Success rate of bone grafting

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Som - 22 Oct 2006 21:06 GMT

Hello All,

I'm 35 and being treated for advanced periodontitis. My periodontist
says my 4 upper front teeth need to be extracted.

I'm willing to go for implants but my periodontist says there may be
significant bone loss and it is highly likely that I need bone
grafting. He says he can only know the exact condition of the bone only
when the flap is raised (I'm having flap surgery as part of the perio
treatment.). I asked him about x-rays. He says they only give 2-d view.
Is this true?

I also would like to know the success rate of bone grafting?

Thanks in advance.

Som.

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Steven Bornfeld - 22 Oct 2006 22:01 GMT

> Hello All,
>
[quoted text clipped - 7 lines]
> treatment.). I asked him about x-rays. He says they only give 2-d view.
> Is this true?

Sometimes you can infer a third dimension in the films, but basically
it is true that you can only see the two dimensions actually exposed on
the x-ray film.

> I also would like to know the success rate of bone grafting?

Depends very much on the particular shape, size and configuration of
the bony defects being grafted. IOW, some shapes of defects are much
more likely to be successfully grafted than others. Specifically a
narrow defect is more likely to be successfully grafted than a wide one;
a defect with 3 walls in in is much more likely to be successfully
grafted than one with only 1 or 2 walls. Overall however the use of
membranes over the graft has improved the chances for success in a given
situation.

Steve

> Thanks in advance.
>
> Som.

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