Bone Graft for Implant???

Discussion in 'Dental Archive' started by bashley, Jan 4, 2004.

  1. bashley

    bashley Guest

    Greetings,

    would appreciate some professional thoughts:
    I am missing #11 from birth, had braces, then a Marilyn bridge to fill
    the space. Now I am in my 30's and want a more permanent solution. My
    dentist suggested an implant, which required additional course of
    braces to make room for an implant socket. Now my periodontist informs
    me that I will need a bone graft in order to implant the socket (the
    bone is not dense enough to support the socket). He has indicated that
    if he cannot harvest my own bone, he will use tissue from a bank.
    Initially, I was not so keen about this idea and looking over some of
    the other posts, I'm really not so keen on this idea.
    I don't have any of the other issues that some of the other posters
    have (ie root canal issues or trauma to the jaw), I just have a tooth
    that never came in and apparently not enough jaw bone to hold an
    implant socket. In other words, this is completely elective surgery
    and I want to make sure that I am making the best decision I can.

    My questions are these: I feel like I am putting myself at risk by
    accepting tissue from a bank, are there risks to this? Am I
    compromising my treatment if I insist that the periodontist use my own
    tissue?

    What are the complications involved with this procedure, the harvest
    and the graft? I have asked my perio these questions, but I would like
    to hear other thoughts.

    Thanks in advance for your help.

    b_ashley
     
    bashley, Jan 4, 2004
    #1
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  2. On 4 Jan 2004 11:20:10 -0800, (bashley) wrote:
    REPLY

    (sic) Maryland Bridge ,, ,developed at the University of Maryland.

    Does an x-ray reveal the "missing tooth" caught up somewhere in the
    upper jaw? That is the most usual circumstance for upper canines.

    Nope I do not like that either.

    Wait a minute ,, the adjoining teeth are already compromised,,,,,,,,,
    from the Maryland Bridge ......

    Why not a minimally-invasive fixed (non-removable) prosthesis?



    I do not like that idea either ...... I am picturing the alveolus ,,
    (upper jaw) with the depression where the bone normally would be .....

    Blechhhhh. Just my own personal opinion,,,,,,, others will follow I am
    sure!

    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
     
    Joel M. Eichen D.D.S., Jan 4, 2004
    #2
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  3. bashley

    Dr. Steve Guest

    I disagree partially with Joel. I agree that a conventional bridge may be
    reasonable, but then again it will involve cutting away a lot of good tooth
    structure on a young person.

    I would have no problems with using freeze dried bone in my mouth. I have
    lots of confidence in the technique use to harvest and treat the material.
    If you refuse the harvested bone, you could opt for distraction
    osteogenesis, but that is time consuming and moderately invasive. You may
    or may not be a good candidate for this procedure.

    --
    `~`~`~`~`~`~`~`~`~`~`~`~`~`~`~
    Stephen Mancuso, D.D.S.
    Troy, Michigan USA
    =+=+=+=+=+=+=+=+=+=+=+=+=
    ..
     
    Dr. Steve, Jan 5, 2004
    #3
  4. This is a controvertial issue I will touch on the topic from both
    sides.

    1) generally no one has been infected by bone from a bank because of
    the treatment it goes throught. The profession considers it to be
    safe.
    2) There are groups that will tell you that certain effects may not be
    known for years due to half life. These people feel very strongly
    about this.
    If you feel uncomfortable about this you can have it harvested from
    your own body. I think the later statement from your periodontist was
    more a precaution.
    Also the are different impant systems available that work in small
    spaces but they are more for lateral incisors than canine. Your
    situation may be unique especially if your dentist is looking at
    ortho.
    As mentioned by others here you should look at if the canine is
    present in your jaw or not.
    Without seeing phographs of the ridge, your smile, etc... and x-rays
    it is difficult to say.



    (bashley) wrote in message news:<>...
     
    Alexander Vasserman DDS., BS., Jan 5, 2004
    #4
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