Bone Grafting & Sinus Lift

Bone Grafting techniques and Pricing for Dental Implant Placements Perth

Cost schedule for Bone Grafts

1 Gram Bone Graft code 243 is $175

2 Grams Bone Graft code 243 is $275

Bone Grafting techniques

There are several reasons that cause bone loss in the oral cavity. The affordable bone grafting procedure in Sydney is an excellent way to replace bone loss tissue and encourage natural bone growth. Affordable and Cheap Bone Grafting in Sydney is a versatile and predictable procedure nowadays.

Types of Cheap Bone Grafting Dental Treatment Offered by Us

Xenograft– This is the implantation of bovine (cow) bone. A Xenograft is safe and has been used successfully for many years. Ample bone can be obtained and no secondary donor site is necessary.

Allograft – Bone from a human tissue donor obtained from a bone bank (cadaver bone).

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 chin and wisdom tooth areas of the jaw. If large amounts of bone need to be harvested, the hip or the shin bone (tibia) is generally used.

Alloplast – Synthetic or artificial bone.

Reasons Why Affordable Bone Grafting May Be Necessary 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 graft : 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.

Bone Loss

Have you ever seen someone without their dentures in? Their face collapses inward. This is due to bone loss caused by loss of teeth. This process starts as soon as even one tooth is missing.

Over a short period of time, the jawbone associated with missing teeth dissolves and shrinks. Similar to a bar of soap in the shower, the bone “melts” away once a tooth is removed. 40-60% of the bone is lost in the first six months to one year after a tooth is extracted!

Shortly after the loss of teeth, the jawbone rapidly shrinks. Dental implants prevent and stop this continual bone loss. Even jaws like this can be rebuilt to have implants.

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 esthetic appearance. If the bone is too thin or too short it must be replaced so an implant can be placed in the precise position of the tooth.

Extraction Socket Bone Grafting

This is the most ideal way to prevent the inevitable bone loss that happens immediately after a tooth is removed. In this cost-effective, minimally invasive procedure, bone replacement is placed into the socket at the same time of the extraction. This is done if an implant cannot be placed at the same time.

Sometimes a “membrane” or covering is placed over the socket to prevent gums from growing inside the socket. Four to twelve weeks later, an implant can be placed in the exact position of the tooth.

This can also be done if a patient wants to have dental implants in the future and wants to slow the natural bone loss process.

Ridge Modification

Ridge modification is an effective procedure for treating bone loss in the upper and lower jaws. Bone loss occurs as a result of periodontal disease, trauma, injury, wearing dentures, or developmental problems. Such defects can leave insufficient bone for the placement of dental implants and an additional unattractive indentation in the jaw line adjacent to the missing teeth.

The bony defect can be filled with bone graft material which can help regenerate lost bone, or a bone substitute.

A few months of healing will be required for the bone to “take.” Depending on the case and type of implant and procedure, a dental implant may be placed during the ridge modification procedure or when healing is complete; much depends on the precise condition of the bone. Ridge modification improves the cosmetic appearance, functionality of the mouth, and the chance of enjoying dental implants for many years.

Sinus Lift Bone Grafting

A type of bone replacement is called a Sinus Lift Bone Replacement Procedure.

Sinus Lift Bone Replacement Procedure:

  • Procedure 1. “Lateral Window or Traditional Approach” This common procedure and relatively painless procedure is only used to replace upper back teeth. 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 it’s called a sinus bone grafting or sinus lift. In this common procedure we enter the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and about a teaspoon of bone is inserted into the sinus. In many cases, the implants are placed at the same time. After several months of healing, the bone becomes part of the patient’s jaw and teeth can be placed on the implants. The sinus grafting 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 often be performed as a single procedure. If the bone is very thin, the sinus bone grafting will have to be performed first, and then the grafting will have to mature for a few months, depending upon the type of grafting material used. Once the graft has matured, the implants can be placed.
  • Procedure 2. Internal Sinus Lift Procedure. This procedure is used when the bone loss of the upper back tooth area is minimal. In this minimally invasive procedure, the sinus bone is actually moved up through the implant site at the same time the implant is placed. It is also possible to lift the sinus bone at the time of extraction of an upper molar in anticipation of a future implant. Bone replacement materials, if even necessary can be added through the tiny implant socket. Consult our office before you have an upper molar extracted as we can probably save you time and money.

Bone Widening/Expansion

In severe cases, the “ridge,” where the teeth were, has been lost 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.

This bone expansion is sometimes done as a separate procedure or it may be done at the same time the implants are placed. If it is done in two stages, usually only 3-4 weeks of bone healing is all that is necessary. The implants will be placed at either the first or second stage. The bone graft may have to heal for a few weeks before attaching the teeth to the dental implants.

