Advanced implant surgery includes shaping or artificially obtaining the existing bone in patients who need to be implanted. The purpose of these procedures is to obtain the bone tissue required for the attachment of the implants made of titanium material to the jawbone.
Even if the patient has sufficient bone tissue, the width of this tissue may not be sufficient. In some patients, there is no bone at all. The procedure to be applied differs according to such cases. Thanks to advanced surgical methods, the long-term success of the implant is ensured. At the same time, the weak bone structure is strengthened, a more aesthetic appearance emerges and the patient uses the implants without any problems.
Split Osteotomy (Bone Expansion)
If the existing jawbone is not wide enough for implant treatment, a split osteotomy operation is performed. During this operation, after the bone is made thicker, the implants are placed in place. This thick tissue obtained can be supported with artificial grafts when necessary. This process is also beneficial in eliminating deformities in the jaw and teeth. It is possible to obtain a thickening of 3-4 mm with split osteotomy.
Artificial Graft Insertion
In cases where the jaw bone tissue is insufficient; Grafts produced from bones obtained from cattle are used. The process of placing these grafts in the jawbone is called artificial graft insertion. During the procedure, a material called membrane is used to enable ossification to occur in a short time.
The artificial bone graft disappears from the area in about 3-6 months, leaving its place to living bone, and the jawbone becomes ready for implant application. Bones taken from cattle or cadavers for graft production are sterilized and subjected to various processes. These materials, which are completely biocompatible, do not cause infection or allergic reaction in the body.
Building Block Bone
In cases where the bone width is not at the desired level, tissues taken from the patient can be used for thickening. In this way, sufficient thickness is obtained for the implant. Since the patient’s own tissue is used during the procedure, the success rate is very high. The tissue to be used during the autogenous bone graft operation; It can be taken from the hipbone, lower jaw or chin. After the procedure, fusion takes place in about 6 months.
Sinus Lift Technique
There are spaces called sinuses above the upper molars. These gaps; It has functions such as balancing the head weight, helping the voices to come out of the mouth correctly during speech. Normally, downward sagging of these sinuses does not pose any problem, but if the patient is to be implanted, the sinuses must be filled with artificial grafts.
The operation is performed with local anesthesia. During the sinus lift procedure, the sinuses are first raised and then grafted. In the last stage, the operated area is closed by suturing. It is necessary to be careful while cleaning the nose and sneezing after the sinus lift. Excessive pressure should be avoided while wiping the nose, and the mouth should not be closed while sneezing.
Nerve Reposition
Nerve reposition, that is, the positioning of the jaw nerve, is a procedure that increases the success of implant applications to be made in the lower jaw. The nerve in the jawbone, in some cases, causes the entire bone to be unavailable during implant placement. Therefore, the nerve needs to be moved to a different location. Since intraoral nerves are very sensitive tissues, nerve repositioning should be performed meticulously and by an experienced dentist. Otherwise, permanent numbness may occur after the operation.
Osseodensification Technique
Cutting burs are normally used during the preparation of implant sockets. The osseodensification technique, on the other hand, is applied with the use of burs with bone density properties. As a result of the enlargement achieved during this application, which has just started to become widespread, the implant is more firmly attached to the jawbone.
