Bone Regeneration After Gum Disease

Periodontal disease(“periodontitis” or “gum disease”) is the leading cause of bone loss in the oral cavity. Data from the Centers for Disease Control (CDC) show that 47% of adults over 30 years old in the United States have gum disease. Periodontitis is the progressive destruction of support bone around teeth. It is typically triggered by plaque and tarter(calculus) in people’s mouths but can be accelerated by immune system impairments or environmental factors. Environmental factors that accelerate bone loss include smoking, clenching/grinding, and acid reflux or acidic beverages. Each patient is unique in their susceptibility to periodontitis and so their habits may need to be modified to prevent further breakdown in addition to our treatment.

This supporting bone will not come back on its own or with oral hygiene (brushing/flossing) improvement. Regenerative therapy with our Aurora or Littleton, Colorado team can be performed to restore bone growth.

Common Techniques To Regenerate Bone Around Teeth

Bone Grafting

The bone grafting procedure is an excellent way to replace lost bone tissue and encourage natural bone growth. After the teeth are cleaned and the infected tissue is removed, bone graft powder is placed around the teeth to regenerate the supporting bone. A bone graft is a versatile procedure which can be used to save teeth as well as establish sufficient bone for dental implants if teeth are lost (see below).

There are several types of dental bone grafts. The following are the most common:
Autogenous bone graft
In this type of graft, the bone is removed from elsewhere in the body and implanted in the mouth. While this is infrequently used in periodontics, it can be added to allograft or xenograft to improve the amount of natural bone.
Bone can be obtained from a bone bank (cadaver bone), which when placed stimulates the body to form new bone. This is the most common type of bone graft used in periodontics.
This is the implantation of bovine (cow), equine (horse), or porcine (pig) bone. A xenograft is perfectly safe and has been used successfully for many years. Just like the allograft, it stimulates the body to form new bone but has other properties that are beneficial in certain circumstances.

Laser Periodontal Therapy

Supporting bone can also be regenerated using a Nd:YAG laser. This is a specialized laser technique that has become popular in the last few years and offers the chance to regenerate bone without stitches or incisions. Each case is different so choosing the appropriate regenerative therapy would be discussed with you in person during an appointment with our bone regeneration Aurora / Littleton team.

Bone Grafting for Dental Implants:

Implants are the preferred replacement method for missing teeth because they function like real teeth. However, implants need to be firmly anchored to the jawbone in order to be effective. If the jawbone lacks the necessary quality or quantity of bone, bone grafting can strengthen and thicken the implant site prior to placing the implant.

Bone Grafting for Dental Implants:

Sinus Lift
Most patients who need implants in the back upper jaw need some kind of sinus lift. A sinus lift is a routine procedure that entails elevating the sinus membrane and grafting bone between the sinus membrane and sinus floor. The purpose is to develop more bone in the bottom part of the sinus cavity area.
Ridge Augmentation
When teeth are lost, the jawbone will shrink (atrophy). Implants require bone to surround them in order to have long-term success. Thus, we use a ridge augmentation procedure to widen the bone to fully support future implants.

Additional Techniques to Aid the Bone Regeneration Process:

A thin dissolvable barrier (membrane) is placed over the grafting material to help guide the bone development. This barrier blocks certain tissues so that the correct stem cells grow into the bone graft to specifically develop bone and not gum tissue.
Platelet-rich Growth Factors
Platelets release growth factors when they are activated by an injury in order to speed the healing process. A high platelet concentration can be used to create a blood clot with the bone graft to lower the risk of infection and this can accelerate healing. We can concentrate platelet-rich growth factors from your own blood (platelet-rich fibrin (PRF)) or from a purchased solution of platelet-rich growth factor (Gem-21S®).
Emdogain® is a gel of amelogenins which stimulates regeneration around teeth and speeds the healing process with soft tissue procedures.
Bone Morphogenic Protein
Bone morphogenic protein (BMP-2 or Infuse®) is a product that can be used with bone grafting to help form bone when there is a severe loss of jawbone.