Bone grafting is a fairly simple procedure, which is usually done under sedation. Initially, the grafting material needs to either be harvested or prepared for insertion. An incision is made in the gum tissue. 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 (collagen 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 may be 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 to 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 us.

Now Let’s talk and review what a membrane is and its purpose.

A membrane is a barrier. Its purpose is to prevent gum from growing into the bone cavity. On many bone grafts for dental implants, a membrane is placed over the bone but under the gum.

There are many different types and styles of membranes but they break down into basically 2 categories.

  1. Dissolvable (resorbable) membranes
  2. Non-dissolvable (non-resorbable) membrane

Both resorbable and non-resorbable membranes have their use. A resorbable membrane will dissolve on its own. Non-resorbable membranes typically need to be extracted at some stage during your bone graft/dental implant procedure.

  • Resorbable membranes:

Most resorbable membranes used, as of 2014, are made of collagen. Collagen is a protein which you may have heard of in products such as shampoos and conditioners. It is heavily cross-linked and makes an excellent barrier. Most commercially available collagen membranes are 15 x 20mm in dimension and look like a flat, white piece of cardboard.

They are trimmed with surgical scissors by a dental implant specialist and typically covered over bone. Most collagen membranes are made from bovine Achilles tendon or porcine origin, which basically translates into cow and pig. Some resorbable membranes dissolve very quickly in just days; these are typically called plugs, while other resorbable membranes can last approximately 4 months. Most resorbable membranes are not tacked in place with titanium fixation tacks. Some are even pericardium from heart tissue.

There are also synthetic membranes that dissolve, such as Vicryl, which are not as commonly used.

  • Non-resorbable membranes:

Most non-resorbable membranes can be made of titanium and dPTFE (Dense polytetrafluoroethylene). They are materials that form a barrier that cannot be dissolved by your saliva. Some non-resorbable membranes, such as PTFE, are often combined with bone tacks in order to hold the membrane stable and cover the grafted bone.

One benefit of a non-dissolvable membrane– they are very predictable in generating bone. The main downside– it has to be removed at a second procedure. Sometimes that second procedure may involve just plucking out the membrane off the top of your socket graft or it may be more involved, such as completely reopening the gum, removing the bone tacks, and then removing the membrane. Typically when membrane removal involves removing tacks, the dental implants are placed at the same time that the membrane is removed.

PTFE has been used for over 30 years in cardiovascular applications such as suture, vascular grafts, and heart valves. PTFE is bioinert and does not cause inflammation.

Titanium reinforced membranes, or titanium mesh, is best at holding a space. It works like a tent and prevents collapsing of your gums to build new volume and mass underneath.

Sometimes the membrane on a socket graft will be removed after 1-4 weeks or may even fall out if it is a dPTFE style membrane. This is okay, generally. The purpose was to allow your gum to grow underneath it and cover over the bone graft as the membrane protects it. Once the membrane falls out or is removed from a socket bone graft, the bone still needs to heal for usually another 3-6 months before dental implant placement.

Is it okay that my membrane showing?

It depends. If the intention of your membrane was to be exposed from the beginning, then it is okay that it is exposed right now. If it was the intention for your gum to remain covering over the membrane for 4 -9 months, then you are likely having a minor complication called a dehiscence where the gum becomes exposed and naturally exposes the membrane and bone graft. The more critical the bone grafting is, the more critical it is that the tissue remained closed and the membrane is not exposed at any time. Critical bone grafts would be onlay block bone graft, lateral window sinus bone grafts, nerve repositioning, and advanced guided bone regeneration (GBR).

A standard socket bone graft (where an outer wall is not missing) would not be considered a critical bone graft; so leaving a membrane exposed is okay. If an outer wall is missing, this would be considered a critical size defect.

It is important to maintain proper follow-up with your dentist throughout the procedure. It is likely that you will be on an antibiotic, such as amoxicillin or clindamycin, and a mouth rinse called chlorhexidine gluconate.

Keep in mind there are literally hundreds, even thousands of different membrane manufacturers each claiming to be better than one another. Yes, there are better manufacturers than others, but ultimately the surgical technique, training, judgment, and expertise of your dental implant specialist is going to be the most critical factor in the success of your bone graft…choose wisely!

You can use all of the best materials in the world, including growth factors such as PRP/PRF/PDGF/BMP, but in the hands of an inexperienced surgeon, results may not be that good. Of course your ability to heal is of paramount importance. Smoking never helps. Alcohol does not help either… Both of these slow down the healing of bone and greatly increase your chance of complications.

