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Question:
Bone and gum grafting failures: Due to an orthdontist moving my teeth too far as a teenager I lost all 4 teeth #23-26.
At the time of the extractions I had a bone graft, which was successful. 4 months later I had 2 implants placed at #23 & #26. They took but there was bone loss at #26.
The periodonist I am seeing went back to place bone after implants healed. The bone graft did not take and gums never healed right. She did a gum graft to fill in pockets. The gum graft around #26 did not heal right either.
So she did another bone graft and moved my gums around to fill in pocket of implant, but this too did not heal properly around #26.
Do you have any idea why my gums refuse to heal properly around the implant? ...Visitor from CA
Answer:
I suspect that you had threads of the implant that were not covered in bone initially. This would lead to a very difficult attempt to grow bone around an implant.
If we could predictably grow bone around teeth or implants, people wouldn't lose teeth to periodontal disease.
The implant may need to be removed, a block graft placed either with donated bone or a chin block graft and the implant can be attempted after healing. In addition, implants can be placed in 24, 25 site or 24 or 25 site to further support the bridge and maintain bone.
All attempts to graft after failure are a crap shoot at best.
We don't have predictable ways of recovering when bone loss has occurs and it can be from resistant bacterial organisms as well. Best of luck.
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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