Clinica Universidad de Navarra is a JCI-accredited leading sarcoma center with a 74% bone sarcoma cure rate and up to 95% limb preservation. Dr. Mikel San Julian Aranguren specializes in orthopedic surgery and traumatology for bone graft procedures. The clinic treats patients from 70 countries with over 700,000 cases handled.
Clinica Universidad de Navarra (CUN) is the best private Spanish hospital in 2018 according to MERCO (monitoring organization of medical reputation).
\n\nNavarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.
\n\nOncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.
\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
\n\nOver 700,000 patients from 70 countries have been treated at Navarra.
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\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
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\n\nAn artificial bone graft material placement is required for those patients who have been missing teeth for more than two months. Unfortunately, most patients have much longer terms, up to 10 years or more. In such cases, various bone grafting procedures come to the rescue.
\n\nBone grafting (osteoplasty, sinus lift, bone augmentation) is a surgical intervention during which the surgeon finishes building the tissue volume necessary for dental implant. Top maxillofacial surgeons in the global dental implant clinics perform the procedure following low-traumatic modern protocols and international quality standards.
\n\nAccording to the diagnosis results, a dental professional performs bone grafting simultaneously with implantation or carries it out as a separate operation.
\n\nOften in our surgical practice, there are conditions when the bone is not ready to accept the dental implants. If there is a vertical or horizontal defect, bone grafting is necessary.
\n\nSuch problems arise for such reasons as:
\n\nIf the tooth is removed long ago, the body is physiologically rebuilt, and a narrow bone ridge can build. To bypass these obstacles during dental implant surgery, dentists do gum tissue augmentation.
\n\nBecause of some reasons, over time, after tooth extraction, bone volume decreases. Sometimes, when implanting a tooth, it is necessary to restore tissue. Bone grafting comes to the rescue.
\n\nMost often, patients who have lost a tooth more than a year ago face the problem of lack of natural bone. Thus, the body reduces the extra bone volume because it is no longer needed. That is why dentists recommend installing an implant in place of the extracted tooth as soon as possible.
\n\nSometimes bone loss is a physiological feature. In this case, there is also a need for surgery. Bone grafting can be performed on both the upper and lower jaw.
\n\nThe purpose of the operation is to create a foundation that will serve as the basis for the engraftment of the future implant. The complexity of the process explains the relatively high cost of bone grafting during dental implants placement.
\n\nDoctors perform dental bone grafts in different ways:
\n\nThe dentist individually determines the type of bone graft procedure for each patient.
\n\nAfter the bone graft is inserted, your body may mend itself. A dental bone graft is like a scaffold on which new bone may grow.
\n\nYour dentist may mix a bone transplant with PRP (platelet-rich plasma). Your own blood is utilized to aid healing and tissue repair.
\n\nBone augmentation surgeries in dentistry include socket preservation, ridge augmentation, sinus lift, and periodontal bone graft.
\n\nOsteoplasty is performed after careful preparation. The patient must undergo oral hygiene a week before the operation and a general examination — blood tests, consultation with a cardiologist, a therapist, and, if necessary, an endocrinologist. The process of the bone graft itself depends on the chosen technique and the materials used. Manipulations are carried out under general or local anesthesia.
\n\nIncredibly high success rates may be seen for dental bone grafts. Failure is possible with any surgery, but it's more likely in those who smoke or have specific health issues. Dental bone graft failure indicators include:
\n\nOn average, the dental implant is possible about 4 months after bone graft. In the case of complex intervention, the period can increase to 6-9 months. Sometimes parallel grafting and installation are possible. The most suitable option for a particular patient during diagnostics is selected.
\n\nIn many countries, dentists resort to parallel bone graft and dental implant, significantly saving treatment money and time. This tendency is prevalent in clinics in countries such as Turkey, Ukraine, and Mexico, where dentistry is developing at a frantic pace, and there is a great demand for such procedures among international patients.
\n\nMoreover, doctors in these countries provide patients with dental implant packages — such offers usually include both bone graft and dental implant. Also, tooth packages contain all materials and medicines needed for successful dental implants placement. At the same time, these hot deals are cheaper than the separate procedures.
\n\nThe bone will repair, but it will heal in its way, which means that the walls that used to house that tooth may collapse, causing you to lose the height and width of the bone. The more bone you lose, the less likely you will be a suitable candidate for an implant.
\n\nThe patient does not feel any pain immediately after the bone grafts because the anaesthesiologist injects painkillers and sedatives before and during the procedure. Anxiety may appear by the end of the day or the next day after the intervention.
\n\nTo relieve pain, the dentists recommend taking painkillers. Painful feelings should be gone entirely within the first week after the surgery.
\n\nPatients are often not put to sleep for bone graft procedures because it may be done simply with a local anaesthetic. Sedation is available in almost all dental implant clinics. Specialists can offer nitrous oxide, oral sedation, and intravenous (IV) sedation.
\n\nIt's also possible that general anaesthesia may be needed if your scenario is very complex. Ask your dentist for advice on which sedation option is most suited to your case.
\n\nA healing process after the dental bone graft procedure may take three to nine months. This time is enough to heal completely , and it's not uncommon for this procedure to take longer. Several variables affect recoveries, such as type of graft, location of placement, and your body's ability to mend. Ask your dentists about the healing period in your particular situation.
\n\nThe duration of the rehabilitation period is determined by the volume of postoperative consequences, which depend on the operation's scale and the body's reaction.
\n\nTypically, recovery after bone grafting takes no more than two days. During this time, pain and swelling go away. By the third day, the wound stops bothering, but the stitches are removed only on the 10-14th day after the procedure. Missing bone is formed within a few months.
\n\nPatients need to visit a doctor for follow-up examinations. The computed tomogram determines the degree of maturity of the bone tissue. Only after this step, a dentist can determine the optimal implantation period.
\n\nFor patients who want to quickly go through the period of operational inconvenience and get their dental implants as soon as possible, the leading dental implant clinics provide accelerated rehabilitation programs. Such recovery plans include different therapeutic procedures selected individually for each patient to speed up the rehab time and get back to the patient's everyday lifestyle in the shortest term. The accelerated rehabilitation programs may contain:
\n\nFollowing your doctor's recommendations during the rehabilitation period will prevent possible complications. Here are the most common of them:
\n\nIf your jawbone begins to deteriorate, it may lead to a domino effect of problems, including tooth loss and mobility issues. You may be eligible for dental implants and other tooth operations if you have bone grafts in your jawbone. Bone graft surgery may be an option if you have jawbone degeneration and want to regain your oral health and function and your general well-being.
"},"guide_mc":{"text":"Day 1
\nDay 2
\nDay 3
\nDay 4
\nDay 5
\nWeek 1
\nWeek 2-4
\nWeek 4-6
\nWeek 6-8
\nPlease note that the timeline and process may vary individually based on the patient\"s health condition and the complexity of the surgery.
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