Doctor insights on:
What Is The Difference Between A Keratolimbal Allograft And An Autologous Graft
Can you tell me the ADA codes for the use of an allograft to do tooth root coverage? This is not a connective graft nor a free gingival tissue graft.
Need tooth root coverage due to recession. Want allograft and never again a gingival gum graft. What is success rate for an allograft?
Periodontist.: See a periodontist. There are specifics that will affect success rate based on tissue type, location, age, habits etc. You want an answer that is relevant to you, not a general statistic that might not help. ...Read more
Just how swollen can I expect my facial area to be following an allograft gum tissue grafting on two adjacent upper front teeth?
Post Op Swelling: You should only have mild to moderate swelling. Having said that, the amount of swelling varies from individual to individual. I have found the biggest determining factor is how easily you bruise. It also varies according to local conditions, medical history, medications, expertise of surgeon, etc. ...Read more
Recently had Achilles' tendon allograft placed. Incision site wound with yeast growth. Can the infection from yeast break down the tendon graft?
Fungal infection: Yes a fungus in a wound can mean trouble for the graft. I hope u have a team of doctors looking at you. I would highly recommend an ID doctor be added to your team. You need someone to jump all over that infection and save the hard work that's been done. Did they identify the fungus? Hope things get better soon. ...Read more
How do I stop teeth grinding (the cause) at night during the healing phase following allograft gum grafting?
Bruxism cause: The cause of bruxism is not well understood. It might be related to stress, sleep disorder, occlusal dysharmony, etc. Appliance can be made to minimize or eliminate the damage caused by these habits on teeth and jaw joints. Discuss this issue with your own general dentist and periodontist. ...Read more
How traumatic is allograft gum grafting to the patient-2 teeth first visit with other grafts after healed-in the hands of a capable dental specialist?
Allografts: In the hands of a capable surgeon, bone grafting has become a routine and relatively atraumatic procedure. Each case is different depending upon the patient's medical history, extent of surgical area and periodontal breakdown as well as the individual variance in pain threshold and recuperative powers. ...Read more
I am looking for correction of shortened flail toe from previous hammertoe surgery. Digital lengthening with one stage autologous bone graft?
Homework.: There are several ways to go depending on your specific post-operative condition. Bone grafting, small digital implants or spacers, just to mention a few. You should be aware that the chances of having a normal functioning toe are limited at best. Having multiple opinions is definitely the way to be informed before you commit. ...Read more
GVHD is a reaction..: Of engrafted immune cells against the patients healthy tissues. It leads to inflammation and side effects in a variety of tissues. Rejection is the opposite. It is a reaction of the patients immune system against the engrafted cells. In the case of a bone marrow transplant, rejection would cause disappearance of the cells in the marrow and a drop in blood cell production. ...Read more
Vein vs. Symthetic: Typically natural bypass grafts are your own vein or artery. It is also possible to use cryopreserved vein or artery from a cadaver (less common but an option). Synthetic grafts are made either or gore-tex /ptfe or woven polyester (dacron). The natural grafts are less likely to clot when there is poor circulation and they are less prone to infection. ...Read more
Depends: Every situation is different. Some wisdom teeth are bony impacted, some are infection or abcessed. It also depends on the type and size of the bone graft being compared to. It is difficult to provide a comparison. ...Read more
One healing site: With alloderm, you don't need to have tissue removed from the roof of your mouth, so you only have one surgical site that needs to heal as opposed to two sites. ...Read more
Where would a surgeon take a bone graft from to attach to the Ulna bone to fix a bone length difference?
