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Question:
Bone and gum loss after implant: I had an implant in my front tooth to handle an absorbed tooth.
The implant failed and the second dentist put in a life core inmplant there was significant bone loss and gum loss. Now, at age 47 female (one year later) I had a 3rd doctor put in a bone graft with BMP material and an inplant now properly placed.
The gum is not healing around the tooth and there is a hole in my gum. I had breast cancer with chemo 2 years ago, maybe that's why the gums are not healing. What can I do now? I want perfect gums and teeth ... Visitor from CA
Answer:
Sorry for all of your problems. The replacement of a front tooth can be the most demanding procedure in dentistry and has it's own unique problems and complications.
Your problem should be addressed with the dentist that just placed your implant. They can discuss the best options for your particular situation.
If you are a poor healer and have issues with blood supply, implant therapy may be contraindicated if this situation fails. You may need to explore options with the implant dentist which may include grafting and a bridge if an implant cannot be made to work.
BMP's or bone morphogenic proteins are rarely used in dentistry due to the great expense of using an amount suitable for implant dentistry. Your dentist may have used PRP or plasma rich protein, DMFDB or demineralized freeze dried bone to influence growth of the bone and soft tissue.
They may have used bone from your mouth called autologous bone but be aware that the use of
specialized materials doesn't guarantee success. You don't mention if the bone graft and implant were placed at the same time by the third dentist - this also increases risks of failure.
So, I would discuss these facts with your third dentist, gather facts, and make the best decision
based on your particular situation.
Wisconsin Reconstructive Implant Dentistry
Richard Winter, DDS MAGD
Winter Dental Associates
5323 W. Hampton Avenue
Milwaukee Wisconsin WI 53218
(414) 464-9021
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