Hi DilaRoche,
Some typical things that could affect the outcome of the bone graft...
*The type of dentist that performed this dental treatment- general, periodontist, oral surgeon, endodontist?
*Did the dentist perform osseous surgery to expose the bone and tooth prior to placing the graft?
*Did the dentist provide a PRP (Platelet Rich Plasma) procedure?
*Was or is this tooth loose?
*Is this tooth root canaled?
*Do you have periodontal disease?
Bone graft material does not take the place of missing bone. The actual graft is an immune stimulant to encourage the growth of new bone cells. These cells take over the graft and become solid bone.
In order for this biochemical process to occur properly, there needs to be existing healthy bone to stimulate the growth of cells and to help hold the graft material while new bone cells are being made AND the patient needs to be healthy, their mouth needs to be healthy, and there cannot be any bacterial infection.
Packing bone graft material in just gum tissue will not result in the growth of new bone cells.
There is a difference of opinion regarding how much bone graft material to use in a given site. Some like to over-pack the area, while others prefer not to.
It also depends on the individual circumstances as to how much or how little material is needed.
At four months post op, if there are no complications, the surgical site generally looks pretty good. The fact that you are still experiencing inflammation and still have an over flow of graft material coming out of the site is a bit concerning.
General dentists are not very familiar with the healing of this type of surgery. An oral surgeon or a periodontist would be. An xray or 2, showing different angles of this site may be diagnostic at this stage.
It may be wise to consult with a an oral surgeon who is not associated with the dentist who did the surgery. You would need to bring all pre op and post op xrays for that consult so he/she can see the history, take current xrays to compare and properly assess the situation.
Hope you find this information helpful.
Bryanna
Quote:
Originally Posted by DilaRoche
I had a bone grafting procedure 4 months ago. It was meant to reinforce the bone surrounding the tooth that was still attached. The surgeon put more bone material than was needed to fill the gap because he didn't want to throw away the remainder. He told me that he had compacted it up there as much as he could. 4 days later some of it came out from underneath the gum. But 4 months later and my gum is still inflamed, white grains are sometimes coming out one at a time. The gum looks like a starry night sky with granules scattered around a bigger area than operated on. What is going on? Are those white sharp granules going to make their way out, or dissolve or stay in there and irritate my gum forever? Any advice would be greatly appreciated. My regular dentist doesn't have a clue.
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