Over a period of time, the jaw bone associated with missing teeth atrophies and is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for the placement of dental implants. In these situations, most patients are not candidates for the placement of dental implants.
With bone grafting we now have the opportunity to not only replace bone where it is missing, but we also have the ability to promote new bone growth in that location. 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.
Autogenous bone grafts, also known as autografts, are made from the patients own bone, taken from somewhere else in their body. The bone is typically harvested from the chin, jaw, lower leg bone, hip, or the skull. Autogenous bone grafts are advantageous in that the graft material is the patients own live bone, meaning it contains living cellular elements that enhances bone growth. It also eliminates the risk of the patients body rejecting the graft material since it comes from them.
However, one downside to the autograft is that it requires a second procedure to harvest bone from elsewhere in the body. Depending on the patients condition, a second procedure may not be recommended.
Allogenic bone, or allograft, is dead bone harvested from a cadaver, then processed using a freeze-dry method to extract the water via a vacuum. Unlike autogenous bone, allogenic bone cannot produce new bone on its own. Rather, it serves as a framework, or scaffold, over which bone from the surrounding bony walls can grow to fill the defect or void.
Xenogenic bone is derived from non-living bone of another species, usually a cow. The bone is processed at very high temperatures to avoid the potential for immune rejection and contamination. Like allogenic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void.
Both allogenic and xenogenic bone grafting have an advantage of not requiring a second procedure to harvest the patients own bone, as with autografts. However, because these options lack autografts bone-forming properties, bone regeneration may take longer than with autografts, and have a less predictable outcome.
This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected through a syringe.
Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of substances. Some combinations may include: collagen/ceramic composite, which closely resembles the composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or a collagen/ceramic/autograft composite.
Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits. Dr. Crago, Dr. Chahal, Dr. Deatherage, Dr. Gray, Dr. Gomez, Dr. Bui, Dr. Knoll or Dr. Miller will determine which type of bone graft material is best suited for each patients particular needs.
Dr. Crago received his BS degree from Auburn University in 1974 and then matriculated at the University of Alabama in Birmingham. He was awarded his DMD in 1977 and his MD in 1982. Dr. Crago also completed residencies in Oral Pathology and Oral and Maxillofacial Surgery while at the University of Alabama.
Dr. Crago is both a Fellow of the American Academy of Oral Pathology and a Diplomate of the American Board of Oral and Maxillofacial Surgery. Dr. Crago has special interests in craniofacial traumatology and reconstruction, orthognathic surgery, reconstructive surgical management of temporomandibular joint dysfunction, distraction osteogenesis, cleft lip and palate reconstruction, reconstruction for obstructive sleep disorders, oral pathology, and dentoalveolar and implant surgery.
Dr. Chahal received his BS and DDS degrees from McGill University in Montreal, Canada. He received his MD from Louisiana State University School of Medicine in Shreveport. Dr. Chahal served his General Practice Residency in Dentistry at the University of British Columbia in Vancouver. His residency in Oral and Maxillofacial Surgery was completed at the Albert Einstein College of Medicine in New York. Dr Chahal earned his MBA from the University of Mary in Fargo, North Dakota.
Dr. Chahal has had prior research experience in dental materials, molecular biology, and dental implantology. He has presented and published scientific papers in these areas. Prior to relocating to Grand Forks in 2003, Dr. Chahal was a Clinical Instructor of Oral and Maxillofacial Surgery at the Louisiana State University Health Sciences Center in Shreveport. He also held a position of Assistant Professor at the University Manitobas Department of Dental Diagnostic and Surgical Sciences in Winnipeg. Currently, Dr. Chahal is a part-time Clinical Assistant Professor of Surgery at the University of North Dakota School of Medicine.
Dr. Chahals interests include dental implants and orthognathic facial reconstruction. He is a Diplomate of the American Board of Oral and Maxillofacial Surgery and a Fellow of the American Association of Oral and Maxillofacial Surgeons. He is also a member of a number of local, regional, and national professional organizations.