Wearing a removable, temporary “flipper” over a bone graft is to be done with extreme caution. Pressure from a removable temporary will cause the bone graft and membrane to move and almost always results in failure. Be sure you and your dentist speak about the use of a temporary and how to create space underneath it so there is no chance that it can apply pressure to the bone graft. Some bone graft membrane reconstructions are so critical and so large that the temporary cannot be worn at all, but that is the exception rather than the rule.

Bone Grafting and Sinus Lifts – Costs in Perth

Bone Grafting and Sinus Lifts - Costs in Perth
Bone Grafting and Sinus Lifts – Costs in Perth but our price for a standard bone graft is $250 ( 0.5g)  $300 for (1 g) and $400( 2 grams)  we are negotiable and will agree on a price that will suit your budget

There are several reasons that cause bone loss in the oral cavity and cause alarm bells for the patient when

Words such as Bone Graft ( we automatically think bone from a hip or rib). The affordable bone grafting procedure in WA PERTH is an excellent way to replace bone loss tissue and encourage natural bone growth. Affordable and Cheap Bone Grafting in PERTH WA is a versatile and predictable procedure nowadays. Bone Grafting and Sinus Lifts – Costs in Perth is searched by patients requiring a Bone Grafting or sinus lift in order to have Dental Implants placed at a later stage. Many Bone grafts happen alongside Dental Implants being placed as well

Sometimes, bone grafting is needed 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.

Bone Graft & Sinus Lift

Categories of Affordable Bone Grafting Dental Treatment Offered by Dr Jose Nunes

Xenograft– This is the implantation of bovine (cow) bone. A Xenograft is safe and has been used successfully for many years. Ample bone can be obtained and no secondary donor site is necessary, religious reasons may alter the choice of this one. ($500) we do not use this in our surgery

Allograft – Bone from a human tissue donor obtained from a bone bank (cadaver bone) – not common and far from our first choice( we do carry but only use on request of patient)

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 chin and wisdom tooth areas of the jaw. If large amounts of bone need to be harvested, the hip, rib bone, this method is the cheapest as harvested bone from somewhere in your palate or where your wisdom or palate are located is a great choice and would be cheapest by far

Alloplast – Synthetic or artificial bone which is usually the best choice as least amount of injury to the patient
And cost of Synthetic bone IN PERTH with Dr Jose’ Nunes is $300 this includes the procedure and Bone – We carry many units of this.

Reasons Why a Bone Grafting or Augmentation May Be Necessary for Placing the Tooth or Dental Implant

• Dental implants : Tooth 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 and long lasting. If the jawbone lacks the necessary quality or quantity of bone, bone grafting can strengthen and thicken the implant site, the warranty for patient on this procedure is critical as the Dental Implant Placements will be responsible and need to redo at their own cost should the Implant fail. The result is that an Implant with extensive bone grafting will require MORE healing and bone integration time.
• Sinus lift graft : A sinus lift entails lifting or raising the sinus membrane and grafting bone onto the sinus floor so that implants can be securely placed.
• Ridgeshape 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.

Bone Loss

Have you ever seen someone without their dentures in? Their face changes completely and collapses inward causing lines across the middle face , a small lip to nose by at least 1cm . This is due to bone loss caused by loss of teeth and the bone resorbtion. This process starts as soon as even one tooth is missing.

Over a short period of time, the jawbone associated with missing teeth resorbs and shrinks. Similar to a bar of soap , the bone “melts” away once a tooth is removed. 20-50% of the bone is lost in the first six months to one year after a tooth is extracted!

Shortly after the loss of teeth, the jawbone rapidly shrinks. Dental implants prevent and immediately halt , stop this continual bone loss. Even jaws that have had teeth missing for decades can have Bone Augmentation procedures , the areas expanded using our bone expansion techniques and highly successful treatments on the road back to Dental Implants.

Extraction Socket Bone Grafting in PERTH with Dr Jose Nunes

This is the most ideal way to prevent the inevitable bone loss that happens immediately after a tooth is removed. In this cost-effective, minimally invasive procedure, bone replacement is placed into the socket at the same time of the extraction. This is done if an implant cannot be placed at the same time.
For this procedure of placing a bone graft post a tooth extraction will cost $180 and you are probably wondering why so critical to place bone in the area – we need to stop SOFT tissue or gum growing into the area which would make a dental implant placement complicated with soft gum instead of bone.

Sometimes a “membrane” resorbable or non resorbable ( if a membrane is non-resorbable then it will require intervention at a later stage to remove) or covering is placed over the socket to prevent gums from growing inside the socket. Four to twelve weeks later, an implant can be placed in the exact position of the tooth. The cost of the membrane is $100 to $300 depending on the size of the membrane used. This is often more expensive than gold on an ounce by ounce ratio.

