Poorly healing gums post bone graft?

[reminisce21]

I’m just wondering what could be cause of slowly/poorly healing gums post bone graft 4 months out?

For reference my implants for 3/4 failed possibly from me inadvertently chewing on that side. Attempted bone grafting right away but think my tissue was too soft as it failed as well.

At my 2 month post op the oral surgeon noted healing albeit slowly (my previous 2 month follow up was unremarkable) and when I came in to ask for a follow up due to feeling a sensation in that area the doc noted gingivitis (I realized I had neglected brushing my back tooth out of overcaution).

He advised pushing back the implants by a month to 5 month post op but the gums (4 month post op now) still looks red.

Is it because I have not been brushing on top to not disturb the site? The doc had mentioned doing salt water rinses a bit longer but hasn’t advised on brushing over on top.

I’m just worried what happens if it still looks the same and implants are attempted in a months time (I also will be taking a week off of work).

Thanks very much

 

[Dr M]

Looks like there is some inflammation present. The doctor will decide if the graft looks healthy enough before placing the implants. The success of grafts are dependant on various factors, including systemic conditions that you might have. Try rinsing with salt water as advised, avoid eating on that side, and don't neglect to brush the teeth adjacent to the grafts.