Pieces of non-vital bone & bone graft material were seen & it appears I have developed an inflammatory response to this foreign body material. The biopsy showed Sequestrum Formation with adjacent Inflammation. He decided to remove some gum tissue in the area I was having pain. After seeing a couple of other dentists it was recommended I see an oral surgeon for a consult. Although periodontist said area looked great & healed well I continued to have pain/tenderness in gums over the graft area. Had #12 tooth extraction with same day bone graft done in preparation for future implant. The rules are different.ĭiplomate of the American Board of Oral Implantology /Implant Dentistryįellow-American Academy of Implant Dentistry Do not confuse a socket graft losing bone with an exposed onlay block bone graft. The socket bone grafting for upper front tooth dental implants are critical in establishing the right amount of bone so your front tooth looks great! If there is a dent in the bone, the tooth will look long and may have open black hole triangles near the tooth.īottom line… some exposure of bone and bone graft migrating pieces is common, but it is preferred that all of that stays in the socket. Choosing bone that comes from your own body, from a cadaver, from a cow, or totally synthetic all have their pros and cons and you must discuss these with your dentist. The socket must be debrided very well to get down to bare, bleeding bone and is a sensitive procedure especially when you are pulling out a failed root canal tooth.įractured root canal teeth are probably the most common extraction that leads to a socket bone graft. This is not as easy as just scooping it out. All remnants of tooth and inflammatory tissue must be removed. The internal cleaning of the socket is super important. 3D scan of boneĮxtraction and bone grafting at the same time is not as simple as just sticking some bone into the socket. The correct choice of bone product for your situation is important but not as important as the surgeon and your healing ability. The most crucial thing to ensure your socket bone graft extraction success is that the procedure is done well by someone who specializes in implant dentistry. You will need to have some of the top pieces of bone removed. I generally prescribe an antibiotic mouth rinse also such as peridex. If you have an infection of the bone graft and socket then you will likely need to continue antibiotics for a second or third round or sometime switch antibiotic families altogether. As long as you are not infected then it should not be a problem. What do you do if you see bone or you are getting small flecks of bone coming out in your mouth? Don’t panic…see your dentist and let them know what you are experiencing. If you are allergic to penicillin, then clindamycin would be another good choice. If you are not allergic to penicillin, then amoxicillin 500 mg is an ideal choice. I routinely administer antibiotics right before your appointment so that the blood clot (scab) will have the antibiotics within it. I strongly encourage antibiotic use during most socket bone graft procedures as this will help reduce (not eliminate) the chance of infection. It is also not uncommon to have some of these granules come out during the healing process. It is not uncommon for some bone to become exposed during the process of healing. Ideally over the course of the first week, the gum heals over the top and no bone is showing at all. It is that very same bone that you need to have a dental implant. When a tooth is extracted, the thin wall of bone will naturally collapse inward leaving a depression indent in your jawbone. The bone on your cheek and lip side of your teeth in general is no thicker than 0.5mm to 2 mm at the most. The bone may be from your own body, from a human cadaver, from a cow or synthetic bone. Most socket bone grafts have particulated bone added to the socket and are covered with some type of membrane at the same time of the surgery. The goal is to prevent the bone from shrinking and preserve the bone mass. Socket bone grafting is very common and is encouraged when the outer wall of bone is very thin. You see white bone showing.ĭON’T PANIC! Why Have A Socket Bone Graft? You may also be worried because small, hard granules, pieces, or particles of bone coming out of the socket. You may be worried because you can see that the bone is exposed inside your mouth. You may have had your tooth extracted and a bone graft placed at the same time.Ībout once or twice a week I get emails from around the world with patients that have had this very common (pre dental implant) procedure. Click to email a link to a friend (Opens in new window).
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