Dr. Deatherage is a graduate of the University of Alabama where he received a BS in chemistry in 1983. He then went on to graduate from the University of Alabama School of Dentistry where he was awarded a DMD in 1987. He continued at the University of Alabama as a research fellow in Oral and Maxillofacial Surgery for one year, then pursued his education at the University of Texas Health Science Center from 1988-94 where he completed his Oral and Maxillofacial Surgery and General Surgery training as well as awarded an MD in 1992.
He entered practice in Oral and Maxillofacial Surgery and Cosmetic Surgery in Rogers, Arkansas in 1994 and practiced the full scope of his specialty through 2006. While in practice, Dr. Deatherage was selected as a member of the Arkansas State Board of Dental Examiners from 2001-2004 and served as its President from 2003-2004. He also served as President of the Ozark Dental Association in 1998.
In 2006, Dr. Deatherage joined the faculty of the University of Alabama School of Dentistry as an Associate Professor of Oral and Maxillofacial Surgery. He was given the Best Faculty Award (Hospital Dentistry) in 2007 and was elected a Fellow of the American College of Dentistry in 2008. Dr. Deatherage is the recipient of numerous academic awards and scholarships, and has published seventeen scientific papers and abstracts in his career. He is certified by the American Board of Oral and Maxillofacial Surgery. He is also a member of the American Dental Association, American Medical Association, and the Pierre Fauchard Academy.
Dr. Deatherage has special interests in orthognathicand sleep apnea surgery, facial cosmetic surgery, craniofacial traumatology and reconstruction, TMJ surgery, cleft lip and palate surgery, dentoalveolar and implant surgery, and the management of maxillofacial pathology.
Reviews
Rating 4.0 out of 5 based on 48 reviews
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newest oldest highest lowestMary Brenk
2 years ago
Great staff and excellent results!
Claire D
2 years ago
While they have great doctors, the billing system is ridiculous. You prepay your services, and then they bill your insurance company, saying they will reimburse you later. I have called multiple times to check on my insurance reimbursement and keep getting put off. This has happened to me multiple times with this company. It has been almost 5 months since my last service with this company, and I still have not been able to resolve this issue.
Kayla Lagro
2 years ago
I don't normally do reviews but I would not recommend for young children. I was referred here due to my son (6 years old) being in excruciating pain from a few cavities. I was not told pre-operative instructions, thankfully I already knew he couldn't eat or drink after midnight. We show up for our appointment and mind you he is already on antibiotics and double dosing ibuprofen to keep him somewhat comfortable until his appointment. They tried for maybe 5 minutes to get him situated for surgery and they brought him back to me saying they cannot perform the surgery and will need to reschedule for end of February, it's January 26th and we had already waited 3-4 weeks for our original appointment. He's 6 years old and I feel a little patience and not pulling me away right away making him be alone before starting anything didn't ease his fear at all and made everything worse for him. Staff was great besides not preparing us for the surgery but if any parents read this I would just push to be referred somewhere else because it was a waste of a long wait for us and my poor boy now has to wait even longer to get into somewhere else.
Madi Ann
2 years ago
Just got all four wisdom teeth out today and they did a very good job. They made me feel super comfortable the whole time! Definitely recommend them to anyone!
Maranda Jacobson
2 years ago
My daughter had a tooth removed here and both Dr. Gray and his nurse Katie B. did a wonderful job of making her feel as comfortable as possible. We appreciated how quick, easy, and relatively painless the entire procedure was. Thank you!
Mark Formo
2 years ago
Very thoughtful staff. Easy to get along with and 10 times better experience than i thought. Hats off to you.
Jason Meidinger
2 years ago
Really good experience. My son had some work done. Everyone was super friendly.
