Bone grafting for alveolar bone damage?
Hello, doctor.
I previously had one wisdom tooth extracted from each side of my upper jaw.
Before the extraction, the alveolar bone on both sides was basically symmetrical.
After the extraction on the right side, the bone returned to its original state.
However, during the extraction of the wisdom tooth on the left side, the doctor had to fracture a portion of my alveolar bone to remove the tooth.
The wound was then sutured to facilitate healing.
After recovery, due to the removal of part of the alveolar bone, some resorption occurred, and the bone could not return to the same state as the right side.
I would like to ask if, in a healthy condition without periodontal disease, the latest bone grafting techniques or future possibilities could restore the bone and gums to resemble the right side.
If we do not consider the number of surgeries or financial aspects, is such an ideal achievable? This question has been on my mind and has caused me distress, and I hope to receive relevant information or answers.
Thank you, doctor.
Ye Xiansheng, 20~29 year old female. Ask Date: 2022/08/26
Dr. Lin Jiayong reply Dentistry
Hello: Typically, it is easier to restore the width or thickness of the alveolar bone, but it is more challenging to increase the height from scratch.
If the entire alveolar bone is missing and the alveolar bone in the wisdom tooth area is positioned more posteriorly, the anatomical structures become even more complex.
It is advisable to consult with the oral surgery department at a medical center for a more appropriate evaluation.
Reply Date: 2022/08/26
More Info
Bone grafting can indeed be a viable option for restoring symmetry after tooth extraction, particularly in cases where there has been significant bone loss or asymmetry due to the extraction process. In your situation, where one side of your jaw has experienced more trauma and subsequent bone loss than the other, bone grafting can help rebuild the lost bone structure and improve the overall symmetry of your jaw.
When a tooth is extracted, especially if the extraction is complicated or involves breaking the bone, there can be a significant amount of bone resorption (loss) that occurs in the months following the procedure. This is because the bone that previously supported the tooth is no longer needed and can begin to deteriorate. In your case, since the left side experienced more trauma during the extraction, it is understandable that you would see a difference in bone volume and contour compared to the right side.
Bone grafting involves taking bone material from another part of your body (autograft), using synthetic bone material, or utilizing bone from a donor (allograft) to fill in the areas of bone loss. The graft serves as a scaffold for new bone to grow and can help restore the contour of your jaw. Over time, the grafted material integrates with your existing bone, and new bone cells populate the area, potentially restoring symmetry.
In terms of achieving your ideal outcome, several factors come into play:
1. Health Status: Since you mentioned being in good health and free of periodontal disease, this is a positive factor. Healthy bone and soft tissue are crucial for successful grafting.
2. Grafting Material: The choice of grafting material can affect the outcome. Autografts tend to have the highest success rate because they contain living cells that promote healing and integration. However, allografts and synthetic materials can also be effective, depending on the specific circumstances.
3. Surgical Technique: The skill and experience of the surgeon performing the grafting procedure can significantly influence the results. A well-planned and executed grafting procedure can lead to better outcomes.
4. Postoperative Care: Following the grafting procedure, adhering to postoperative care instructions is essential for optimal healing and integration of the graft.
5. Time: Bone grafting is not an instant solution. It typically requires several months for the graft to heal and integrate properly before any further dental procedures, such as implants, can be placed.
While it is possible to achieve a more symmetrical appearance through bone grafting, it is important to have realistic expectations. The final result may not perfectly match the right side, but significant improvements can often be made. Consulting with a qualified oral surgeon or periodontist who specializes in bone grafting will provide you with a clearer understanding of what can be achieved in your specific case.
In conclusion, bone grafting can restore symmetry after tooth extraction, especially in cases of significant bone loss. With your healthy status and the right surgical approach, it is indeed possible to improve the contour of your jaw and achieve a more balanced appearance. It is advisable to discuss your concerns and goals with your dental care provider, who can guide you through the options available and help you make an informed decision.
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