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Question:
Broken teeth and upper bone structure: My relative had a motorcycle acident and hit his mouth about 3 months ago. He crushed the upper bones, front bones in his mouth, knocked out several teeth, and one side of his nose "drops" due to lack of boney support. The oral surgeon on call keeps changing his info.
He plans to harvest a bone from his eye orbit, requiring plastic surgery. The bone will be implanted into the frontal upper gum area requiring possible tissue grafts later. Then at least 3 dental implants. The procedure is expected to take 3 years? Why would a bone be harvested from his facial region, the surgeon's concern that a pelvic bone could be used but would require hospitalization. The dentist missed on 4 previous visits 1-2 cracked teeth in the back of his mouth which were found by a colleage.
He plans to do all of these procedures out patient. Bone graft 9-12 months healing, soft tissue graft from the thigh, endosseous implants to replace #7, #8, and #11, taking place over 2-3 years. This has gone from a quick and uncomplicated procedure to a more complicated. He has not had any bone fragments from the "crushed area". Lacerations were sutured and a metal bar placed in for stabilization for 7 weeeks. Does this treatment appear to be appropriate? ...Visitor from SC
Answer:
Your relative has a difficult situation. Bone can be harvested from almost anyplace. Some theories do point to bone near by being closer and better suited for for grafting due to the past effects of hormones in the
bone development.
Fractured teeth can show up at a later date because unlike a fractured leg the muscles are not pulling on the teeth to cause a dislodging. Along with this the bone that the teeth sit in will act as a cast to keep the teeth appearing to not have moved.
I must point out that the information given is not sufficient to render a diagnosis, nor a proper treatment plan, however it does seem as if you have lost trust and confidence in the dentist you are working with and
may wish to seek several second opinions.
Editorial Staff
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