Caring For
Your Patients’ Smiles
Dental Implants & Bone Grafting Services
Understanding the importance of a complete smile, the Oral and Maxillofacial Surgery Center of Oregon offers expertise in dental implants, blending professionalism and compassionate care to restore patients’ confidence and dental health. Located in Medford, OR, the center specializes in offering detailed treatments, from single-stage implants to complex bone grafting, ensuring personalized solutions for tooth replacement.
We Offer Implants & Extractions
Dental Implants
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Natural teeth and their implant-supported counterparts consist of two main parts: a crown for chewing and a root for stability, with implants typically made from titanium. A titanium implant replaces the lost tooth’s root and crown, requiring a healing period for bone to integrate with the implant. Afterward, an abutment and crown are fitted, with temporary teeth provided in some cases. Advanced dental implant technologies enable various treatment options for full tooth loss, including single-stage implants that avoid a second surgery and heal in six weeks. Implants may also be inserted during tooth extraction to minimize surgical appointments.
Replacement Options
- Fixed Bridge
- Flipper
- Metal Partial
- Denture
- Dental Implants
Missing All Lower Teeth Options
- Ball Attachment Denture
- Bar Attachment Denture
- Screw Retained Denture
- Individual Implants
Missing All Upper Teeth Options
- Implant Retained Upper Denture
- Individual Upper Implants
Implant Supported Overdenture
Implant supported overdentures revolutionize tooth replacement by substituting traditional, often unstable dentures with a bridge supported by fewer dental implants, reducing both cost and treatment time. These innovatively designed overdentures attach via various methods like bars, clips, or abutments, tailored to each patient’s needs, and usually don’t require bone grafting due to the strategic placement of implants. Immediate temporary teeth can be placed on the day of the surgery, allowing normal function until the final bridge is installed after a short healing period. This solution enhances stability and improves eating, as well as overall quality of life, with proven long-term success and cost-effectiveness.
Teeth-In-An-Hour
TEETH-IN-AN-HOUR™, developed by Nobel Biocare, is a groundbreaking procedure allowing patients to receive fully functional teeth on dental implants in just one hour. The technique uses a CAT scan of the patient’s jaw and virtual reality planning for precise implant placement without the patient present. This process, which involves collaborative efforts between restorative doctors and oral surgeons, enhances safety and accuracy. The final prosthesis is crafted prior to surgery, and the procedure itself is minimally invasive, resulting in less pain, swelling, and bruising postoperatively. Patients typically return to their daily activities by the following day, benefiting from reduced chair time.
After Placement Instructions
Do not touch the wound. On the day of the surgery, refrain from rinsing, spitting, or probing the area. A metal healing abutment may be visible above the gumline.
- Bleeding: Mild bleeding or saliva redness is normal for 24 hours. For excessive bleeding, bite on gauze for 30 minutes; call if persistent.
- Swelling: Swelling post-surgery is normal. Minimize it by applying ice on the cheek continuously for 36 hours.
- Diet: Drink lots of fluids and avoid hot items. Eat soft food on the day of surgery; you may resume your normal diet soon after.
- Pain: Start pain meds as anesthesia fades. For pain, take Tylenol or Ibuprofen as directed; use a prescription for severe pain unless allergic.
- Antibiotics: Be sure to take the prescribed antibiotics as directed to help prevent infection.
- Oral Hygiene: After surgery, use Peridex Oral Rinse nightly. Post-surgery, rinse with it or salt water, depending on bone grafting. Brush gently.
- Activity: Minimize physical activity post-surgery to avoid throbbing or bleeding. Limited nourishment can weaken you, reducing exercise capability.
- Wearing your Prosthesis: You may be without your denture or partial for up to 2 weeks. Adjustments may need to be made by your dentist.
Bone Grafting
Over time, missing teeth can lead to jaw bone loss, affecting bone quality and quantity for implant placement, teeth alignment, and facial structure. Bone growth technology now enables bone regeneration where needed, making dental implantation possible and restoring function and aesthetics. Bone grafting addresses inadequate bone at implant sites caused by extractions, gum disease, or trauma, using bone from the patient’s body or a tissue bank. Sinus bone grafts replace bone loss in the upper jaw. Techniques like guided bone or tissue regeneration help heal the site, often utilizing dissolvable membranes to protect grafts and aid in bone growth. Major grafts are carried out in a hospital to fix large jaw defects from injuries, surgeries, or congenital issues using bone from the patient’s skull, hip, or knee.
Types of Bone Grafts
- Autogenous Bone Grafts: Autografts, using your own bone, promote growth and avoid rejection but require a second surgical procedure.
- Allogenic Bone: Allografts from cadavers are processed to support surrounding bone growth but don’t create new bone.
- Xenogenic Bone: Xenogenic bone from cows, processed to prevent rejection, supports new bone growth as a scaffold.
Allogeneic and xenogeneic grafts avoid second surgery but may have slower, less predictable bone regeneration.
Bone Graft Substitutes
- Demineralized Bone Matrix (DBM)/Demineralized Freeze-Dried Bone Allograft (DFDBA): Processed allograft bone, available as powder, putty, chips, or injectable gel, contains collagen and proteins.
- Graft Composites: Graft composites blend materials and growth factors, like collagen/ceramic and DBM, for enhanced bone growth.
- Bone Morphogenetic Proteins: Bone morphogenetic proteins (BMPs) are proteins naturally produced in the body that promote and regulate bone formation and healing.
Potential Consequences of Tooth & Jaw Bone Loss
- Problems with remaining teeth, including misalignment, drifting, loosening, and loss
- Collapsed facial profile
- Limited lip support
- Skin wrinkling around the mouth
- Distortion of other facial features
- Jaw (TMJ or temporomandibular joint) pain, facial pain, and headaches
- Difficulty speaking and communicating
- Inadequate nutrition as a result of the inability to chew properly and painlessly
- Sinus expansion
Reasons for Jaw Bone Loss & Deterioration
- Tooth Extractions
- Periodontal Disease
- Dentures/Bridgework
- Trauma
- Misalignment
- Osteomyelitis
- Tumors
- Developmental Deformities
- Sinus Deficiencies
After Socket Bone Grafting Instructions
- Bone Graft Care:
- Small granules in the mouth for a few days after surgery are normal.
- Avoid touching, rinsing, or spitting for two days to allow stabilization.
- Don’t apply pressure or disturb the wound area.
- Smoking is prohibited.
- Gentle rinsing is allowed after the second day, avoiding dislodging granules.
- If using dentures or flippers, consult your dentist for adjustments.
- Post Sinus Lift Augmentation:
- Avoid nose blowing for four weeks; sneeze with the mouth open.
- Avoid activities that increase nasal or oral pressure.
- Decongestants may be prescribed; follow these and antibiotic instructions.
- Smoking is strongly discouraged.
- General Post-operative Instructions:
- Follow the prescribed antibiotic regimen to prevent infection.
- Oral hygiene: Start saltwater rinses the day after surgery, and avoid brushing the operated area for 48 hours.
- Do not smoke; it may lead to graft failure.
- Dentures: Delay wearing until advised; ensure no pressure on surgery sites.
- If Issues Arise:
- Notify the office immediately for unexpected air or liquid flow between mouth and nose, discharge of graft material, sinus/nasal congestion, or increased swelling.
Contact us today at 541-779-7799 and complete your doctor referral forms or register as a patient.
