typically takes place under local anesthesia. For more extensive procedures or in cases of dental anxiety, treatment under nitrous oxide or general anesthesia is also possible.

In general, bone augmentation is associated with few risks, and complications are rare. However, as with any medical procedure, there is always some residual risk. Potential complications may include infections or wound healing issues. Occasionally, patients may have an adverse reaction to the bone substitute material, and in some cases, nerves may be affected, leading to numbness. With medical guidance, most complications can be effectively managed, allowing patients to enjoy the benefits of a well-fitted dental implant afterward. Additionally, our dentists provide advice on steps patients can take to minimize risks. Swelling, if present, can be alleviated with ice, and maintaining proper oral hygiene aids in optimal wound healing.

Among the most well-known methods of bone augmentation is the sinus lift. This is typically employed when molars in the upper jaw need to be replaced with an implant. In this procedure, a portion of the maxillary sinus is filled with bone material, which gradually integrates and enlarges the bone. There are two variants of this technique: external and internal sinus lift. In the internal approach, the dentist utilizes the implant site to introduce the bone material, while the external variant involves creating a lateral bone window for more comprehensive bone augmentation. In both variations, the dentist works within the oral cavity, and no scars are visible externally.

Alternatively, procedures such as bone spreading, bone splitting, or the insertion of a bone graft can be utilized in the upper and lower jaw. In these methods, the jawbone is split, allowing the implant to be placed and anchored with bone material. Once healed, the artificial tooth crown can be attached. The most suitable method for a patient is best discussed with their dentist. The doctors at Los Angeles are happy to advise patients.