S.M.A.R.T. Bone Grafting

S.M.A.R.T. Bone Grafting

Have you been told that you don’t have enough bone for dental implant placement?

After tooth removal, there is frequently not enough bone in which to place an implant. If you’ve been told that you don’t have enough bone for implant placement, or that you would have to go through invasive surgery to add bone (Guided Bone Regeneration) the S.M.A.R.T. method may be the solution you’ve been dreaming of!

Inadequate Bone

Graft Material Placed

There may be inadequate bone for implant placement if your tooth was removed many years ago and your bony ridge is extremely thin. In this case, a bone graft can be placed next to the thin bone and allowed to heal for up to six months. After the graft has fused to your pre-existing bone, the ridge will be re-entered and the implant placed.

The S.M.A.R.T.method, is a novel minimally invasive laparoscopic bone grafting technique. Traditional bone grafting often involves multiple procedures and a lengthy treatment duration. Complex cases may also require a block of bone to be harvested from the mandible or pelvis in a hospital environment. These approaches may result in complications and suboptimal esthetics. The S.M.A.R.T. method is an alternative for many of these situations, providing predictable results with less pain, less swelling and fewer complications. It is, however, a technique sensitive procedure that requires specific surgical training, which are provided exclusively by S.M.A.R.T. Biomedical in which Dr. Adam L. Zatcoff DMD is certified in. S.M.A.R.T.may impact future of bone grafting in the same way cardiac stents and angioplasties virtually reduce the need for open heart surgery!

Patient with congenitally missing lateral incisors. The S.M.A.R.T.™ minimally invasive bone grafting technique provides predictable horizontal bone augmentation with fewer complications, less pain and swelling. S.M.A.R.T.™ bone graft was performed on both lateral incisor sites using a single incision.

The S.M.A.R.T.™ approach facilitates flapless implant placement, which may be followed by delivery of a temporary restoration. This results in fewer procedures compared to traditional techniques.  Treatment duration is decreased, with less discomfort and less expense to the patient, while preserving soft tissue architecture.

S.M.A.R.T.™ bone graft helps to enhance the esthetic appearance of implant restorations. The presence of sufficient bone volume makes ideal implant placement possible, facilitating natural restorative contours and emergence profiles.

The buccal plate of bone can be predictably augmented with the S.M.A.R.T.™ technique to optimize the site prior to implant placement. This represents a change in the paradigm for immediate implant placement and provisionalization, forcing a re-evaluation concepts regarding gap size and preservation of buccal contours.

Treatment of exposed implant surfaces. Bone regeneration over exposed implant surfaces is a novel application of the S.M.A.R.T.™ technique. Bone may be absent for a variety of reasons, usually related to placement or bone remodeling.

As bone loss advances, implants may need to be removed and treatment started all over again. Traditional techniques have shown limited success in regenerating bone over implants. The S.M.A.R.T.™ technique has been successful in treating exposed implant surfaces with up to 3 year follow up. It provides a simplified, predictable and cost-effective alternative, with less patient discomfort.

Complex Case. Narrow ridge after failed implant and bone graft. The patient did not want to have a block graft or a hip graft and was referred for S.M.A.R.T.™ minimally invasive bone grafting.

S.M.A.R.T.™ bone graft was performed in a 45 minute visit. Adjacent teeth with thin or missing bone were also treated. Graft was performed from canine tooth to canine tooth with a single mini-incision.

Without scalpels, sutures, or surgery, implant placement was performed 6 months later. The implant supported tooth was completed 1-year ago.

Complex Case. Deficient residual ridge following multiple failed implants. Repeated bone grafting procedures were unsuccessful, resulting in inadequate bone volume for implant placement and heavy scar formation.

S.M.A.R.T. Vertical and horizontal augmentation was performed in a single office procedure, with no flaps, tenting screws or membranes. Sufficient bone volume was achieved to allow future placement of multiple implants.

Vertical and horizontal augmentation including 6 anterior sites accomplished with two novel releasing incisions. The patient reported minimal pain and moderate swelling.

Vertical and horizontal augmentation of thin mandibular posterior ridge. The patient sought a minimally invasive approach, having previously declined treatment proposals that included hip and block grafts.

S.M.A.R.T.™ Vertical and horizontal mandibular ridge augmentation. Compared to traditional bone regeneration techniques…this was a 45 minute in-office procedure, with less pain, less swelling, and fewer potential complications. Implants will be placed following a 6-month healing period.

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