Bone Grafting

Major & Minor Bone Grafting

Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants.

Today, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance.

Major Bone Grafting

Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee). Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum and protect the bone graft and encourage bone regeneration. This is called guided bone regeneration or guided tissue regeneration.

Major bone grafts are typically performed to repair defects of the jaws. These defects may arise as a result of traumatic injuries, tumor surgery, or congenital defects. Large defects are repaired using the patients own bone. This bone is harvested from a number of different sites depending on the size of the defect. The skull (cranium), hip (iliac crest), and lateral knee (tibia), are common donor sites. These procedures are routinely performed in an operating room and require a hospital stay.

Sinus Lift Procedure

The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.

There is a solution and its called a sinus graft or sinus lift graft. The dental implant surgeon enters the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and donor bone is inserted into the floor of the sinus. Keep in mind that the floor of the sinus is the roof of the upper jaw. After several months of healing, the bone becomes part of the patients jaw and dental implants can be inserted and stabilized in this new sinus bone.

The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures.

If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.

Ridge Expansion

In severe cases, the ridge has been reabsorbed and a bone graft is placed to increase ridge height and/or width. This is a technique used to restore the lost bone dimension when the jaw ridge gets too thin to place conventional implants. In this procedure, the bony ridge of the jaw is literally expanded by mechanical means. Bone graft material can be placed and matured for a few months before placing the implant.

Jefferson City Oral & Maxillofacial Surgery

5 out of 5 stars based on 21 Bone Grafting reviews

Our Latest Patient Testimonials

When I was told I needed my wisdom teeth out I was a bit nervous. So on my first visit Dr Bauman prescribed some Xanax which really calmed me down before the surgery. In the surgery room he explained what was happening as he gave me a 3 2 1 countdown for the IV. It didn’t feel like I was out for very long and when I woke up I asked the nurse how it went and she said everything went amazing. The nurse stayed with me all the way to the car as I was very wobbly trying to walk after waking up from the anesthesia. Overall had a great, safe and calm experience and would recommend them to anyone

- Ethan M

5 out of 5 stars on

Our Latest Patient Testimonials

Friendly staff and Dr. Bessey listens to you and explains things really well so you can be comfortable with procedures. Highly recommend

- Linda T

5 out of 5 stars on

Our Latest Patient Testimonials

I put off getting my wisdom teeth removed for many years due to intense fear of dentistry. Everyone helped me feel calm and reassured throughout the whole process. Initially I was going to go to a different surgeon’s office that was in network for my insurance but that office had rescheduled on me 4 times last minute, including the day of surgery. The next day I called JCOMS and within a month or two I had my wisdom teeth out and was healing wonderfully. Your office staff are organized, your medical staff is very skilled, patient and knowledgeable and the whole experience of coming to JCOMS has been very pleasant! I will absolutely recommend JCOMS to anyone needing oral surgery. Thank you!

- Breanna P

5 out of 5 stars on

Our Latest Patient Testimonials

Staff & Dr. Bessey are kind, courteous and efficient. Helpful and really thorough w/ any questions I had.

- Kathryn B

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Our Latest Patient Testimonials

I would highly recommend Dr. Bessey and his staff!!

- Sydney H

5 out of 5 stars on

Our Latest Patient Testimonials

Overall they are amazing people and do a great job.

- Brianna H

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Our Latest Patient Testimonials

Thank you to all the staff and Dr. Bauman -- I am so glad I chose JCOMS for my implants. I couldn't imagine going anywhere else. The knowledge and care each staff member and Dr. Bauman provided was awesome. Sadly, I probably won't be back for any appointments (fingers crossed) but hope to stop in and say Hi when in the area. Thank you again/

- Tricia M

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Our Latest Patient Testimonials

Upon entering my daughter-in-law and & I were treated with the utmost respect. I can't tell you how nice the dental assistants were to me while prepping me for my tooth extraction. I had expressed how VERY ANXIOUS I was about visiting any dental office. Everyone seem to to fully understand! Please convey to the doctor who did my procedure how very much I VERY APPRECIATED how he talked to me during the procedure; calming me down. He did AN EXCELLENT job to say the least. And he did go "above and beyond" to treat me SO KIND! I am doing well; following the orange sheet of after extraction procedures. Again: THANK-YOU to everyone; even the lovely lady who helped me out to our car.

