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Medical Forum / General / Dentistry / October 2004PAGING DR.-- KING
My 13 year old son took a baseball to the mouth. Two teeth (9, 10), > root and all, were knocked out and were unable to be reinserted. The > ER doctor referred us to an oral surgeon the next day. The surgeon > appears very knowledgeable and on the cutting edge of dental > technology. After x-rays he found bone missing, and scheduled bone > grafting. The grafting has been done and now the doctor recommends > temporary implants to be placed with permanent implants to be placed > between the ages of 18-20. The doctor stated that partial dentures > could be used instead of temporary implants but bone degeneration > would probably occur. He believes the best course of action is the > temporary implants followed by permanent implants. He also states > that there are several schools of thought.Is this a legitamate course > of action. We want to do what is best for our child. Please help. >My 13 year old son took a baseball to the mouth. Two teeth (9, 10), >> root and all, were knocked out and were unable to be reinserted. The [quoted text clipped - 9 lines] >> that there are several schools of thought.Is this a legitamate course >> of action. We want to do what is best for our child. Please help. Knowing what I happen to know about this type of treatment and if this was my son, I would wait until he was 17-18, graft and place implants then, skipping the temporary implants. What was mentioned previously with regards to the implants not moving with the growth of your child is a legit arguement against implants now. His facial growth and developement now and in the future will focus more on mandibular growth, having to catch up with the upper jaw. This treatment plan now can work to your advantage hoping his maxilla is 'almost there'. Since the graft is placed, I would say go with the temporary implants. Dont be suprised if they need to be removed sooner rather than later. You would be facing the same thing with a flipper, needing another then another if his growth continues in the upper jaw. Tough call but I would say use the bone recently placed. If not, he is going to need another graft when it is time for the permanent implants. ~~~~~~~~~~~~~~~~~~~~~ David A. King, D.M.D. Diplomate, American Board of OMS Fellow, American Association of OMS HTTP://WWW.DEOMFS.COM |
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