Doctor insights on:
Curettage And Bone Grafting
I recently had curettage and bone graft surgery on my left femur. I now have a bone cyst. Will this require further surgery?
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
I prepare patients that there should be no pain during the bone grafting procedure. Afterward, I typically give advil (ibuprofen) and prepare the patient to expect pain ranging from 2-4 out of 10. This is true for most types of bone grafting (allograft, xenografts, autograft).
I do not perform block grafting (a larger piece of bone from your own body); I would not know how that pain may differ. ...Read more
Depends: It depends on the size of the bone graft placed. Obviously the larger grafts may require longer to heal and there may be more discomfort. However when grafting immediately following extraction there is very little pain and some discomfort for a day or two. Bone grafting is very predictable. ...Read more
The alternatives: As a general rule, bone grafting procedures are highly successful. The most important factor to success is blood supply. Maintaining proper blood supply to an area will determine success, and anything that interferes with this can cause a problem. Your periodontist or oral surgeon can help you determine what the best choices are! ...Read more
I'll specifically ask perio's front desk, "does he have lots of bone grafting & bony buccal wall rebuilding experience? ". Can I rely on the answer?
Go straight to the doc and ask him. Sounds like you have need of reassurance you are in good hands perio is trained to handle these matters but how many completed is a great question!
chuck. ...Read more
Dental Bone Graft: A Dental bone graft is the surgical procedure where an area of the jaw is "built up" or reconstructed using a portion of your own bone from another site, tissue banked human bone, xenograft (usually bovine derived), synthetic bone or rhBMP which is a protien that "tell" you body to grow bone. All types have there own pros and cons ...Read more
Filling a bone void: Doctors use to use bone from our shin or pelvis to fill holes in bones or add to bones that were not healing. Now we usually use freeze dried bone from cadavers and chemicals called bone growth factors to enhance the healing. This avoids the second surgical site and the pain of harvesting the bone. ...Read more
Augment bone H/W: Bone graft is used to augment bone height and/or width. Bone is harvested from a donor site (if use your own bone) or from other source and placed into the recipient site. Membrane, mesh, screw can be used to stabilize the graft insure the optimal result. Tissue suture then must provide the complete coverage with primary intention is possible. Finally, the graft must be protect from infection. ...Read more
Bone Grafting: Have you asked the doctor performing the bone grafting this same question? They are the best to answer this. Just keep the area to be grafted soft with hypoallergenic lotions before the procedure, make sure you take a daily multivitamin and maybe increase your intake of zinc, vitamin c and vitamin E since they are shown to increase healing. ...Read more
Increasing bone: In dentistry it is most commonly done by adding powdered or solid bone substitute to a deficient area and covering it for 4-6 mo. The body responds by healing the area into new solid bone. This procedure is done at sites in the mouth where there is not enough bone and there is a need for more bone to support a dental implant. ...Read more
2-3 days: Depending on how extensive the grafting was, it shoiuld heal at near the same rate as an extraction. Once the soft tissue closes, you should be pretty comfortable eating regular foods. For the first couple days, the site may be sore and the wound still open. The site will heal faster if a membrane was placed and the sutures closed the wound. ...Read more
Adding bone to site: Dental bone grafting procedures vary depending on the site and size of the defect present. It can be as simple as adding bone to the socket of an extraction, to more complex reconstruction using a block of your own bone harvested from other parts of your mouth or body. I recommend speaking to your implant surgeon to discuss the type of grafting most appropriate for your needs. Keep smiling! ...Read more
4 weeks to 4 months: Bone graft material will act as a catalyst to begin bone growth via osteoconduction, osteoinduction, or osteogenesis. In osteoconduction, the grat acts as a scaffold, as blood vessel via neovascular genesis will bring in the bone cell, proliferate, differentiate, and mature. In osteoinduction, it will induce the bone to form and mature similarly. Osteogenesis only occurs with autogenous graft. ...Read more
Not good news!: Depends on which type of bone graft procedure is done for you. If a socket preservation graft is done after an extraction, although it should've been secured properly under membrane or similar containment measures, still loss of some extra particles of bone can happen which is not a big deal, but if you have had a block bone graft, or guided bone regeneration, then see your surgeon. ...Read more
Depends: There are various types of bone grafts in different areas of the mouth and different sizes. Usually small bone grafts can take 3 months to heal but larger bone grafts can take 6-9 months to heal. ...Read more
Bonegrafts can be divided into autograft (bone from self), allograft (cadaver bone), xenograft (bone from another species) and alloplast (synthetic).
Bonegrafting is a surgical procedure to replace missing or deficient bone. ...Read more
Slight to moderate: The postoperative pain from the bone graft cause by three reasons: 1) infection, 2) uncontrolled swelling, 3) collateral damages during the grafting procedure. A grafting procedure should be carried out with least collateral damages to the area, i.e. The complete flap closure, patency of covering tissue, fixation of the graft. Medication will control swelling, infection, and pain. ...Read more
Doesn't matter: You should be okay to donate blood without any impact on your bone grafting either for harvesting or implantation. ...Read more
4 months or more: Complete bone healing after a graft requires bone cell migration, attachment, differentiation, proliferation, and maturation as the graft resorps. These stages would take places at least 4 months or more prior to loading (functioning). The time for the complete healing depends on the extent of the defect, the type of graft, the absence of infection and the complete coverage of graft. ...Read more