Mike Olson
2 years ago
Wow
Chris Hockert
2 years ago
Had an appointment to get 4 wisdom teeth removed. There were complications during my surgery and they were only able to get one. Fair enough. After waking up we were pretty much ushered out before I could ask any questions (in a frame of mind I'd actually remember their answers to) about what happened and what happens next. I get home finally solbering up and have no clue why my surgery was aborted or financially what happens. I call them and get told I will be getting a partial refund. It's been almost 2 months and haven't seen a penny. Fast forward 3 days, I CANNOT get the bleeding to stop. Call their emergency lines in the weekend and get told it's normal and to wait it out. 5 days after surgery, still bleeding and am in excruciating pain while overdosing on advil and teylonol. I go in for a follow up appointment and get told just to keep taking the painkillers. 8 days later, still in excruciating pain to the point I'm calling in sick to work and drugging myself to sleep with OTCs, was about to say screw it and go to the ER but I call one more time. They finally think it might be infected... They prescribe me antibiotics and within 12 hours pain starts going away. Seriously? Talking with other medical professionals, they could of given me antibiotics as a precaution right after surgery and definitely could of when I, a hockey playing 25 year old male is complaining about extensive pain... I endured the pain of infected nerve endings way longer than necessary. After prescribing me antibiotics, I never receive a follow up call of any kind. Eventually I receive an email requesting I leave a review (keeping in mind I still haven't gotten any money back as I prepaid for 4 wisdom teeth) I leave a 2 star review and notice they don't publish it to their website. They only publish the 5 star reviews. When it comes to surgery and medical stuff, that's very shady. Well, here's a 1 star review you can't delete.
Ashley Krenzel
2 years ago
Horrible bedside manor from the provider. Provider was rough with the procedure and rude. Financial discrepancies with our 2 insurance companies. Nurse was great!
Darren Olson
2 years ago
2 stars because the procedure seems to be successful. I'm not one to leave negative reviews but the provider - Tuan Bui - acted like a punk. I could waste time typing our his exact comments but it's not worth my time. Just make sure you get a different provider. I'm copying the comments from another post because it's exactly my experience with Tuan: "Horrible bedside manor from the provider. Provider was rough with the procedure and rude."
Michael Danielski
2 years ago
Excellent care.
Chris Zerr
2 years ago
Very cold staff. Thankfully one decent person made up for the 3 others who were terrible and it wasn't the doctor who was the decent one.
Chelse Nankervis
2 years ago
Everyone from the receptionist to the doctor were amazing. Everyone was very friendly and it helped calm my nerves since I was very comfortable during the whole appointment.
Leola Olson
2 years ago
Friendly knowledgeable staff.
Bob Svir
2 years ago
Dr. Gray and his staff removed four teeth(two of them crowns) without a problem, checked the fit of my partial and everything healed fine in just over a week with barely any swelling or bleeding. In and out on time and in barely an hour. Thank you Dr. Gray and staff.
laurie foreman
2 years ago
Location is very easy to fine. Procedure went very quickly and almost painlessly. Expected that with the Novocain injections. After that procedure was done quickly. Dr. was very informative. His nurse thorough and pleasant. Overall a very good experience. Healing is going great! I have only heard good things about Face and Jaw.
Leola Olson
3 years ago
Friendly knowledgeable staff.
Chris Hockert
3 years ago
Had an appointment to get 4 wisdom teeth removed. There were complications during my surgery and they were only able to get one. Fair enough. After waking up we were pretty much ushered out before I could ask any questions (in a frame of mind I'd actually remember their answers to) about what happened and what happens next. I get home finally solbering up and have no clue why my surgery was aborted or financially what happens. I call them and get told I will be getting a partial refund. It's been almost 2 months and haven't seen a penny. Fast forward 3 days, I CANNOT get the bleeding to stop. Call their emergency lines in the weekend and get told it's normal and to wait it out. 5 days after surgery, still bleeding and am in excruciating pain while overdosing on advil and teylonol. I go in for a follow up appointment and get told just to keep taking the painkillers. 8 days later, still in excruciating pain to the point I'm calling in sick to work and drugging myself to sleep with OTCs, was about to say screw it and go to the ER but I call one more time. They finally think it might be infected... They prescribe me antibiotics and within 12 hours pain starts going away. Seriously? Talking with other medical professionals, they could of given me antibiotics as a precaution right after surgery and definitely could of when I, a hockey playing 25 year old male is complaining about extensive pain... I endured the pain of infected nerve endings way longer than necessary. After prescribing me antibiotics, I never receive a follow up call of any kind. Eventually I receive an email requesting I leave a review (keeping in mind I still haven't gotten any money back as I prepaid for 4 wisdom teeth) I leave a 2 star review and notice they don't publish it to their website. They only publish the 5 star reviews. When it comes to surgery and medical stuff, that's very shady. Well, here's a 1 star review you can't delete.
Michael Danielski
3 years ago
Excellent care.
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