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Richmond Oral and Cosmetic Surgeons

Dr Thomas Padgett, DMD

Procedures

To learn more about the oral surgery procedures that we provide, please select a procedure from the menu below:

  • Bone Grafting
  • Facial Trauma
  • Oral Pathology
  • TMJ Disorders
  • Orthognathic Surgery
  • Wisdom Teeth
  • Dental Implants
  • All-on-4® Treatment

Bone Grafting

Bone Grafting

Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. 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.

We now 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 aesthetic appearance. The bone graft procedures are referred to as:


  • Sinus Lift Procedure: This procedure involves elevating the sinus membrane and placing the bone graft onto the sinus floor, allowing implants to be placed in the back part of the upper jaw
  • Ridge Augmentation: In severe cases the ridge has been reabsorbed and a bone graft is placed to increase the ridge height and/or width.
  • Nerve Re-positioning: The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for placement of dental implants to the lower jaw.


These procedures may be performed separately or together, depending upon the individual’s condition. There are several areas of the body, which are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee.


These surgeries are performed in the out-office surgical suite under I.V. sedation or general anesthesia. After discharge, bed rest is recommended for one day and limited physical activity for one week.

Initial Consultation

At this visit, your doctor will assess you needs and desires and discuss various treatment options. He will also review your expectations and the probable outcome of treatment. You may be shown several before and after photographs, but remember, results vary with individuals. Your doctor will provide literature for you to review at home and request you return at a later date to finalize the type of procedure you desire and schedule the surgery. At this time, before and after photographs may be taken of the area to document your results. For smaller procedures, a surgery date may be made at the initial visit.


Please assist us by providing the following information at the time of your consultation:

  • Your surgical referral slip and any x-rays if applicable.
  • A list of medications you are presently taking.
  • If you have medical insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

IMPORTANT: A parent or guardian must accompany all patients under 18 at the consultation visit.


A pre-operative consultation is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink 6 hours prior to your surgery. You will also need an adult to drive you home.


Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)


X-Ray

If your physician or dentist has taken X-Rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.

Copyright 2019, Richmond Oral and Cosmetic Surgeons

Specialists in Dental Implants, Wisdom Teeth, and Sedation