Yaksu-dong Dental Clinic: Recovery Process After Extensive Bone Grafting Implant Surgery

Hello.

I am Dr. Kim Tae-young, the chief director of Yaksu-dong Dental Clinic / Bareunyoung Dental Clinic.^^

Dental clinics can be quite nerve-wracking because treatments are performed inside the oral cavity, close to the ears, often with a drape covering the face, and accompanied by the sounds of instruments or anesthesia.

In fact, ever since I was a child, I used to sweat and feel very nervous when I went to the dentist.^^;

Because of this,

I've developed a habit of observing patients during treatment or anesthesia.

‘Are they clenching their hands too tightly?

Are they breathing rapidly?’

Even when using anesthetic cream and anesthetic solution,

I try to assess the patient's condition periodically during treatment.

Although I haven't explicitly mentioned it, I'm grateful that patients seem to understand my actions.^^

Today, I'd like to revisit a past case involving

implants with extensive bone grafting

and see how it has been maintained after the completion of treatment.

This patient had also postponed treatment

and came to us through a referral from a colleague

who had received implant treatment at our clinic.

I'd like to consult about whether implants are possible.

The molar teeth in the upper jaw had been missing for a long time,

and the lower front teeth were loose due to periodontitis.

With the molars, which establish the occlusal height, missing,

the lower teeth had pushed up the upper teeth,

causing the upper front teeth to spread apart and leading to poor periodontal health.

Since the teeth had been missing for a long time,

the remaining bone thickness was too thin on both sides,

so we planned a surgery involving extensive bone grafting

and decided to proceed with navigation-guided implants,

then began the fabrication of the guide device.

Does surgery hurt a lot?

It doesn't hurt at all during surgery!!

This is a common question I receive from implant consultation patients.

Imagining implant surgery,

it might seem very painful because it involves placing implants into the bone,

but since the surrounding nerves are anesthetized with local anesthesia without general anesthesia,

there is no pain during the surgical procedure after anesthesia.

Before anesthesia, surface anesthesia is used to minimize discomfort,

and once anesthetized, you will not feel any pain during the surgery.

Returning to the main topic,

here is a photo after completing the surgery using the guide device.

Bone was created up to the marked line,

and a much more sufficient bone height was secured than initially anticipated.

Sinus lift surgery is a procedure

that involves lifting the membrane of the maxillary sinus (=paranasal sinus)

and performing bone grafting in that space to create fixation for the implant.

If there had been sufficient existing bone, temporary teeth could have been made simultaneously with the surgery,

but since the initial fixation was weak,

I advised the patient to use a temporary denture for a while, despite the discomfort.

Treatment for extruded teeth and severe periodontitis

With the lower molars having extruded

and the front teeth loose due to severe periodontitis,

we treated the lower teeth while waiting for the implants.

First, we proceeded with gum treatment

to calm the gums affected by periodontitis,

extracted the problematic teeth, and used temporary teeth

to establish the occlusal height.

As gum health recovered through periodontal treatment,

and when it was time to use temporary implants,

the occlusal height was established,

and we could see that the previously splayed upper front teeth had settled into place.

Since the teeth had been missing for a long time,

a period was needed to achieve occlusal stability,

so we allowed a period for using temporary teeth

to check for temporomandibular joint stability, occlusal changes, and any discomfort during use,

and then determined the timing for the final prosthetics.

‘Eating is fine, and I have no discomfort~’

Despite using temporary teeth for quite a long period,

the patient didn't show any signs of difficulty and said that eating had become much more comfortable than before.

Here are photos after the occlusal stabilization period

and after the final prosthetics were completed.

Fortunately, the bone graft space was well maintained,

and about a year after starting treatment,

there were no signs of inflammation, and everything was well preserved.

The patient's smile looked much more natural than before treatment,

and they reported no discomfort at all while eating, which made me feel even more rewarded by this case.

While a few photos cannot fully explain a year's worth of treatment,

surgeries involving such complex procedures

inevitably require a longer treatment period.

Although a long treatment period might make patients feel impatient,

I explain that such time is essential for long-term stable use,

and patients understand this well.

Since this patient had pre-existing periodontal disease, the treatment doesn't end with the placement of prosthetics;

through regular gum treatment and status checks,

Bareunyoung Dental Clinic will help you use your implants healthily and strongly for a long time,

especially given the difficult decision you made to undergo surgery.

Today,

we looked at the recovery process and long-term maintenance of an implant case with extensive bone grafting.

If you have similar concerns or require multiple implants at a Yaksu-dong dental clinic,

please visit us for a detailed consultation.

Thank you.^^

Treatment start: 2023.04.28

Treatment end: 2023.11.10

▼ Related cases worth reading together ▼

We approach all visiting patients with the same care as we would our own family. My goal is to create a trustworthy dental clinic where everyone who visits with worries can leave feeling reassured. - Bareunyoung Dental Clinic

This post was written directly by Bareunyoung Dental Clinic for the purpose of providing medical information and hospital advertising (in compliance with Article 56, Paragraph 1 of the Medical Service Act). The photos are taken from the same patient, but treatment methods and other side effects (pain, prosthetic detachment) may vary for each patient.

자주 묻는 질문

임플란트 수술 시 통증은 없나요?

네, 수술 중에는 통증이 전혀 없습니다. 국소마취를 통해 주변 신경을 마취하며, 마취 전 표면마취로 불편감을 최소화하여 수술 과정에서 통증을 느끼지 못하도록 합니다.

광범위한 뼈이식은 왜 필요한가요?

치아 상실 기간이 오래되어 남은 뼈의 두께가 너무 얇을 경우, 임플란트를 단단히 고정할 충분한 뼈를 확보하기 위해 광범위한 뼈이식이 필요합니다.

임플란트 치료 기간은 얼마나 걸리나요?

복잡한 술식이 동반되는 임플란트의 경우 치료 기간이 길어질 수 있습니다. 이 환자분의 경우 약 6개월 정도 소요되었으며, 장기적인 안정성을 위해 충분한 회복 기간이 필요합니다.

상악동 거상술은 어떤 치료인가요?

상악동 거상술은 위턱뼈 안의 상악동(부비동) 점막을 들어 올린 후 그 공간에 뼈를 이식하여 임플란트가 단단히 고정될 수 있는 뼈를 만드는 술식입니다.

임플란트 후 정기적인 관리가 필요한가요?

네, 필요합니다. 특히 기존에 치주 질환이 있었던 환자분들은 보철물 장착 후에도 정기적인 잇몸 치료와 상태 체크를 통해 임플란트를 건강하고 튼튼하게 오래 사용할 수 있도록 관리해야 합니다.