 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / October 2004Patients who had bone graft after resection of mandible for ameloblastoma?
Hi! I'm a 36-year-old female who had a recurrance of a benign plexiform ameloblastoma of the right mandible. At the beginning of Sept, I had an operation to remove the tumor from my right mandible, plus a 1 cm margin. In Dec I am scheduled to have a bone graft to reconstruct the right mandible. The surgeon will be harvesting my posterior hip bone to use in the graft. I had a former co-worker whose son went through this process, and I am looking to see if there are more people out there who have gone through this. I'm interested to know what you experienced during the bone graft from a "patient" point-of-view, whether you went on to have dental implants to restore teeth? And whether you've had a recurrance of the tumor? Thanks! >Hi! > [quoted text clipped - 15 lines] > >Thanks! We had a former regular who's son had this leison in the Maxilla. Contact me privately if you wish to converse with this person. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE W_B <no_one@nowhere.net> wrote in message > We had a former regular who's son had this leison in the Maxilla. > > Contact me privately if you wish to converse with this person. Thanks, W_B! Email is on the way :} >W_B <no_one@nowhere.net> wrote in message > [quoted text clipped - 3 lines] > >Thanks, W_B! Email is on the way :} Got it and reply sent. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >Hi! > [quoted text clipped - 15 lines] > >Thanks! How extensive was the ameloblastoma? Joel Joel M. Eichen DDS Joel M. Eichen <joeleichen@yahoo.com> wrote in message > How extensive was the ameloblastoma? Hi Joel; To quote my surgeon: "...the right mandible involving the right mandibular angle from the mesial of tooth #31 up into the coronoid process... the overall size of the lesion is 6.5cm/3cm." So the tumor was removed along with a 1cm margin - which means teeth 30 & 31 were removed, and a plate was screwed in to bridge between there and the condyle. What are your thoughts? (if my surgeon reads this, he'll recognize it - so just in case - Hi Doc!) >Joel M. Eichen <joeleichen@yahoo.com> wrote in message > [quoted text clipped - 15 lines] >(if my surgeon reads this, he'll recognize it - so just >in case - Hi Doc!) REPLY This is beyond our field of expertise. That said, all bone REGENERATES on its own, if a scaffolding exists for the repair. There are Kensey-Nash products that are being developed for that purpose (orthopedic surgery). These OPLA products will drift down into dentistry in ten years or so. The repair (osteoblastic activity, osteoclastic activvity) means that if it were like a pot hole, that the hole would fill in by itself although there would be a noticeable dip in the highway. Whether or not bone additives reduce the dip is questionable. Some say yes, while others including me, say no noticeable difference. Controlled studies are almost impossible to do here. Joel >Joel M. Eichen <joeleichen@yahoo.com> wrote in message > [quoted text clipped - 15 lines] >(if my surgeon reads this, he'll recognize it - so just >in case - Hi Doc!) Sorry to jump in midstream and to hear of your problem. Your surgeon has definately treated the lesion adequately and his plan is, IMO, the way to go. Other reconstructive options exist but this will leave you with an edentulous span (no teeth) that is very reliable in reconstruction. Hip bone is the best source for a donor graft. I perfrom several of these per year and have had excellent results. The posterior hip is with less complications than harvesting from the anterior hip. It will add an hour or two to the operative time but you will have plenty of bone, usually more than what you can get from the front hip, so the reconstructive portion of the case will be unhampered. Is he usuing a cadaveric crib to place the graft in or is he using block grafts? Good luck. ~~~~~~~~~~~~~~~~~~~~~ David A. King, D.M.D. Diplomate, American Board of OMS Fellow, American Association of OMS HTTP://WWW.DEOMFS.COM >Joel M. Eichen <joeleichen@yahoo.com> wrote in message > [quoted text clipped - 15 lines] >(if my surgeon reads this, he'll recognize it - so just >in case - Hi Doc!) Hey Deja, check your mailbox, I sent some information for you. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.