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Medical Forum / General / Dentistry / October 2007Getting implant, bone graft or not?
Hi everyone, I met with two oral surgeons recently to discuss implants. One recommended a bone graft (human cadaver source) at the same time as the extraction (of #19), the other felt grafting wasn't necessary. Any advice as to decide on which one to go with? I suppose I could get a third opinion but the consults are $90 a pop! Thank you, Matt > Hi everyone, > [quoted text clipped - 8 lines] > > Matt Either or both could be right. Your restorative dentist should help you with this one. Sometimes a surgeon will place the fixture where the bone is, and not necessarily where the restored tooth is wanted. A fixture not optimally placed for where the tooth is desired can sometimes be used anyway--there can be a workaround, but the result won't be as good as if the fixture is placed in an ideal location. Getting it in the right location may be why one surgeon thinks you need a bone graft. Or not. In any case, your dentist might wish both surgeons to explain their rationale. Steve >> Hi everyone, >> [quoted text clipped - 21 lines] > >Steve Thanks Steve. I will try to get more clarification from everyone involved. I'd hate to compromise the implant area in any way. Something about having human cadaver bone as a source makes me lean towords not grafting, yet I know that thought is completely irrational! Thanks, Matt Often you get a much better result with implants after grafting. Cadaver bone grafting uses freeze dried bone with is devoid of organic material. There is also grafting potential with artificial bone and bone harvested from elsewhere in your own mouth. Without grafting, you often will end up with the implant positioned lower in the bone and off to one side. Makes it very hard (if not impossible) to get normal "gum" contours afterwards.  Signature/ Amatus / > >>> Hi everyone, [quoted text clipped - 32 lines] > > Matt >Often you get a much better result with implants after grafting. Cadaver >bone grafting uses freeze dried bone with is devoid of organic material. >There is also grafting potential with artificial bone and bone harvested >from elsewhere in your own mouth. Without grafting, you often will end up >with the implant positioned lower in the bone and off to one side. Makes it >very hard (if not impossible) to get normal "gum" contours afterwards. OK, yeah that's it. No organics just mineral. Thanks Amatus. It sounds like grafting may be the best way to go. An implant positioned lower in the jaw sounds like there would also be an increased risk of hitting a nerve, which I really don't want to happen! So maybe the grafting kills two birds with one stone in a sense. Thanks, Matt >Often you get a much better result with implants after grafting. Cadaver >bone grafting uses freeze dried bone with is devoid of organic material. >There is also grafting potential with artificial bone and bone harvested >from elsewhere in your own mouth. Without grafting, you often will end up >with the implant positioned lower in the bone and off to one side. Makes it >very hard (if not impossible) to get normal "gum" contours afterwards. >>> Hi everyone, >>> [quoted text clipped - 31 lines] > >Matt IIRC that "human cadaver bone" is demineralized and sterile. It just provides a lattice work for your own bone to build on and eventually resorb/replace it completely. Think there are synthetic grafting materials, bet they are more expensive. What does your GP say? I would need to see photos and x-ray images to comment. Signature/ Amatus / > Hi everyone, > [quoted text clipped - 8 lines] > > Matt >What does your GP say? > >I would need to see photos and x-ray images to comment. Hi Amatus, GP wasn't sure and said to follow advice of oral surgeon I was reffered to. My GP has an oral surgeon on site, but he does not do grafts or implants, maybe thats why the GP really didn't comment specifically. I'll try to find an x-ray. Thanks, Matt >>What does your GP say? >> [quoted text clipped - 8 lines] > >Matt I can't tell you how the specifics of your case relate to mine, but I had a bone graft on the upper right where my sinuses had caused a loss of bone somehow. They scraped bone from my jaw bone and put it up there. Apparently it has worked out. I still am waiting to have the crown installed but the implants they put there (2) *seem* fine at this point (about 10 months after implanting). Scraping the bone was rather traumatic even though I was well numbed. But afterwards, man, it hurt for a few days as I recall! Definitely hurt a lot for a day or two. But such is life. It passed. And if you need it you need it. > Hi everyone, > [quoted text clipped - 8 lines] > > Matt I have found alot of good information on http://www.ezin2health.com |
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