Doctor insights on:
Pain After Dental Bone Graft
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
Be careful: Be careful during the initial 2-3 weeks so as not to disturb the soft tissue healing or the incision. Depending on the type and size of the defect being grafted bone can take up to a year to fully mineralize and mature. Refrain from hard crunchy foods or playing with the sutures with your tongue. ...Read more
Depends the method: As a periodontist, I do all types of bone grafting. When grafting is done after a tooth is removed, you may express particles of grafted bone for several days. If the grafting was done for another reason, you may have a slight complication. Call the surgeon and ask. ...Read more
Preservation: Hi. I'd also weigh in to say that i'd suggest that you should consider a bone graft in the "socket" after any extraction. This preserves the bone level at the site to allow for an implant in the future or even to increase your dentist's ability to have a better cosmetic outcome with what ever you choose to restore the area. ...Read more
Oral sex?: Depend upon how long ago the bone graft was done and if the incision is well healed, so there is not and open comunication with the oral cavity and the area were you are appliying your mouth to. If you are refering to oral sex remember that the genital areas are highly contaminated with many types of bacteria and yes is there is a recent wound the area can get contaminated. ...Read more
Can't place implants: If you choose not to have a bone grafting procedure performed, you may markedly affect the ability of your surgeon to correctly place a dental implant. This could compromise the overall survival of the implant, the esthetics of the implant, and may even make placing the implant impossible altogether. The bone graft will help ensure the success of your dental implant investment. Keep smiling! ...Read more
Graft loss ; infect: A failed bone graft, may present as an infection at the surgical site, a loss of bone density, a migration of bone out of the site. If a sinus lift='chronic sinusitis boney particulate coming into mouth or out the nose and or oral fluids from mouth coming out nose. Additionally, a premature dental implant placement into an immature graft site may cause graft dislodgment and procedure failure. ...Read more
Open ended question: It depends. Are the bone grafts being done to the supporting teeth or are the grafts being done to the gum tissue for cosmetic reasons. This needs to be discussed with the attending dentist or oral surgeon. ...Read more
It varies: In a general sense, you are not buying a chunk of metal or a piece of bone; you are paying for the experience and expertise of the dental surgeon who is performing the procedure. The more experienced, generally the more expensive. But, remember, you get what you pay for in most cases. Most conventional implants run $3-5000 apiece with an additional fee for the crown which sits on it. Grafts-? ...Read more
Depends: It depends on the geographic area, the surgeon, the type of implant used, the type of abutment and lastly the type of crown. If bone augmentation is required then there will be additional fees. The fees are determined by the size of the defect, the amount of graft material and the need for a membrane and/or fixation screws or tacos. Autougenous grafts involve a second surgical site which may add. ...Read more
Wait: Wait until there is adequate healing of the soft tissues. If the graft is large and is not well supported by adjacent native bone then additional healing time would be recommended. Micro movement of the graft can adversely affect the healing process and it's succes. Discuss this with your surgeon. ...Read more
Once the dental bone grafts are surgically in placed and healed, is surgery needed to put the posts in?
Yes, usually: It is often possible to have a tooth removed and a bone graft with a dental implant placed the sae day. Every situation is different, but quite often I perform this in my office. Sometimes there are situations which prevent this, especially if infection is present, not enough native bone, not enough soft tissue, etc. Speak to your oral surgeon about your particular case. ...Read more
I got a dental bone graft about 10 days ago, but I still see a "dent" and I even see the membrane! Is this even normal?
Yes w-TeflonMembrane: Certain membranes, especially removable ptfe (teflon) can be visible after placement and there could be a slight differential in height (indented are) where it is placed. However, other membranes such a collagen or titanium mesh are meant to be fully covered by skin until the bone graft fully integrates with the body. If you have any questions about the appearance of your membrane consult w-dds. ...Read more
Not at all likely:
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If you have it, you did not contract it through any dental procedure. Get a test from a medical provider if infection is suspected. It can be cured! ...Read more
Varies: There alot of different types and complexities of bone grafts. In general, the recovery is similar to that of a dental extraction. In some cases, a more significant recovery is required. ...Read more
What type infections can result from a dental bone graft using cadaver bone? What could be the worse possible scenario
None from the bone: According to the cdc, there has been no documented transmission of disease by bone allografts used in dentistry in the last 30 years. Once the bone graft is placed in the patient's mouth it may be susceptible to infection by contamination with the patients bacteria and other factors. I have used bone allografts for the last 21 years without disease transmission. ...Read more
Should I see my surgeon if there is pain in area of a dental bone graft completed 2 months ago? I received a facial last week and now area aches.
Yes: I doubt having the facial would have caused the pain you are experiencing. Just to be sure, i'd call the surgeon to make sure the bone graft is ok. If you have swelling, redness, and puss associated with the pain, I suspect there is a problem. It also depends on what type of bone graft and how involved the graft was. Call your surgeon and I guarantee they will want to see you. Keep smiling! ...Read more
Can a dental bone graft get rejected or infected, if put on top an extraction, pain after 11 days, on clindamycin day 5 but not going away.
Yes: Consult with your oral surgeon. There is no guarantee a bone graft will take even if no infection is present. I would be concerned as to why you have pain 11 days later and feel the mouth should get an exam. ...Read more
I believe I have developed an infection where I recently had a dental bone graft. What methods of treatment are there for such an infection?
3mos ago got dental implant on lt & bone graft rt side I got laid off can't afford to get crown & implant etc. How long can I wait? Will bg reabsorb?
The problem with having an unrestored dental implant is that, depending on how long you wait, the teeth on either side of the implant may drift towards the implant site. This would necessitate orthodontic treatment to re-align the teeth prior to restoring the implant.
Talk with your dentist about how to maintain the site until you can restore the implant. ...Read more
Quite Painful: It is quite painful and can cause disturbances in your ability to walk for a while. It's also necessary to stay in the hospital for at least a day following surgery. The good thing is that it is almost never necessary any more. If you would like a referral, I know a brilliant implant surgeon in your city who can help you or at least do a second opinion. His consultations are free for implants! ...Read more
Yes: Absolutely, we do it routinely. For example, when we do the full arch implant surgical / restorative treatment in one day, we keep the bone removed from reshaping the irregular contours and that removed when preparing the implant sites. This is then grafted wherever it is needed. Good Luck. ...Read more
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