Bone graft: Can be autologous. From the same person Or an allograft. From a different person or a bone graft substitute can be used. Common sites for autologous grafts are the pelvis, the distal radius, ribs and the fibula. Allografts or donated bone can be from these sites too but also come in smaller pieces. A lot depends upon the procedure, the length needed, the general health and why it's done ...Read more
Depends on the graft: There are many variables when it comes to acl grafts. Often has to do with a availability and demand of the particular type. (econ 101). Soft tissue grafts are often less than grafts with bone on the ends. There are many different sterilzation techniques that are important to consider which have different costs but also different affects on the quality of the graft. Can cost btw $1200 and $5000! ...Read more
Thousands: According to cole dw, et al from wake forest university in arthroscopy 2005, the average hospital charge for allograft acl reconstruction was $4622. Nagda, et al in corr 2010 reported a mean cost of $5465. These costs do not include preoperative office visits, MRI to confirm diagnosis of acl tear, postoperative physical therapy. Costs may vary by practice, hospital, asc, insurance, etc. ...Read more
Surgical procedure: Less painful than autograft. Still requires lengthy rehab. ...Read more
ALLOGRAFT: The surgical procedure for the acl reconstruction is similar to an autograft. However since the graft is a donor, extra time is not required to remove the graft and the pain can be less after the surgery. Check out www. Orthoillustrated. Com for some nice animatiions of the surgery. ...Read more
Neurosurgeon: This highly technical and specialized question is best answered by a neurosurgeon skilled in this kind of procedure. ...Read more
Very strong: One criteria for an allograft and the way it is fixed is that's its strength need to be as strong as the original acl. At the time of surgery, if done properly, the pullout strength is higher than the native acl. As the body grows into the graft, there is some weakening, followed by strengthening when the graft matures. ...Read more
I have been reading about the disadvantage of having an allograft put in during ACL surgery. True?
There are pros+cons: Each graft option for aclr has pros/cons. Pros of allograft include quicker early recovery; cons include longer incorporation/maturation time, higher failure rates in young athletes, and very very low potential risks of disease transmission. Age<25, higher demand athletes should in general have autograft based on current literature; talk to your md; he/she should discuss options in detail. ...Read more
Depends.: Allograft tendons can be as strong or stronger then autograft tendons, depending on what you are comparing. Patella tendon autografts are "gold standard" but hamstring tendons are quickly being recognized as being just as good. One downfall to allografts is that it takes longer for your body to "ligamentize" the graft, however there are benefits to allografts as well. ...Read more
Quite strong: The strength of fixation for an allograft acl reconstruction varies on the type of fixation and individual surgeon technique, but in general the initial strength is similar or greater than the original native acl. Over time as the body replaces the allograft tissue, the graft becomes first weaker, then about the same strength as the original. This process takes about 8-9 months. ...Read more
Replace torn ACL: Acl reconstruction surgery is recommended if you are having instability of the knee and a diagnosis of a tear is confirmed by an exam and mri. The surgeon will use an arthroscope camera to look inside the joint, remove the damaged ligament and replace it with a strong sterilized tissue graft from a cadaver (allograft). Typically an outpatient procedure, but takes 6-8 months for a full recovery. ...Read more
Bone cyst on X-ray: If the "bone cyst" is in the same location as the site of your previous allograft, then the x-ray is probably showing the allograft and not a bone cyst. ...Read more
In an alif, what factors go into your decision to use allograft vs autograft? Which would you recommend for a patient with autoimmune issues?
Multiple factors: Using an allograft when it is possible prevents the need to harvest a bone graft. However in patients who are expected to have problems with healing and incorporation of a bone graft an autograft is preferable. ...Read more
I had 3 ACL recons., last one was 6 mon ago. 2 & 3 used patellar allografts. I still get hamstring pain doing concentric exercises. What causes it?
Incomplete rehab: Hamstring allografts often cause pain in the post-op period but rarely cause prolonged pain or functional problems. It may be sciatica (nerve pain) but if it is coming from you hamstring a pt that can help with an eccentric strengthening program and manual treatment to break up adhesions usually helps. ...Read more
A graft of tissue...: Allograft, when used medically, generally refers to transplants. One takes a tissue (heart, kidney, skin, liver, lung etc) from one person (same species) and transplants that tissue into another person that is genetically different (within that species). That is an allograft. ...Read more
I had an acdf of c5-c7 with allograft, titanium plate and screws. I am 39 years old. When can I run again? I do half marathons.
Post-op instructions: When you were discharged from the hospital you should have gotten instructions from your surgeon explaining what type of activity you can participate in and when. I bet the answer is in there. If you have questions, call the next business day and ask to talk to your surgeon or his/her nurse for clarification on activity level. ...Read more
Allograft used on a few bottom front teeth needed to be redone. Nerve endings very painful. Does the palate have as many sensitive nerve endings?
Allograft?: You probably meant autograft. Allograft tissue, taken from another person, takes longer to incorporate into the recipient's body. Allografts avoid the need for a donor site and provides an unlimited quantity of tissue for generalized root covering treatments. I hope it makes sense. ...Read more
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