SL_JamesVitoDMD_Profile_6_23_Profile 6 / 29 / 23 1 : 27 PM Page 2 implants may be used in the mandibular in - cisor ( lower front teeth ) regions and in the area of the maxillary lateral incisors ; 4 - mm - diameter implants may be used in the areas of the maxillary anterior teeth and premolars of both arches , and the mandibular canines ; and 5 - or 6 - mm - diameter implants may be used in the molar areas of both arches . The greater the bite force , the longer the implant dimension . Many studies sug - gested that increasing implant length plays an important role in decreasing the bone stress and increasing implant stability in poor - quality bone . For a dental implant to succeed , it should be a minimum of 10 mm in the mandible where the bone is denser , and between 10 and 12 mm in the maxilla where the bone is softer . In summary , for the posterior region of the mouth in both the upper and lower jaws , dental implants need to be 4 to 6 mm in diameter and 10 to 12 mm long . So , what are the options for patients who want dental implants but have experi - enced severe bone loss either through dental Dr . Vito uses the latest diagnostic and surgical planning technology to provide remarkable transformations decay , gum disease , or trauma , and cannot for patients in need of dental implants . have dental implants because there is not enough bone or the implants will be too short to guarantee long - term success of both the implants and the restoration ? 2014 . It is prepared based on the multistep When the bone volume is not sufficient Tutoplast ® tissue - sterilization process , which Dr . Vito and his staff for short implant placement , vertical bone wasdeveloped in 1969 . After purification of ( left to right ) , Heather , augmentation needs to be considered as a the donor ( cadaver ) material , this block is Barbara , and Kristine serious treatment option . The options cur - thencustom milled for the patient’s specific rently are taking bone block grafts from defect based upon the dentist’s directions specific areas of the jaw when you need a in a clean environment . The block is then small amount of bone , or from the hip packagedand sterilized with low - dose gam - when a more significant amount of bone is ma irradiation and returned to the dentist’s needed . Both of these procedures involve a office , where the patient is then scheduled second surgical site , which carries with it for the placement of their customized bone healing and morbidity issues . graft . A third option is to use a customized Al - Aswith any other block graft procedure lograft Bone Graft , which is a transplant of harvested either from the jaw or hip , the an organ , tissue , or cells from one individual healing period is six months before dental to another individual of the same species implantscan be placed . The main advantage who is not an identical twin . of this customized bone graft is that there is With the modern CAD / CAM technology nosecond surgical site . we have today , it is possible based on a Havingthe correct bone foundation pro - cone beam computed tomography ( CBCT ) vides for a more predictable and appropriate or 3D scan to design and create a patient - dental implant selection and placement , specific bone graft to rebuild the lost volume andallows for a more ideal dental restoration . of hard tissue . This constructed graft then Whilebone grafts may add some extra time fits intimately onto the defect , like a puzzle toyour dental implant journey , dental implant piece . The block is then held in place with therapy is not about expediency but about bone screws and allowed to heal for six doing it correctly and predictably to provide months . a patient with a long - term result . This virtual planning of the bone block If you are considering dental implants requires advanced knowledge of the patient’s for multiple missing teeth and there is sig - anatomy , as well as the size and number of nificant bone loss , or if you are not sure the dental implants and the restoration being what option is best for you , please feel free considered . to call us and schedule a consultation to ex - The Puros ® Allograft Customized Bone plore all of your options for a long - term ? Blocks ( ACBB ) have been available since successful outcome . Dr . James Vito is a periodontist , a prosthodontist , and a dual - board - certi?ed dental implant specialist who has been in practice since 1987 . He has been in the Wayne area since 2000 . For more information , visit www.jamesvito.com or call ( 610 ) 971 - 2590 . Dr . Vito’s o?ce is located at 523 East Lancaster Avenue in Wayne .