West Hollywood Bone Grafting

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Periodontal disease is the leading cause of bone loss in the oral cavity, though there are others such as ill-fitting dentures and facial trauma.  The bone grafting procedure is an excellent way to replace lost bone tissue and encourage natural bone growth.  Bone grafting is a versatile and predictable procedure which fulfills a wide variety of functions.

A bone graft may be required to create a stable base for dental implant placement, to halt the progression of gum disease, or to make the smile appear more aesthetically pleasing.

There are several types of dental bone grafts.  The following are the most common:

  • Autogenous bone graft – In this type of graft the bone is removed from elsewhere in the body and implanted in the mouth.  Common donor sites for bone grafting include the iliac section of the pelvis, the chin and the posterior third molar areas of the jaw.  If large amounts of bone need to be harvested, the hip or the shin bone (tibia) is generally used.
  • Allograft – Synthetic bone (manmade) can be created in the laboratory and used in the bone grafting procedure.  Bone can also be obtained from a bone bank (cadaver bone).
  • Xenograft – This is the implantation of bovine (cow) bone. A xenograft is perfectly safe and has been used successfully; ample bone can be obtained, and a secondary donor site is not necessary.

Reasons for bone grafting

There are a wide variety of reasons why bone grafting may be the best option for restoring the jaw bone.

Dental implants – Implants are the preferred replacement method for missing teeth because they restore full functionality to the mouth; however, implants need to be firmly anchored to the jawbone to be effective.  If the jawbone lacks the necessary quality or quantity of bone, bone grafting can strengthen and thicken the implant site.

Sinus lift – A sinus lift entails elevating the sinus membrane and grafting bone onto the sinus floor so that implants can be securely placed.

Ridge augmentation – Ridges in the bone can occur due to trauma, injury, birth defects, or severe periodontal disease.  The bone graft is used to fill in the ridge and make the jawbone a uniform shape.

Nerve repositioning – If the inferior alveolar nerve requires movement to allow for the placement of implants, a bone grafting procedure may be required.  The inferior alveolar nerve allows feeling and sensation in the lower chin and lip.

What does bone grafting treatment involve?

Bone grafting is a fairly simple procedure that can be performed under local anesthetic; however, if large amounts of bone area need to be grafted, general anesthetic may be required.

Initially, the grafting material needs to either be harvested or prepared for insertion.  A small incision is made in the gum tissue and then gently separated from the bone.  The bone grafting material is then placed at the affected site.

The bone regeneration process may be aided by:

  • Gum/bone tissue regeneration – A thin barrier (membrane) is placed below the gum line over the grafting material.  This barrier creates enough space for healthy tissue to grow and separates the faster growing gum tissue from the slower growing fibers.  This means that bone cells can migrate to the protected area and grow naturally.
  • Tissue stimulating proteins – Enamel matrix proteins occur during natural tooth development.  Emdogain is a matrix protein product which is usually placed on the affected site before the gum is sutured.  It mediates the formation of accellular cementum on the tooth which provides a foundation to allow periodontal attachment to occur.  Tissue stimulating proteins help create lost support in areas affected by periodontal defects.
  • Platelet-rich growth factors – A high platelet concentration liquid can be used to create a blood clot at the site of a wound.  It has recently been discovered that PRGF also stimulates bone growth – meaning a denser graft in a shorter time period.

The gum is sutured in place and a follow-up appointment will need to be made within 10 days to assess progress.  Bone grafting is a highly successful treatment and a good base for further periodontal restorations.

If you have any questions about bone grafting, please ask your dentist.

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What Our Other Patients Are Saying

