By losing a tooth, about 25% of the jaw bone is eroded in the first year... one to three years later, about 40 to 60 percent of the jaw bone is eroded.. That is why dental implants and jaw bone grafting can help solve this problem... where is the ramus bone?. The ramus bone is located in the lower jaw and in the upper part of the ramus... This bone extends from both sides of the lower jaw vertically to the temporal joints of the jaw. The ramus bone graft is made of cortical bone and is suitable for strengthening areas that need structural support. Applications can be mentioned for alveolus repair and sinus grafting... > How is bone grafting in dental implants?... This surgery is performed in several stages: - #### Preparation: First, the dentist evaluates the surgical site and ensures the possibility of performing a transplant in the desired location.... At this stage, it is necessary to check the size, shape and the need to repair defects... - #### Cut: An incision is made from the buccal vestibule and continues to the external oblique ridge. This longitudinal bony ridge is located in the labial part of the lower jaw (the initial part of the ramus) to the bone below the third molar. At this stage, the bony area is moved back and forth with a special saw.... This process provides the possibility of cutting the front, vertical and end parts to separate the direction of the graft... - #### Harvesting of the graft: After making the incisions, they carefully separate the graft from the ramus using a drill... at the same time, they smooth the sharp edges of the bone tissue... - #### placing in sterile saline: The bone tissue is removed and the graft is placed in a suitable environment (such as sterile saline) to prepare the graft recipient.. By placing the tissue in the desired position, they make sure to stop bleeding and start suturing.. This whole process is usually done under anesthesia or on an outpatient basis, and the healing process is not done significantly in the removal of the graft butterfly.. Jawbone and before tooth implantation... This type of surgery increases the volume of the bone and shortens the recovery period... Because the transplanted tissue is removed from the person's own body, the possibility of tissue rejection and complications are reduced...> Read also: Implant for Gum patients Ramos grafting, despite its advantages, should be considered according to the dentist's discretion, patient evaluation, jawbone condition, oral, facial and jaw anatomy, as well as the general condition of the patient.. Dental implants... More details are provided below. ### 1... Artificial bone grafting: These are bone-like materials designed to promote bone regeneration.... Demineralized Bone Matrix (DBM): This type of surgery involves placing processed allograft bone containing collagen, protein and growth factors at the transplant site.... ### 3... Composite composites: Collagen/ceramic composites or DBM with bone marrow cells is another alternative... ### 4... Bone morphogenetic proteins or BMP: These types of proteins naturally cause bone formation and healing and are a therapeutic alternative to ramus transplant... ### 5.... Allograft: This type of bone graft is donated from one person's bone bank to another person.... ### 6.... Zygomatic implant: Zygomatic implants are placed in the zygoma (cheek bone) to compensate for bone deficiencies in the upper jaw and to allow the creation of a complete dental arch.... ### When do you need alternative treatment options?... 1... When a person does not have enough bone volume.... 2... Ramos grafting is not possible due to certain general health conditions or 3 patients.. For some patients with severe bone loss.... Care before and after ramus bone grafting What preparations are necessary for ramus bone grafting? What are the key steps for the patient and the dentist? - The dentist will check your medical history, medications and any allergies.. Your doctor advises you to avoid blood thinners such as aspirin or ibuprofen. Light and soft foods such as porridge, soup, milk and yogurt are okay.... - If you smoke, before surgery, quit or reduce it, because it interferes with the process of alcohol consumption.. Wear comfortable and loose clothing on the day of surgery.... - Remove jewelry, make-up and contact lenses before surgery... ### Care tips after ramus bone grafting To ensure a shorter recovery period as well as a full recovery, you should follow some general guidelines. We have prepared these care tips for you in several different categories: > Click to know how to weld the implant and its tips #### 1... oral hygiene and washing method - **Observe oral and dental hygiene**: Avoid brushing your teeth at the surgery site for the first 48 hours... After this period, you can gently brush the adjacent teeth so as not to disturb the graft area... Warm water) is recommended after meals and before going to bed... To avoid disturbing the graft, avoid washing vigorously... #### 2... Eating and drinking - **Soft foods**: For the first 2 to 4 days after surgery, use a soft, bland and balanced diet.... Milkshakes, smoothies, eggs and pasta are great snacks and foods.... Avoid hot liquids and foods that require chewing near the surgical site... 3... Scars, swelling and bruising - **Swelling**: Apply an ice pack for 20 minutes (apply for 20 minutes and rest for 20 minutes) for the first 24-48 hours on the cheek adjacent to the surgical site to minimize swelling....Elevate your head with a pillow when lying down....