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FAQ:  Bone Grafts - Part A

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  • I currently have a bridge which is attached to my eyetooth, my dentist suggested that I have a scraping to clean the area and then stated that I have a large pocket, which he suggests that may cause me to loose the eyetooth and then of course the bridge. He suggested that he graft bone to the area, but the cost seemed quite high. I consulted another dentist and he suggested that perhaps my bite could be adjusted due to the fact that the bridge on my uppers and the cap on my lowers seem to be too high and affect that area each time I chew. He stated that by keeping the area clean and making this adjustment I might not need to have the bone grafting at least for a while. He also suggested that I wear a brace at night time since I seem to be grinding my teeth. Upon discussing this with my current dentist, he did not concur with any of the suggestions. The dentist I consulted with regarding this problem was my dentist in Chicago for the many years I lived there. My Chicago dentist said that he did not disagree with the current dentists idea and said that it would be the ideal situation but felt that I could avoid the surgery and try correcting the bite prior to having this surgery which he felt I may or may not need. My current dentist was quite angry when I suggested that he could call my Chicago dentist and discuss this with him. I did have him clean and scrape the area but doubt that I will be his patient any longer. When looking in your files I couldn't find any suggestion of bone grafting being done, unless you had already lost the tooth, is this some type of new procedure? Who else should I consult, is their anyone in my area who might give me another opinion. ...Visitor from AR     (answer)

  • One year ago my front right tooth loosened. After surgery to scrape and clean under the gums I continue to experience problems. I am getting a conflicting opinion between 2 specialists and my family dentist. One recommends bone regeneration and implant, one recommends bone grafting and implant and one recommends a partial. All recommend pulling the tooth. I have bone loss down 70% on the root surface. One stated that the supporting soft tissue has failed. The tooth is currently anchored to the other front tooth, which unfortunately has caused some loosening in that tooth also. I have asked why (if my tooth itself is ok) a bone grafting procedure cannot be performed around the existing tooth to stabilize it. I understand that I would need a tissue graft because of recession after this procedure. I have read that a protective membrane can be placed around the graft to protect against infection. Why is this not a viable solution? It seems that I would have more area to be filled if the tooth was pulled. I am VERY concerned about esthetics after this procedure. My teeth look great now and I know that implants while better than most still do not always look normal. In addition, I bleach my teeth every 6mos to a year. I do not want one tooth to always be a different shade. Are there any implants available that react to bleaching? Any information you can provide about why the tooth must be pulled would be appreciated. ...Visitor from OH     (answer)

  • Bone Restoration: I was wondering how you can put implants in if the bone of your jaw is not straight. Would you need a bone from another part of your body in order to have implants put in at that spot. ...Visitor from VA     (answer)

  • Failed Bone Graft: My husband had a xenograft performed last year in preparation for a dental implant. On his most recent dental appointment, for which he was to have the peg inserted, the dentist found that bone graft was no more than a simple membrane and would not support a dental implant. He refuses to attempt another bone graft and feels my husband is no longer a candidate for an implant. Any suggestions? ...Visitor from WA     (answer)

  • Adding Bone after Orthodontics: When I was eight years old I had four pre molar teeth removed. When I was around 22 yrs old I had braces which closed the gaps up. Is there any way to add bone grafting to expand my jaw and add four implants? ...Visitor from CO     (answer)

  • Failed Bone Graft to Upper Gum: Due to severe infection, I have lost a considerable amount of bone to my upper gum (two front teeth). I have had a bone graft operation, which I have just been informed has failed. Do I have any other options to restore the area in preparation for implants? I do not want my mouth/lips to drop. ...Visitor from Liverpool England     (answer)

  • Cadaver Bone or Endopore better for grafting prior to implants? I was told that I would need a sinus lift to facilitate implants 5 back from left incisor and 4 back from right incisor (2 implants). Is adding cadaver bone a good way to go or is Endopore better? Would it be safer to just not doing it? I am 64 and diabetic but in good control. ...Visitor from CO     (answer)

  • Securing Bone Grafts: I would like to know what exactly holds a bovine xenograft in position while it blends with my regular bone tissue after extraction and the removal of infection. Is it simply the placement of the sutures? ...Visitor from NY     (answer)

  • Which bone graft material is best? I had my bottom 2 front teeth pulled do to bone loss. I had a bone graft with cadaver bone 7 months ago. My doctor now thinks I need a tissue graft with the implants. I went to another oral surgeon who thinks I need to have the grafting done again with my own bone because he thinks cadaver bone is not a good choice. He does not think I need tissue grafting. Do you see good success with cadaver bone? ...Visitor from GA     (answer)





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