Jaw Modification or Zygomatic Implants recommended to a Oral Max Fac Surgeon in PERTH

Ridge modification is an effective procedure for treating extensive bone loss in the upper and lower jaws. Bone loss occurs as a result of periodontal disease, trauma, injury, wearing dentures that do not fit correctly ( this is the number 1 cause in 1st world countries ), or developmental problems, Such flaws in bone can leave insufficient bone for the placement of dental implants and an additional unattractive indentation in the jaw line adjacent to the missing teeth.

The defect can be filled with various choice of bone graft material which can help regenerate lost bone, or a bone substitute.

A few months of healing will be required for the bone to “mature.” Depending on the case and type of implant and procedure, a dental implant even a zygomatic Implant may be placed during the ridge modification procedure or when healing is complete; much depends on the precise condition of the bone. Ridge modification improves the cosmetic appearance, functionality of the mouth, and the chance of enjoying dental implants for many years.

Oral Maxillo Facial surgeons in PERTH WA

Dr Bennet Kim R in West PERTH

DrHarris Greenberg in Subiaco

Dr C Stulner South PERTH

Dr Sophie Mougos Wembley

There are way too many to list but PERTH has a wide variety.

Sinus Lift Bone Grafting in PERTH

A type of bone intervention procedure is called a Sinus Lift Bone Replacement Procedure.

Sinus Lift Bone Replacement Procedure:

Procedure 1. “Lateral Window or Traditional Approach” This common procedure and relatively painless ( similar to a Filling) procedure is only used to replace upper back teeth. The maxillary sinuses that lie behind your cheeks and on top of the upper teeth. Sinuses are like empty cavities that have nothing in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth( tooth) are removed, there is often just a micro 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 and will require an Extensive Sinus lift intervention treatment

There is a solution and it’s called a sinus bone graft or sinus lift. In PERTH this is a common procedure we enter the sinus from where the upper teeth once were. The sinus membrane is then lifted upward and about dice size of bone is inserted into the sinus. In many cases, thedental implants are placed at the same time. After several months of healing, the bone integrates into the patient’s jaw and teeth can be placed on the implants.

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 often be performed as a single procedure. If the bone is very thin, the sinus bone graft will have to be performed first, and then the graft will have to mature for a few months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.

Procedure 2. Internal Sinus Lift Procedure. This procedure is used when the bone loss of the upper back tooth area is minimal. In this minimally invasive procedure, the sinus bone is actually moved up through the implant site at the same time the implant is placed.

It is also possible to lift the sinus bone at the time of extraction of an upper molar in anticipation of a future implant. Bone replacement materials, if even necessary can be added through the tiny implant socket. Consult our office before you have an upper molar extracted as we can probably save you time and money.

Bone RidgeWidening/Expansion which costs $300 per site – a full arch can cost In the region of $4400 in PERTH WA

In severe cases, the “ridge,” where the teeth were, has been lost 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 and requires specialised equipment, this procedure also involves minimal damage to attached gum

As the blood flow is critical to bone healing. the least amount of disruption to surrounding gum tissue

Will provide a far more reliable healing pathway. Many inexperienced Doctors move way too much of the gum away leaving a compromised healing path for the treatment and upwards of 60 -80% bone loss that was placed during the procedure. Wherever you have Blood supply to bone you have Excellent healing.

This bone expansion is sometimes done in two stages, usually only 3-4 weeks of bone healing is all that is necessary. The implants will be placed at either the first or second stage and this is modified on a case by case scenario depending on the amount of bone available , history of the bone ( has it had any recent injury)

And quality – density of bone , this is critical as When a Dental Implant or Tooth Implant is placed

It need to engage correctly and Bone density suitable to an excellent engage.

Bone grafting is a procedure done without sedation in most cases

Now Let’s talk and review what a membrane is and its purpose.

A membrane is a skin barrier. Its purpose is to prevent gum from growing into the bone area cavity. On many bone grafts for dental implants, a membrane is placed over the bone but under the gum which will then automatically absorb or be removed a few weeks or months later

Down to basics what is the difference between membranes in PERTH WA

And what will they cost

1. Dissolvable (resorbable) membranes – between $100 to $300
2. Non-dissolvable (non-resorbable) membrane – between $100 to $700 as it would need to be removed
3. Surgically at a later stage.

