Bone Grafting?

[phobichick]

Is it possible to have bone grafting done with existing teeth or only after teeth have been extracted? Im curious to know if its failry common that the majority use cadevar bone too and this comes in a powder form in a jar right?
Is it painful?

Thx

 

[Gordon]

Grafting is only done after teeth are extracted. If you need to put bone back where existing teeth still are then a technique called guided tissue regeneration can be used.

There are several different ways to do grafting, not all involve cadaver bone. The actual grafting procedure isn't likely to be painful.

 

[phobichick]

Grafting is only done after teeth are extracted. If you need to put bone back where existing teeth still are then a technique called guided tissue regeneration can be used.

There are several different ways to do grafting, not all involve cadaver bone. The actual grafting procedure isn't likely to be painful.

Hi Gordon....thats what I thought but I wasnt aware of the other technique you mentioned...Am curious though.., despite one to have stable gums and overall health except lower front gums recessed as far and "thin" as possible is it still possible to get this new technique done or its too late becuase the gum is too low and bone would stick above it? I hope this makes sense.

Also while on the subject of bone grafting....vertical bone loss is not as bad as horizontal is this correct? One dentist mentioned veneers once then said no then said yes becuase I proved to keep mouth in great shape (besides my bottom problem)....Kinda makes one wonder though and as far as braces go that would compromise the bone wouldnt it? It would end up failing? So maybe veneers on the uppers would be better? And once crowns was mentioned but why crowns and take off more tooth structure ..makes no sense to me?

What is "mini implants? is this for children? or someone with very minimal bone?

Thanks

 

[Gordon]

The point of guided tissue regeneration is to recover lost alveolar (jaw) bone. The gum margin will generally stay where it is, the regeneration's objective is to reduce the pocket formed by the gum staying put and the jaw moving away down the tooth root. Hope that makes some sense.
Vertical bone loss is about as bad as horizontal, sometimes the vertical defect can be treated but often times it isn't detected until a lot of bone has been lost.

Ortho compromises bone only because it makes plaque removal more difficult, the process itself isn't an issue really.

Veneers are a bit less destructive of tooth tissue than crowns.

Mini implants are a relatively new development, they are intended as a cheap, short term solution, sometimes used alongside conventional implants to stabilise a denture while waiting for the standard implants to integrate with the jaw. As time has gone on, dentists have found that the minis are surviving quite well in the longer term, so there is a move to consider them a more permanent solution.
They can be used in places where there isn't enough decent bone for normal implants too. Not in children though.

 

[phobichick]

The point of guided tissue regeneration is to recover lost alveolar (jaw) bone. The gum margin will generally stay where it is, the regeneration's objective is to reduce the pocket formed by the gum staying put and the jaw moving away down the tooth root. Hope that makes some sense.

I think I got that thanks) My gums and pockets are all really good BUT the gingival tissue is veryyyy thin on the bottom and literally "as far as it can go". Its so sad too cuz my teeth are great all on my bottoms...but if I pull my lower lip down of course the teeth look very nice white, no decay, no dark or anything, gum healthy but very thin and wayyy down there leaving the teeth to look long and skinny. But normally speaking, smiling and laughing no one knows. I wonder how fast (due to age or whatnot) this may cause the tooth to loosen up..I know you cant answer this one but they thought this would happen 5 years ago and here we are 5 years later and yesss the gum is at its furthest but Im stable all throughout..guess this is just one of those sad kickers that is just the inevitable sadly. Most of all my pockets are 2,3 and maybe a couple 4's...dont even think I have a 5 at all for quite awhile...last couple years anyways for sure.

Re: Ortho: So it could be done (getting braces) but just makes more work to clean plaque....but wouldnt do more damage with the bone or making more loss of bone? If so, cool) If not..I understand.

RE: Veneers: She said it would be no thicker then the thickness of my fingernail or a fake fingernail...but gimme it straight...she said she'd numb me but is this at all painful? I worry sooo badly about sensitivity and I know what its like to feel sensitive when trying to bleach teeth....fortunately I have found a bleach pen I like so far that doesnt give me sensitivty but not sure I want to risk that forever should I get veneers on top (6 upper front)...plus doesnt that give you risk of root canals? I've never had a root canal in my life either. Just simple fillings when I was around 11 and 14 or so. Thats it!

RE: Mini implants are sounding pretty promising .hmmmm...thx Gordon)

Does this guided tissue thing hurt at all? or bone grafting in the front lower? And what about the two major nerves down there? Yikes! Ok sorry for so many questions again...Im tryin to drill the answers in my head to remember all

 

[Gordon]

Ortho: no if it's done properly there should be no bone loss or other consequences.

Veneers: there's always a slight risk of needing a root canal after almost any intervention with a tooth, but it's pretty rare to need one after doing a veneer. I don't think I've ever seen a case where it's happened, dunno about Mike or ZZZDentist but I suspect they'll say the same.

Most gum surgery is less painful than you'd think going by what my past victims have told me