Alveolar Bone Grafting Surgeryacija, žandikaulio dalies rekonstrukcija
Alveolar Bone Grafting Surgery
Alveolar bone grafting with an autologous bone graft refers to surgery when a bone fragment of an appropriate size is taken from the area of the chin or the jaw and is transplanted by a special technique to the place where it is necessary to augment the volume of the resorbed alveolar ridge for the future placement of dental implants. This surgery is performed when the alveolar ridge is too narrow to allow dental implants to be placed or is not high enough to allow dental implants to be screwed technically. Dental implants are placed after 6 months following this surgery.
After Alveolar Bone Grafting
After the bone grafting procedure, the oral surgeon will ask the patient to bite on a gauze pad placed over the treated area for 30 minutes. The purpose of this gauze pad is to absorb the blood and stop the bleeding. If the bleeding continues, blood pressure should be measured (reference range, 120/80 mm Hg). If blood pressure is higher than indicated, medications to lower it should be taken. High blood pressure can be a cause of bleeding. If bleeding persists and blood pressure is within the reference range, the patient should contact our clinic.
Any strenuous physical activities (exercise, lifting of heavy things), hot baths, and saunas should be avoided.
The patient is advised to sleep on the side of his/her body that has not been operated on.
The patient should restrain from eating for 2 hours after the surgery. It is advisable to avoid coarse and hot foods on the same day. It is not recommended to drink coffee or alcohol as increased blood pressure can cause bleeding. To feel blood taste on the second day after the surgery is normal.
It is strongly recommended to quit smoking as it restricts blood flow, wounds heal poorly, and the patient is at higher risk of acquiring an infection at the site treated.
Postoperative swelling is usually slight. To avoid or reduce it, cold therapy can be applied for 5-6 hours: the cheek is cooled for 15 minutes, then a 30-minute break is done, and the procedure is repeated again from the beginning. If ice is applied, it should be wrapped in a thin towel and then placed over the area treated.
For postoperative pain relief, all ordinary medications from a home first aid kit, such as Ibumax, Ibuprom, Nimesil, or Ketanov, can be used except aspirin as it has blood-thinning properties.
Personal Oral Hygiene
On the first day after the surgery, the teeth should be brushed gently with a soft toothbrush. It is necessary to rinse the mouth with special mouthwashes for 5-6 times a day (for example, Eludril, Listerine, Hexoral).
After the surgery, the edges of the gums are closed together with the sutures; they will be removed after 14-21 days. The sutures should be clean and free of debris to ensure proper wound healing. It is recommended to clean the sutures with a piece of gauze soaked in hydrogen peroxide until the sutures are removed.