Bone Regeneration in Aurora / Littleton, CO

For more information about regenerating lost jawbone, the team at Periodontal Associates invites you to schedule a visit. Call (303) 755-4500 or request an appointment online.

Your Dental Health Starts Here. Request an Appointment.

Or call — 303-755-4500

  • Valerie FarrarValerie Farrar

    I've had the best experience with this office. I have had some terrible experiences in the pass with different places. They made me feel comfortable and I couldn't have a better team to tend to all my dental needs. They take the time to really care by reaching out to check on you, and getting your emergency taken care asap even during a pandemic.

  • Hollie KarrHollie Karr

    Warm and very friendly environment. They take so much time to explain things and treat you as if you were one of their family members having a procedure done. Michelle the dental hygienist, Liz the technician, as well as Stephanie, Dr Beckman’s assistant go above and beyond to make you feel like you’re they’re only patient! Dr. Beckman and his team’s demeanor make you feel at ease and relaxed. Dr. Beckman always has a calm, patient, and very caring demeanor which very clearly trickles down to his staff! Thank you for all you do!

  • Brigitte AdesBrigitte Ades

    Love the teamwork here! Talk about having fun while going to the dentist, yes it is true. You can have fun and get great work done. Whenever I need anything done the team from Periodontal Associates is there. I am thrilled to leave a review for this group of dentist. They are simply amazing

  • Silke SancaktarSilke Sancaktar

    I needed an implant on one of my rear molars, and Dr. Thousand and his team did the implant work at the Aurora office. I had to do the procedure with minimal sedation due to the fact that I had to drive myself back to work after the procedure. Despite this, there was minimal pain and discomfort, and everyone did an incredible job. He's very good about telling you what he's doing and is very detail-oriented. He is never dismissive and always takes time to answer questions.

    After everything healed up I went to my regular dentist to have the crown installed. After the crown placement I had a terrible headache and toothache for a week before my regular dentist would see me again to adjust the crown. However, even after she made some adjustments I was still in pain the next day.

    I didn’t know what else to do so I reached back out to Dr. Thousand for help even though he wasn’t responsible for the crown. Knowing that I was in acute pain they were able to get me in the same day at the Littleton office. Turns out there were some major defects on the crown that my dentist had overlooked that contributed to the acute pain, and would have likely resulted in infection down the road. Dr. Thousand spent almost an hour working with me and modifying the crown for temporary use so that I could have it placed back over the implant while a new crown is made.

    He didn’t need to do this since this wasn’t a mistake attributable to his office, but he and his team went above and beyond, and didn’t even charge me for the work. I had been in so much pain I could barely focus, and so this help meant so much to me because I could now function again. This was at the end of their day so I’m sure it meant a later day for everyone, but I can’t thank you all enough for giving me that relief. We’ll certainly be coming here for future dental issues, and referring Dr. Thousand and his team to friends.

  • Jean PonderJean Ponder

    Professional, knowledgeable, friendly, on time visits. Superb work from the office team to Dr Heller & Erin. Thank You

  • Melissa H.Melissa H.

    Let's be honest here - there is nothing fun about having gum surgery. However, the staff and Dr. Heller were as good as it gets with regard to my treatment....

  • Bridget B.Bridget B.

    Wow, from the moment I walked in I felt welcome. Super nice people and caring. I am a chicken and do not like dentist anything. Doctor Heller explained...

  • Sara KluhsmanSara Kluhsman

    Dr. Thousand is pure genius! He fixed a failing implant & placed a new 1 as well. I will never go anywhere else. That man preforms miracles!