PRP – Plasma Treatment in PERTH

PRP is originally a French technique developed and with so much attention to Stem Cell In today’s times it was inevitable it would join with dentistry realms IN dental Bone grafts , we take a blood sample from you Spin this is a centrifuge at a certain speed depending on what consistency Dr Nunes requires according to treatment protocols,
This Plasma is then combined with either your harvested bone or Synthetic Bone And returned to the treatment site. Please don’t be alarmed as it sounds much Worse then it is.

We have nurses highly trained who work alongside Dr Nunes As this process needs to unfold in 5- 8 minutes , from blood extraction To return treatment site or much of the efficacy will be lost. Alarm bells should always
Ring when plasma is only returned to the site being treated longer than 8 minutes
As many will have perished and have no effect whatsoever.

Tip 1 . For anyone having PRP treatments – enquire how long their team takes From Blood withdrawal to centrifuge and then back to Site ? Be very Specific If staff seem a bit vague – then WARNING bells , anyone involved in this kind Of Plasma work is highly time sensitive and is completely aware that
You are racing against the clock for efficacy. Our team works in seconds
Not minutes.

What should not be done post Bone Grafting surgery for PERTH Patients?

Price List for Perth Dental Implants once my Bone Grafting is completed

The number 1 Not to do would be to wear a denture that rubs against the site We can not state more how far this goes in ruining the final result If you should wear a denture then it will need to have contact areas removed – filed off
Or even a temporary denture made for that healing period This is the number one mistake made by rookies is that they
Allow the denture to touch the site , the problem is it will effect healing And all that work done to add bone will be negated.

The second step is questioning how many bone grafts
The surgeon has done , 10 , 50 or + 500? and most importantly
How many Implants has he placed – 100? 500? or Over 12000 Dental Implants ( As in Dr Jose’ Nune has placed)
Experience stands for so much in this Industry
Any good Implantologist does warranty all their work
And you will not be left short changed, but always ask in advance

Please do not hesitate to contact us regarding any questions or concerns

Skilled Implant Surgeons Understand Affordable Bone Grafts

Bone Graft Sinus Lift website 3rd Tab

There are several reasons that  cause bone loss in the oral cavity and cause alarm bells for the patient when

Words such as Bone Graft ( we automatically think bone from a hip or rib) . The affordable and cost effective bone grafting procedure in WA PERTH  is an excellent way to replace bone loss tissue and encourage natural bone growth. Affordable and Cheap Bone Grafting in PERTH WA  is a versatile and predictable procedure nowadays. Bone Grafting and Sinus Lifts – Costs in Perth is searched by patients requiring a Bone Graft or sinus lift in order to have Dental Implants placed at a later stage. Many Bone grafts happen alongside Dental Implants being placed as well. Is there such thing as a Discount Dental Implant?

Sometimes,  bone graft is needed 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. Our focus is keeping the Bone Graft affordable in order for the Dental Implant treatment to unfold.

Categories of Affordable Bone Grafting Dental Treatment Offered by Dr Jose Nunes

Xenograft– This is the implantation of bovine (cow) bone. A Xenograft is safe and has been used successfully for many years. Ample bone can be obtained and no secondary donor site is necessary, religious reasons may alter the choice of this one. ($500) we do not use this in our surgery

Allograft – Bone from a human tissue donor obtained from a bone bank (cadaver bone) – not common and far from our first choice( we do carry but only use on request of patient)

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 chin and wisdom tooth areas of the jaw. If large amounts of bone need to be harvested, the hip, rib bone, this method is the cheapest as harvested bone from somewhere in your palate or where your wisdom or palate are located is a great choice and would be cheapest by far.

Alloplast – Synthetic or artificial bone which is usually the best choice as least amount of injury to the patient
And cost of Synthetic bone IN PERTH with Dr Jose’ Nunes is $300 this includes the procedure and Bone – We carry many units of this.

Reasons Why a Bone Graft or Augmentation May Be Necessary for Placing the Tooth or Dental Implant

• Dental implants : Tooth 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 and long lasting. If the jawbone lacks the necessary quality or quantity of bone, bone grafting can strengthen and thicken the implant site, the warranty for patient on this procedure is critical as the Dental Implant Placements will be responsible and need to redo at their own cost should the Implant fail. The result is that an Implant with extensive bone grafting will require MORE healing and bone integration time.
• Sinus lift graft : A sinus lift entails lifting or raising the sinus membrane and grafting bone onto the sinus floor so that implants can be securely placed.
• Ridgeshape 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.

Bone Loss

Have you ever seen someone without their dentures in? Their face changes completely and  collapses inward causing lines across the middle face , a small lip to nose by at least 1cm . This is due to bone loss caused by loss of teeth and the bone resorbtion. This process starts as soon as even one tooth is missing.