- **Bruising**: Warm bruising may appear 2 hours after surgery..Injured area (apply for 30 minutes, rest for 30 minutes) accelerates healing The process... slow... - **Avoid Disturbance**: Do not touch or apply pressure to the grafted area with your tongue or fingers, as the material is mobile during the early healing period.... - **Suture**: Avoid pulling the lip to check the sutures, as it will damage the wound site and tear the sutures.... #### Lifestyle.. - **Physical activity**: Limiting physical activity and avoiding heavy sports for at least 3 to 5 days after surgery for complete recovery... - **Smoking and alcohol consumption**: Avoid smoking and alcohol consumption, because it disrupts the healing process and increases the risk of complications... #### 5... Infectious drugs and painkillers - **Pain Management**: Take prescribed pain relievers as directed....for mild discomfort, over-the-counter pain relievers such as ibuprofen may be sufficient....- **Antibiotics:** If prescribed antibiotics, complete the full course as prescribed to prevent infection... Ramos bone graft benefits Ramus bone grafting involves the removal of bone from the vertical part of the lower jaw. - **Bone with dense cortex:** The ramus is a bone with dense tissue that maintains its quality and shows minimal resorption after fusion and provides long-term stability.... - **Sufficient bone volume:** With bone grafting, the necessary bone volume can be reached and dental implants can be easily and successfully performed.... - **access from inside the mouth**: It is possible to remove the ramus bone and the internal graft, and there is no need for an external incision, and as a result, sutures and visible wounds.... - **Less side effects**: Ramos transplantation has fewer complications than other extra-oral donation methods.. Impairment of sensory function is one of these complications... - **Rapid recovery**: The bone tissue of the ramus is repaired quickly, and this makes it easily repaired and the implant process is accelerated.. It is a suitable candidate for bone grafting.. Ramus bone grafting is a type of surgery that is used to strengthen the implant area and increase bone density.. Illness, severe trauma and old age are among the reasons that force many people to continue bone grafting.. Antibiotics after the implant?... - **people with low bone density**: Patients with insufficient bone volume or low bone density should do this procedure to support the dental implant.... - **dental implant applicants**: Those who intend to receive dental implants need bone strengthening to ensure the stability and success of the implant.. The use of all types of tobacco disrupts the healing process and increases the risk of complications. The right candidate for this operation should not smoke or want to quit smoking. - **People with good general health**: A person should be in good general health.... Some diseases such as uncontrolled diabetes and various immune disorders only worsen the recovery conditions.... - **Patients with realistic expectations**: Understanding the procedure, healing process and potential results is very important for patient satisfaction. Consultation with an oral surgeon or periodontist is necessary to assess individual needs and determine the most appropriate treatment time. Factors such as bone quality, overall health and treatment goals will be evaluated to ensure the best possible outcome. However, people may experience some common and temporary side effects or, rarely, long-term side effects. - **Sensory disorders**: About 8% of patients may experience temporary sensory changes due to the removal of the graft from the ramus.. About 2% of people experience permanent sensory disturbances.. About 6% of people who have a ramus graft have bleeding.... - **Infection**: There is a possibility of infection at the transplant site. In this situation, urgent medical attention is needed to prevent further complications... > Read also: Complications of dental implants... - **Transplanted bone analysis**: In about 20% of patients, after some time, the transplanted bone becomes weak... relative degeneration occurs in about 80% of patients... - **screw fracture**: Fracture of the screws used to stabilize the graft is relatively rare and occurs in about 7% of cases.... Note that although these complications may occur, they are not certain.. Surgical outcomes vary based on factors such as surgical technique, patient health, and adherence to post-operative care instructions.. Cost of bone grafting and factors affecting it.. Cost of ramus bone graft is approximately 20 million Tomans. Information about the cost Click dental implant with additional insurance... - Conditions and general condition of the patient - The skills and expertise of the dentist - The geographic location of the clinic - Type and amount of bone powder used - Surgical method for bone grafting (sinus lift costs more) ### The best ramus bone transplant center With commitment, expertise and high quality of work, Amitis Dental Clinic guarantees a variety of dental treatments, implants and ancillary treatments.... This specialized center for dental treatment, restoration and beauty is at the service of you dear ones who are looking for treatment by providing the most up-to-date technologies and dental treatment methods.... This clinic is located in Pasdaran with the best and most advanced cosmetic and health equipment.. from experienced specialists.... **final word** Ramus bone grafting is performed to compensate for the lack of bone density in teeth due to old age, tooth loss, trauma, or various diseases.