Dental Bone Grafting in Kenitra

# Why a bone graft?

To hold firmly, an implant needs sufficient bone volume in both height and thickness. Yet bone gradually resorbs over time after tooth loss, an infection, or advanced gum disease. When there is not enough bone left to place an implant, a bone graft rebuilds the deficient area to make the implant possible.

# The different techniques

Depending on the area and the volume to rebuild, several approaches exist:

• Bone filling / guided bone regeneration (GBR): bone material is placed and protected by a membrane, often at the time of an extraction or of implant placement.
• Sinus floor augmentation (sinus lift): in the posterior upper jaw, the sinus membrane is lifted to create bone height.
• Block graft: for larger deficits, a block of bone is secured in place and left to heal.

The choice of technique and material (the patient’s own bone or a bone substitute) is made after analyzing the Cone Beam scan.

# The sinus lift: when height is lacking at the back of the upper jaw

At the back of the upper jaw, the sinus, an air cavity located above the roots, sometimes comes down close to the ridge. After a tooth is lost, too little bone height then remains for an implant. The sinus lift, also called sinus floor augmentation, consists of lifting the membrane that lines the sinus and placing bone material beneath it, to gain the missing height. The remaining height is measured on three-dimensional imaging (Cone Beam); this is what indicates whether a sinus lift is useful, whether it can be done at the same time as the implant or in two stages, and whether another route is a better fit, such as a shorter implant or a solution without an implant. Ongoing sinusitis is treated first. The guide Sinus lift: indications, techniques and after-effects details the two routes, lateral and crestal, and the usual after-effects.

# How is the procedure performed?

1. Assessment and Cone Beam scan. Precise measurement of the available bone volume and treatment planning.
2. Graft placement. Under local anesthesia, the material is positioned in the area to be rebuilt and protected.
3. Healing. The bone gradually regenerates over several months (the timeframe varies with the technique and the extent of the graft).
4. Implant placement. Sometimes performed at the same time as the graft, sometimes after healing, depending on the case.

Our guide explains the stages and healing of a bone graft before an implant.

# Pain and recovery

The procedure is performed under local anesthesia. Moderate after-effects (swelling, discomfort) are common in the first few days and are managed with the post-operative instructions and treatment. Following the hygiene instructions carefully promotes good healing.

# What the assessment measures before talking about a graft

The assessment does not begin with the graft. It begins with the final tooth: where it needs to be, what implant position it requires, and whether the available bone allows it. Three families of answers exist: rebuilding the bone, placing the implant differently, or choosing a solution that does not involve an implant, such as a bridge, without an implant or a removable prosthesis. If the gums bleed or if teeth are loose, the condition of the gums is examined before any bone procedure is planned. Scheduling an assessment does not commit you to any treatment.

# Cost of a bone graft in Morocco

The cost of a bone graft depends on the technique, the volume to rebuild, and the material used. It comes in addition to the cost of the implant. For this reason, the fee is always set through a personalized quote, after the assessment and the Cone Beam scan.

# What makes up the price of a graft or a sinus lift

A graft quote adds up several elements, which is why it varies from one person to another:

• Access: filling the site of a tooth goes through a small opening; a sinus lift by the lateral approach requires opening a window on the side of the sinus and detaching its membrane.
• The volume to rebuild, and therefore the amount of material.
• The material: bone taken from you or a bone substitute.
• The membrane that protects the graft, when the technique requires one.
• Chair time, which increases with the extent and the technique.
• Imaging: the Cone Beam before the procedure, sometimes a new image before the implant.
• Follow-up: the check-ups during healing.

A sinus lift is generally a more extensive procedure than a localised graft: access to the sinus, a membrane to detach, a larger volume of material and a longer procedure. This explains the difference between the two amounts shown on the Fees page, one for simple bone grafting and a higher one for the sinus lift. These amounts are indicative: the quote drawn up after the assessment specifies what it includes. Guided bone regeneration is priced on quotation.

From one practice to another, two graft quotes do not always describe the same procedure: the technique, volume, material, membrane, imaging and check-ups may or may not be included. Compare what each line contains rather than the total alone; the article Two quotes, two different opinions helps you do this.

A detailed, transparent quote is provided before any procedure. As with an implant, CNSS / AMO coverage for these procedures is not automatic: it depends on the scheme, the listed procedure and the applicable conditions. Ask your managing body for written confirmation based on the itemised quote; the Fees page explains this step.

# How the practice works

Pre-implant surgery demands rigor: an accurate diagnosis, the right technique, and attentive follow-up. Dr Azelmat plans every graft on 3D imaging and favors a cautious approach, to prepare for an implant on healthy foundations.

# Understand the statement before choosing a technique

You were told ‘there is not enough bone’: what that statement means.