Julian Verdugo
Julian Verdugo
February 3, 2023
Right above the renowned LAVO ristorante, Dushane Dental on the 4th floor over looks part of Hollywood/Beverly Hills border. One of the greatest dentist teams in the world. Dushane Dental has a team of Rockstars. Shelly, Love, Joey, and Tiffany are all phenomenal in what they do. They do it with such grace and tenacity. No need to be afraid of going to the dentist with this group; your absolutely in great hands. I’ve only been in LA since winter 2018 and I’ve shopped a couple hand fulls of dentists, this is by far the best and teetering on world renowned with their exceptional attention to detail. Shelly loves doing her patients cleanings as much as I love getting a cleaning. Tiffany and Joey are both ever so meticulous with their due diligence. Greatness like this isn’t achieved over night. Cheers to this rockstar team. I’m literally looking forward to every visit. Please consider Dushane Dental whether in or out of network with your insurance. Update: I bought a teeth whitening package at Dushane dental and WOW it turned my teeth white! Check out the photos in my Review
Dominic Barbaro
Dominic Barbaro
April 28, 2022
Love Dr Dushane!! I really needed a new dentist in LA and feel so well taken care of whenever I go there. Joey's customer service to patients is sublime. Feels so good to stop searching when you find a great medical professional!
Siân Thompson
Siân Thompson
April 4, 2022
As someone who finds going to the dentist a stressful experience I can’t recommend Dr. Dushane and her amazing team any higher! The whole team at Dushane is incredibly welcoming, accommodating, and kind. So happy I found them after moving to the area!
Ethan Saeedian
Ethan Saeedian
March 24, 2021
Incredibly helpful, clean and polite. Dr Dushane was so nice, as my hygienist Shila, office manager Joey, and Julian. Joey was super nice and as polite as could be, and showed me how safe and clean the office was upon entering. (You are supposed to call while you are outside the office and they let you in!) Shila was thorough, professional, and constantly checking if I was having any pain. (I wasn't) Julian was personable and friendly, and a pleasure to talk to. Dr. Was very through, and went over many issues other dentists dismissed. Very professional from the time I walked in to the time that I left. Answers all my questions. Highly recommend!
Johnny Mazariego
Johnny Mazariego
November 6, 2020
Great Dentist experience. The facility is always clean, they are very professional and polite. An honest and true care for you and your teeth. Nothing but 5 stars for everyone and everything.
Charles Cohen
Charles Cohen
June 25, 2019
Dr Tiffany Dushane, She is a great Dr, very skilled and experience.. with a magic touch..
Kitty Schur
Kitty Schur
June 16, 2019
I can’t say enough amazing things about Dr.Dushane and Joey. I had a dental emergency and they both were so accommodating and made me feel as comfortable as possible in a very stressed out/scary situation.
Johnny ONeil
Johnny ONeil
March 28, 2019
Joey and the crew are amazing. Highly recommend.
Robert D.
Robert D.
July 6, 2023
If you are looking for an amazing dentist, stop searching! Make an appointment with Dr. Dushane ASAP. Every single person on her team is amazing, and she's kind, gentle, and professional. I was nervous about switching dental providers (because my employer switched insurance), but after reading all the previous reviews I decided to give her a chance. Trust me, you won't regret the level of service, care, and kindness. Their prices are reasonable, the office is spotless and clean (very important), the equipment is modern, and she really sets the tone for a friendly and helpful environment. She, and her team, get 5 STARS! Thank you Dr. Dushane, for everything you do!
Taylor M.
Taylor M.
June 30, 2023
Best dentist I've ever had - amazing receptionist and hospitality, dental technician and Dr. Dushane is as lovely as she is knowledgeable. They recommended a periodontist to me as well and it was a wonderful recommendation. Can't speak highly enough of Dushane Dental Arts!
Leila P.
Leila P.
April 8, 2023
Highly recommend Dr. Dushane, she's knowledgable and direct. Switched to her office after my old dentist retired. I spent a lot of time searching for a trustworthy dentist who doesn't want to jump to drilling and filling. She's definitely the right balance between wait and see and take action. Love Sheila the hygienist and Joey at the front desk is really great too. And their office is super clean which is important for a dentist! 5 stars all around.
Christopher F.
Christopher F.
March 14, 2023
I highly recommend Dushane Dental Arts. Everyone on Dr. Dushane's team is genuinely nice and helpful, and Shila is the BEST dental hygienist I have ever had--she has an incredible attention to detail. Fantastic experience all around. This team does great work!
H E.
H E.
February 2, 2023
Dushane's team is like family. They take care of me and my family members. I trust them. I wouldn't go anywhere else. They are perfectionists with their work and their main concern is our happiness.
Janet C.
Janet C.
November 16, 2022
I have never been so excited to go to the dentist in my life. This place is a dream. Joey, who manages the front desk, is an expert in insurance and is extremely on top of everything. The whole office is extremely experienced, they have all the new tools to give you a phenomenal cleaning, and they are SUPER NICE to boot! Cannot recommend Dushane Dental enough.
Daniel K.
Daniel K.
November 2, 2022
I went to Dushane Dental Arts for a few procedures and they provided an exceptional experience. You can tell that cleanliness is a very high priority and the staff is so kind and accommodating. I highly recommend this dentist for both cosmetic and regular care!
Janet W.
Janet W.
July 17, 2022
An outstanding experience from initial examination through to completed treatment. Dr Dushane and her team are top notch - friendly, professional, efficient and skilled. I hadn't been to a dentist for a few years and my teeth required some serious 'fixing'. I left my first appointment after a deep cleaning, with a full understanding of what treatment was required and with detailed print-out of the cost and the contributions my insurance company would make. I would be travelling abroad for the Summer so Joey made sure to fit me in before my departure date. Although the follow-up appointment was lengthy due to the number of filings required, it was one of the smoothest procedures I've ever had. One thing I hadn't anticipated was the positive cosmetic effect resulting from replacing old metal fillings with white composite ones. In short, I can't recommend Dr Dushane highly enough. A brilliant dentist and practice.
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