Over a short period of time, the jawbone associated with missing teeth resorbs  and shrinks. Similar to a bar of soap , the bone “melts” away once a tooth is removed. 20-50% of the bone is lost in the first six months to one year after a tooth is extracted!

Shortly after the loss of teeth, the jawbone rapidly shrinks. Dental implants prevent and immediately halt , stop this continual bone loss. Even jaws that have had teeth missing for decades can have Bone Augmentation procedures , the areas expanded using our bone expansion techniques and highly successful treatments on the road back to Dental Implants.

Extraction Socket Bone Grafting in PERTH with Dr Jose Nunes tissue regeneration

This is the most ideal way to prevent the inevitable bone loss that happens immediately after a tooth is removed. In this cost-effective, minimally invasive procedure, bone replacement is placed into the socket at the same time of the extraction. This is done if an implant cannot be placed at the same time.
For this procedure of placing a bone graft post a tooth extraction will cost $180 and you are probably wondering why so critical to place bone in the area – we need to stop SOFT tissue or gum growing into the area which would make a dental implant placement complicated with soft gum instead of bone.

Sometimes a “membrane” resorbable or non resorbable ( if a membrane is non-resorbable then it will require intervention at a later stage to remove) or covering is placed over the socket to prevent gums from growing inside the socket. Four to twelve weeks later, an implant can be placed in the exact position of the tooth. The cost of the membrane is $100 to $300 depending on the size of the membrane used. This is often more expensive than gold on an ounce by ounce ratio.

Ridge Modification recommended to a Oral Max Fac Surgeon in PERTH with Dr Jose Nunes

Ridge modification is an effective procedure for treating  extensive bone loss in the upper and lower jaws. Bone loss occurs as a result of periodontal disease, trauma, injury, wearing dentures that do not fit correctly ( this is the number 1 cause in 1st world countries ), or developmental problems, Such flaws in bone  can leave insufficient bone for the placement of dental implants and an additional unattractive indentation in the jaw line adjacent to the missing teeth.

The  defect can be filled with various  choice of  bone graft material which can help regenerate lost bone, or a bone substitute.

A few months of healing will be required for the bone to “mature.” Depending on the case and type of implant and procedure, a dental implant even a zygomatic Implant may be placed during the ridge modification procedure or when healing is complete; much depends on the precise condition of the bone. Ridge modification improves the cosmetic appearance, functionality of the mouth, and the chance of enjoying dental implants for many years.

Oral Maxillo Facial surgeons in PERTH WA

Dr Leon Smith Mount Lawley
Dr Bennet Kim R in West PERTH 

DrHarris Greenberg in Subiaco

Dr C Stulner South PERTH

Dr Sophie Mougos Wembley

There are way too many to list but PERTH has a wide variety.

Sinus Lift Bone Graft in PERTH

A type of bone  intervention procedure  is called a Sinus Lift Bone Replacement Procedure.

Sinus Lift Bone Replacement Procedure:

Procedure 1. “Lateral Window or Traditional Approach” This common procedure and relatively painless  ( similar to a Filling) procedure is only used to replace upper back teeth. The maxillary sinuses that lie  behind your cheeks and on top of the upper teeth. Sinuses are like empty cavities  that have nothing in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth( tooth) are removed, there is often just a micro  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 and will require an Extensive Sinus lift intervention treatment

There is a solution and it’s called a sinus bone graft or sinus lift. In  PERTH this  is a common procedure we enter the sinus from where the upper teeth once were. The sinus membrane is then lifted upward and about dice size of bone is inserted into the sinus. In many cases, the dental  implants are placed at the same time. After several months of healing, the bone  integrates into the  patient’s jaw and teeth can be placed on the implants for cheap affordable bone grafts

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 often be performed as a single procedure. If the bone is very thin, the sinus bone graft will have to be performed first, and then the graft will have to mature for a few months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.

Procedure 2. Internal Sinus Lift Procedure. This procedure is used when the bone loss of the upper back tooth area is minimal. In this minimally invasive procedure, the sinus bone is actually moved up through the implant site at the same time the implant is placed.

It is also possible to lift the sinus bone at the time of extraction of an upper molar in anticipation of a future implant. Bone replacement materials, if even necessary can be added through the tiny implant socket. Consult our office before you have an upper molar extracted as we can probably save you time and money.

Bone  RidgeWidening/Expansion which costs $300 per site – a full arch can cost In the region of $4400  in PERTH WA for cheap affordable bone grafts

In severe cases, the “ridge,” where the teeth were, has been lost 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 and requires specialized equipment, this procedure also involves minimal damage to attached gum

As the blood flow is critical to bone healing. the least amount of disruption to surrounding gum tissue

Will provide a far more reliable healing pathway. Many inexperienced Doctors move way too much of the gum away leaving a compromised healing path for the treatment and upwards of 60 -80% bone loss that was placed during the procedure.  Wherever you have Blood supply to bone you have Excellent healing.

