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Long Island Bone and Periodontal Gum Tissue GraftingMany routine dental surgeries can involve or require special procedures to replace or restore gum tissues that have been lost to disease, trauma, birth defects or other common causes of gum recession.
Bone grafting procedures are used for similar reasons but play a larger role in the reconstructive procedures our patients want for restoring or replacing anywhere from a single tooth to a complete arch of new teeth.
Jawbone Augmentation PrinciplesThe most common use of bone grafts is to replace bone that has been lost due to gum disease or periodontitis. The extended use of dentures can cause significant wear on bone height and mass.
Untreated tooth extractions will also cause bone loss which can affect the bone quality of adjacent tooth structures. The loss of bone can sometimes occur during the extraction, where tooth roots are difficult to remove. A more seemingly benign loss of bone occurs as an untreated extraction site slowly resorbs.
Bone Regeneration Goals - Treatment SpecificBone grafting is used by Dr. Koeppel to replace, build up (augmentation) or fortify any given area of a jawbone (sometimes the entire arch) for the purpose of providing support and healthy bone mass that becomes the foundation for:
Bone SourcesThe types of bone material used for grafting falls into 3 groups:
Gum Tissue Grafts and Regeneration GoalsSoft tissue grafting is used to replace, repair or augment tissues necessary for maintaining and protecting bone health and root structures of one or more teeth. A common use of gum grafts is to treat gum recession. Periodontal grafting is routinely used for:
Periodontal Tissue SourcesThe types of material used for grafting falls into 3 groups:
In many instances, Dr. Koeppel will additionally use a pulverized bone product (can be synthetic or specially prepared [crushed] patient bone) to fill or pack a surgery site. Platelet Rich Plasma (PRP) may also be used to accelerate healing (also derived from patient) along with specialized membranes (Ossix) to further optimize tissue regeneration.
Severe Resorption - Mandibular - MaxillaryThe advancements in 3-D Imaging (catscans) enables Dr. Koeppel to provide grafting opportunities for patients that would have been impossible just a few years ago. Areas considered quite critical can now be treated with unsurpassed accuracy which, for many patients, can eliminate the possibility of being permanently toothless.
Many patients who were being told there was no hope for successful bone grafts due perhaps to long term denture use, excessive tooth extractions or gum disease are discovering there may be opportunities for Dr. Koeppel to use cumulative grafting procedures that can effectively rebuild bone that has been missing for years.
3 Dimensional Cone Beam imaging provides the diagnostic and treatment possibilities that can emerge when Dr. Koeppel creatively combines the use of autogenous bone grafts, bone matrix products, PRP and barrier membranes to create needed tissues.
Patient age is not a primary factor for bone regeneration. Rather, overall general health conditions and the existence of poor oral health (active disease) are the primary considerations for determining if bone graft surgeries can be used for any given patient.
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Dr. Koeppel's use of cone beam diagnostic equipment enables him to locate and prepare the best surgery sites for bone regeneration. In complex cases, specific implant sites (not the entire jaw) can be prepared to accommodate one of several choices for replacing an entire arch of teeth.
Customized implant supported dentures, All-On-Four, Teeth-In-An-Hour and Procera Implant Bridges (PIB) fabricated from milled titanium can be used for some patients.
Best Candidate QuestionsWhat determines whether one graft procedure is better than another or if candidacy is even a possibility is entirely dependent upon current oral health conditions, treatment histories and patient compliance issues (yes, patients can cause their own failures).
Call our office at (631)318-0000 to arrange a consult with Dr. Koeppel to learn more about bone growth technologies and how they can create new tooth replacement choices. You can also use our Consult Request form to arrange an appointment.
Patients seeking specific answers or information related to the material on this page can also choose to contact Dr. Koeppel directly with our Ask The Dentist form. Dr. Koeppel will reply to you directly with the information you are seeking.
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New York Reconstructive Dentist
Ira Koeppel, D.D.S.
126 Gnarled Hollow Road
East Setauket Long Island New York NY 11733
Nassau - Suffolk County Spa Dentistry