One of the central premises of Periodontics, Orthodontics, and Implants is a solid understanding of bone physiology. Most people think bone is like cement or like a rock. It is not. Bone is a living tissue that is always tearing itself down and building itself up to be brand new.Another premise as it relates to implants is “No bone, no implant” meaning if there insufficient bone you cannot place an implant. Using knowledge of bone physiology we can re-grow bone anywhere it has been lost. Once the bone graft has been placed, the patient’s body will tear down the bone graft and replace it with all-natural bone.Where does the bone come from? Most of the bone graft material we use comes from a bottle. We get it from donor banks and the American Red Cross. The bone is thoroughly sterilized through a variety of acid bath washes, detergent washes, deep freezing, and even irradiation. Over the years there have been millions of bone grafts placed and not one case of disease transmission has ever been reported! At times we will also use bone from animal sources (cow, pig) because across the animal spectrum the molecular structure of bone is the same.There are four main types of bone grafting that take place around implants:
Dr. David has a wonderful chairside manner, just as his father did when I saw him many years ago. He made me feel very comfortable.
I would highly recommend Dr. Engen and his office staff to anyone whose child was apprehensive about having braces. Other than the high level of professionalism, I appreciate the down-play of cutsie-pie gimmicks for kids. He thoroughly explained everything to us right from the start.
Because of the internet information provided about his background and education, I feel I have a top level, up-to-date professional taking care of me.
State of the art care! I like the “get it right” attitude. After eight years I have not had one negative experience.
Lyle B. (Periodontal patient)
Dr. Engen was great! He explained my diagnosis and the procedure required thoroughly. I was even asked if I liked the colors of paint for the office.
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