This bone expansion is sometimes done in two stages, usually only 3-4 weeks of bone healing is all that is necessary. The implants will be placed at either the first or second stage and this is modified on a case by case scenario depending on the amount of bone available , history of the bone ( has it had any recent injury)

And quality – density of bone , this is critical as When a Dental Implant or Tooth Implant is placed

It need to engage correctly and Bone density suitable to an excellent engage.

Bone grafting is a  procedure done without sedation in most cases

Now Let’s talk and review what a membrane is and its purpose.

A membrane is a skin  barrier.  Its purpose is to prevent gum from growing into the bone area cavity.  On many bone grafts for dental implants, a membrane is placed over the bone but under the gum  which will then automatically absorb or be removed a few weeks or months later

Down to basics what is the difference between membranes in PERTH WA

And what will they cost

1. Dissolvable (resorbable) membranes – between $100 to $300
2. Non-dissolvable (non-resorbable) membrane – between $100 to $700 as it would need to be removed
3. Surgically at a later stage.

PRP – Plasma Treatment in PERTH

PRP is originally a French technique developed and with so much attention to Stem Cell In todaystimes it was inevitable it would join with dentistry realms IN dental Bone grafts , we take a blood sample from you Spin this is a centrifuge at a certain speed depending on what consistency Dr Nunes requires according to treatment protocols,
This Plasma is then combined with either your harvested bone or Synthetic Bone And returned to the treatment site. Please don’t be alarmed as it sounds much Worse then it is.

We have nurses highly trained who work alongside Dr Nunes As this process needs to unfold in 5- 8 minutes , from blood extraction To return treatment site or much of the efficacy will be lost. Alarm bells should always
Ring when plasma is only returned to the site being treated longer than 8 minutes
As many will have perished and have no effect whatsoever.

Tip 1 . For anyone having PRP treatments – enquire how long their team takes From Blood withdrawal to centrifuge and then back to Site ? Be very Specific If staff seem a bit vague – then WARNING bells , anyone involved in this kind Of Plasma work is highly time sensitive and is completely aware that
You are racing against the clock for efficacy. Our team works in seconds
Not minutes.

What should not be done post Bone Graft surgery for PERTH Patients? Price List for Perth Dental Implants once my Bone Graft is completed

The number 1 Not to do would be to wear a denture that rubs against the site We can not state more how far this goes in ruining the final result If you should wear a denture then it will need to have contact areas removed – filed off
Or even a temporary denture made for that healing period This is the number one mistake made by rookies is that they
Allow the denture to touch the site , the problem is it will effect healing And all that work done to add bone will be negated.

The second step is questioning how many cheap affordable bone grafts
The surgeon has done , 10 , 50 or + 500 ? and most importantly
How many Implants has he placed – 100 ?500 ? or Over 12000 Dental Implants ( As in Dr Jose’ Nunes has placed)
Experience stands for so much in this Industry
Any good Implantologist does warranty all their work
And you will not be left short changed, but always ask in advance

Please do not hesitate to contact us regarding any questions or concerns.

Complex Dental Implants with Bone Graft or Sinus Lifts

Cost of Bone Grafts and Sinus Lifts

For UPPER Maxilla only ( there is no sinus in the lower jaw) You will never require a Sinus treatment in the lower jaw Check our ADA status of Dr Nunes

cost of a transcrestal sinus lift $500

Total sinus lift cost Perth CBD and Subiaco branch $400 to $700 lateral and window approach.

What exactly is a sinus lift ? There is No sinus in the lower jaw.  Perhaps you lost a tooth or teeth many years prior, or have you worn dentures in your upper jaw for decades?  Our Sinus lift treatment alongside a bone graft allows the area on the upper jaw an alternative to dentures, bridge etc an opportunity to establish correct bone levels tissue Engineering process for Dental Implant treatment with Dr Jose’ Nunes (See Qualifications)

Price | Cost of Bone Graft (Guided Bone regeneration) and sinus Lift

Cost of a Transcrestal Sinus left  4th state of matter $750  cost sinus lift

Cost of the Bone Graft 0.5g with membrane  $300 cost of bone graft

Bone Graft 1g Tissue engineering with membrane  $400 cost of bone graft

Bone graft/ Block 2g Bone Block with pin procedure $500  cost of bone graft 2g

Lateral Window Sinus lift more complex     $750   cost of lateral window

Ridge Splitting per tooth site ( Bone tissue) hematopoietic s $500 Incl. Bone

PRF – Plasma   Human stem Cell with Bone Graft   0.5g                   $500  ( Centrifuge machine) Holistic

PRF – Plasma   Human Stem Cell with Bone Graft   1g                       $650  ( centrifuge machine) Holistic

This price is over and above the Cost of the 4 Stages of a Dental Treatment circa  3-6 months prior to treatment a sinus lift is carried out.