  • Karen Pelling LevineKaren Pelling Levine

    Dr. Doug Heller is one of three of the doctors that make up the driving force in my efforts to save my teeth and my overall health. What started out as one broken tooth led to the possibility of my losing all of my teeth to gum disease. Panicked, I reached for a second opinion and found Dr. Heller, along with my regular Dentist & Orthodontist. I am now the proud owner of only 5 implants, as opposed to full upper and lower implants OR full dentures. Though dental procedures are hardly fun, Dr. Heller and his staff have made it a smooth process, from financial to face-changing....I couldn't be happier. 😁 You be the judge. My profile pic, there on the left, is a fine example of their handiwork.
    Double Bonus: Doorbell just rang. Beautiful plant has just arrived to cheer me in my recovery....Thank you, Dr. Heller and your wonderful Staff!

  • Jerome GilmerJerome Gilmer

    I was sent to Dr. Beckman on a referral from my dentist because of a slightly loose tooth. Dr. Beckman evaluated the situation and recommended a gum graft and bite adjustment. It is now six weeks since the procedure, and while the recovery was not painless, it was pretty much exactly as he said it would be. Upon evaluation earlier this week it was clear that the procedure was successful.

    Dr. Beckman and the staff were very nice, supportive and professional and I would highly recommend this practice to anyone needing this kind of help.

  • Tori Horton HamillTori Horton Hamill

    Dr Beckman performed a gum graft. I was nervous, but he explained everything clearly and thoroughly. The staff were very accommodating when I had to reschedule and they keep the schedule flowing on time so I was not sitting and waiting beyond the appointment time. The only downside was having to ask multiple times about the cost and what my calculated out of pocket would be. Would definitely recommend.

  • Ashley SingletaryAshley Singletary

    5 stars! Dr. Beckman and the entire office staff provide superior customer service and care. I recently had a gum graft performed and from the very first meeting I felt at ease. Dr. Beckman took his time explaining the procedure and patiently answered any questions I had. On the day of the procedure they go the extra mile to make sure you are comfortable- they use top of the line medical treatment for an effective procedure and speedy recovery. The team was very supportive and available through the entire process and even calls to check on you post procedure. I highly recommend Dr. Beckman and his team!

  • Doris BinderDoris Binder

    I needed to get some implants and Dr. Heller was recommended. Thankfully, he was absolutely wonderful. I wasn't sure what to expect, but he explained everything that needed be done and the procedure began. Now it's not an over night process, but the weeks after each step was a piece of cake. I am so happy with my implants. I had to have a tooth pulled a few weeks ago, and I don't know how he does it, but I had zero pain, no complications and I needed no pain Meds. The staff is so friendly and I highly recommend them.

  • Kenneth McCallKenneth McCall
  • Jan BernsteinJan Bernstein

    Dr. Beckman and the staff couldn't have been nicer or more professional. I highly recommend the practice to anyone in need of a periodontist.

  • Chelsy LaForceChelsy LaForce

    Dr. Heller and the rest of the team is absolutely amazing. They are super helpful through the entire process and I knew I was in great hands. Thank you so much!

  • Terry Lavitt SeiverTerry Lavitt Seiver
  • Aprille Tripler MooreAprille Tripler Moore

    Dr. Beckman and the entire staff at Periodontal Associates are amazing! Dr. Beckman performed a gum graft procedure on me and to my surprise and relief I felt no pain. Not during the procedure or post op. The entire experience from consult through my last follow up appointment was topnotch.

  • Terry SandahlTerry Sandahl

    I have been a patient of first Dr. Versman and then Dr. Heller for over 20 years. This is an amazing periodontal group! I feel so comfortable having them take care of my needs~and there have been many! Dr. Heller is so easy going and I never feel like whatever he does will fail. They have a great support staff too! All their assistants are competent and friendly, and my hygienist Michelle is the best! Love these guys and wouldn't think of going anywhere else!

  • Holly DeLuise BodineHolly DeLuise Bodine

    I have some complicated dental issues but Dr. Heller and his team have handled them very well, and as painlessly as is possible. Dr. Heller explains things very thoroughly!

We Are Colorado’s Premier Provider of Dental Implants & Periodontics


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26 W Dry Creek Circle

Littleton, CO 80120


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