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Question:
When to start graft? My mom recently had 1 tooth extracted and a bridge removed.
She would like to have implants done for the 2 missing teeth. She will need bone graft due to loss of bone. The oral surgeon that did the extraction told her to wait 2 months for the wound to heal before doing bone graft, then wait again before the implants could be done.
The 2nd implant specialist we saw said that bone graft should have been placed right after the extraction. Since it was not done right away, my mom needs to wait 4 weeks after the extraction and he could do bone graft with the implant.
Who is right? Can the graft and implant be done at the same time without knowing if the graft worked? ...Visitor from CA
Answer:
This may seem like an odd answer but both dentists could actually be right.
It all depends on the circumstances. As an example, if there was a lot of bone damage and infection, it may have been better to avoid doing the bone graft.
Bone grafts do not always give the patient solid or the hard bone necessary to place an implant.
However, with a different set of circumstances, it could have been better to do the bone graft at the time of the extractions. You need to trust the judgment of the dentist doing the treatment. At this point, your mother will have to wait longer for the implants to be placed but the results could be worth the wait.
Sam Muslin, DDS MAGD
Santa Monica Cosmetic and Implant Dentistry
1908 Santa Monica Blvd
Santa Monica, CA 90404
(310) 829-6796
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