First stage placing a dental implant                                                                 $1452

Second stage reading Bone integration                                                           $399

Third stage : High precision impressions and Abutment                            $599

Fourth stage: Placing Porcelain Dental Implant Crown with gold screw $1199

Should we quote for Dental Implants – an essential 3D Cone Beam X-ray required

TIP: If we do not quote for Enough bone  on the graft or sinus lift – this is for OUR cost and not the patient

Damaged Tissue  with human tissue alongside embryonic stem cell research training by Dr Jose Nunes Plasma requires a Red Blood cell sample . White blood cell donation with magnetic fields and charged particles process for cells platelets. Electrically charged for damaged tissue and human tissue treatment using pluripotent stem cells and growth factors . Depending on the tissue type with our PRF treatment $700 Guided Bone regeneration

Surgery for Sinus Lifts and Bone Grafts

Sinus Congestion a common post sinus surgery complication , we will also prescribe anxiety Pre Op and Post op Instructions for Sinus Lift

Dr Jose’ Nunes will advise you at this stage of the pre or post operative sprays which you will need to use prior to the sinus and Bone graft  surgical procedure.

The Sinus lift is often undertaken at the same time of implant placement and is a very minimally invasive procedure to the patient ( However 20% – 35% of the time  a small blue bruise appears just under the eye) in a Transcrestal  surgical technique that  uses saline (sterile salt water to lift the sinus membrane)

Tooth Implant acts as a secure seal on top of the newly added bone graft. The bone graft is usually a xenograft or autogenous bone (your own bone)

The result of what is a dental bone graft alongside concern with pricing a common concern.In the search for  discount dental implants with new dental implant technology and dental implants in a day. The bone replacement part of the bone augmentation in same day teeth. Immediate dental implants often require cheap bone grafts but the cheapest bone grafts of all are the buccal plate. Cheap denture implants using plant bone graft  and information on dental implants or immediate dental implants remain varied.  Natural teeth in the dental arch are the easiest for bone grafts alongside dental implant bone graft porcedure. The $300 spent on a bonegraft will long compensate for same day teeth implants that take 24 hours. The kids of teeth that a mini tooth implant will produce is not substantial.Benefits of bone graftsThe best teeth for Bone grafting dental implants cost $275 all inclusive of 0.5g. Tooth implant recovery time over 3 to 6 months with dental implants with bone loss due to no platform switching. The dental replacement treatment for same day teeth implants always require complex protocols. The one day teeth implants due to time frame the platform switching leads to minimal microleakage and premium result.How long to dental implants take to healvs how long do dental implants last is a weigh up scenario based on your occlusion and out of pocket funds spent. Health insurance Codes 236 , code 244 and Code 243 in the ADA guidelines for dental implant graft especially when advised not enough bone for dental implant.SEcond benefits vs risk Bone grafting and membraneThe bone transplant teeth for bone graft implant surgery is a risk as bone meal powder for teeth started in 1972 for bone reconstruction for teeth. Bone graft and implant done at the same time is standard practice as bone and tooth decay go hand in hand with bone loss. The types of bone grafts for dental implants also effects the risk. Is bone grafting for dental implants safe when replacing a tooth with an implant. Two types of dental implants, mini dental implants versus traditional dental implants. For restorative implant dentistry the periosteal implant alongside best bone graft material.  Different implant systems are low price dental implants that have no warranty and provide the greatest risk with NO TGA rating.

Solutions to Bone Graft protocols Full teeth implants in the jawbone cheapest price are found in Cancun Mexico alongside bone graft material for dental implant at half price. Best temporary fake teeth have a natural transparent look that uses protocols. Permanent tooth replacement options for an endosteal dental implants often sought in smile in a day implants.Dental implants vs natural teeth – teeth will always win with proprioception loss need teeth replaced. The question should i have dental implants or low price dental implants if found.Dental work in one day outcome for best implants is rare. How do they do dental implants in a day

Damaged Tissue  with human tissue alongside embryonic stem cell research training by Dr Jose Nunes Plasma requires a Red Blood cell sample . White blood cell donation with magnetic fields and charged particles process for cells platelets electrically charged for damaged tissue and human tissue treatment using pluripotent stem cells and growth factors depending on the tissue type with our PRF treatment $700