- Virginia D

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Our Latest Patient Testimonials

Overall I would recommend anyone to go to Jefferson City Oral and Macifaical surgery center for their wisdom teeth removal they do a really good job. Thank you Dr. Bessey for the best experience ever.

- Brianna H

5 out of 5 stars on

Our Latest Patient Testimonials

I highly recommend Dr Bauman and his office. The nurses and staff were knowledgeable, efficient and personable. Dr. Bauman is extremely fortunate to work with them. Dr Bauman's expertise was evident with my perfect outcome. I am pleased that Jefferson City and the surrounding areas have this specialty.

- Cindi D

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Our Latest Patient Testimonials

Very polite workers

- Alexus S

5 out of 5 stars on

Our Latest Patient Testimonials

I had my lower wisdom teeth extracted yesterday morning by Dr Bauman and it was nothing short of amazing! The staff and Dr Bauman were so kind and wonderful as I was extremely nervous and anxious. He even prescribed me xanax to take the morning of surgery and it helped immensely. My teeth were sideways and very impacted but the procedure went quickly and easily for me and so far I am healing very very well with minimal pain. I would highly recommend this office to anyone needing oral surgery that has dental anxiety or even if you don't. This place is amazing and I will definitely be back if I need any other oral surgery in the future.

- ERIN S

5 out of 5 stars on

Our Latest Patient Testimonials

Dr. Bessey was amazing and so nice to me. Even when he came in got me ready to put the needle in my arm he talked to me about how many siblings I had and so forth. The next thing I know I was out like a light in 5 seconds. I really like the people there they all were nice.

- Brianna H

5 out of 5 stars on

Our Latest Patient Testimonials

I could not have made it through bone grafting and implants without each and every person who made it possible. You all deserve more than 5 stars. I was told this is life changing for many who have lost confidence, I agree with that!! Forever grateful!!

- Raelynn R

5 out of 5 stars on

Our Latest Patient Testimonials

I was absolutely terrified of having 3 of my wisdom teeth removed. Dr. Bessey was nothing short of caring and reassuring. He gave me medicine to take before the procedure to relax me, and I was also put to sleep for the surgery. My surgery was yesterday morning at 10am and I am feeling GREAT. I would refer Dr. Bessey to anyone I could and I wouldn’t go to anyone else if I should ever need another procedure of any kind.

- Lisa A

5 out of 5 stars on

Our Latest Patient Testimonials

The staff and Dr. Bessey were very friendly and considerate. I felt at ease during my procedures and felt comfortable talking to Dr. Bessey. Feeling at ease is one of the most important things when going to a doctor.

- Dennis S

5 out of 5 stars on

Our Latest Patient Testimonials

When my dentist told me that I needed to have my wisdom tooth pulled I was not happy on top of being anxious and scared. My dentist then told me that I would have to go to JCOMS and that made me even more nervous becuase I had never heard (JCOMS). I'd never had a tooth pulled and I am NOT a fan of needles at all. When I arrived for my scheduled appointment, my anxiety hightened becuase I had no clue what to expect. My mind was thinking all types of crazy things. Jenny greeted me when I came in and was with me through the entire process. She (Jenny) made sure I was comfortable, asked me how I was feeling and even offered me a blanket. I truly appreciate how helpful she was. Dr. Bauman was amazing!! I had my eyes closed through the entire procedure and he calmly talked me through every step. I had no complications and the procedure was smooth. The procedure went a lot quicker than I imagined which was also a plus. I walked out with a smile. JCOMS was a great experience considering what I had to have done.

- Angela M

5 out of 5 stars on

Our Latest Patient Testimonials

Dr Bessey has done several implants for me and they have all been successful. The last one was only was a week ago and virtually painless. A little tenderness for a couple of days but that was all. He and his staff are amazing!!! Thank you all for taking such good care of me.

- Jill D

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Our Latest Patient Testimonials

The team here was amazing! They did everything thing they could to make you as comfortable as possible before, during, and after surgery! I was very pleased with my experience!

- Sarah J

5 out of 5 stars on

Our Latest Patient Testimonials

Quick and painless procedure! Would recommend to anyone in Jefferson City!

- samantha y

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