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Untreated - Excessive Extractions
Bone loss is commonly associated with gum disease. Younger patients tend not to think too much about bone loss as does the older adult population.. given that over 70% of them have some degree of gingivitis or periodontal disease.
Many patients who have a tendency to "choose" extraction versus, say, a root canal or retreatment of a large filling that has failed discover years later they have bone loss issues caused by old extractions.
Declining treatment for wisdom teeth extractions is normal. When removed in a fashion that doesn't disturb occlusal relationhips (opposing pair or both opposing pairs), the failure to treat those tooth sites is generally a nonevent. Bone loss does occur but rarely affects adjacent molars for most patients.
Extractions throughout key areas of either the upper or lower jaws that go untreated for too long potentially cause adjacent teeth to move, rotate or tilt and can affect underlying bone for those teeth.
Socket grafts, consisting of injectable bone matric or a pre-formed plug that entirely fills the extraction socket are popular treatments.... especially for those patients preparing for bridgework or implants.
The pictures below are examples of dentition that has been adversely affected by too many extractions or spans of missing teeth.
Poor oral health habits and eventual gum disease, coupled with the patient's preference for extractions rather than restorative treatments caused significant bone loss in the mandible. Untreated long term effects of untreated conditions and poor focus on oral health habits have disastrous effects on jaw structures.
Treatment may include bone grafts (chin block graft, ramus, cadaver based, etc) along with tissue grafting. Choices or combinations of implants, fixed bridge, cantilevered implants, overdenture or a full implant supported denture could be available. |
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Perio Disease - Excessive Extractions
Dr. Ara Nazarian, Troy, Michigan |
Long history of an extraction here.... and extraction there. Piecemeal treatments over the span of several years reduced the level of mandibular bone extensively in some areas. Bone in the anterior (front most) area of the mandible is practically nonexistant
Treatment may include bone grafts (synthetic, chin block graft, ramus, cadaver based, etc) along with tissue grafting. Choices or combinations of implants, fixed bridge, overdenture or a full implant supported denture could be available. |
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Mandibular Bone Loss
Dr. Corinne Scalzitti, Austin, Texas |
This is actually a picture of "meth mouth," a condition that describes long term devastation caused by drug abuse. Note the excessive extractions on the upper jaw and the loss of bone height in the posterior area. As each tooth failed, the patient's preferred treatment was extraction. Bone loss has also occurred due to xerostomia (dry mouth, cotton mouth) conditions.
Treatment may include selective bone grafting, (synthetic, chin block graft, ramus, cadaver based, etc) along with tissue grafting, dental implants, bridge work, total extractions, overdenture, full dentures.
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Meth Mouth Bone Loss
Dr. Corinne Scalzitti, Austin, Texas |
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