Dentistry & Dental Issues For support and discussion about dentistry and dental issues.


advertisement
Reply
 
Thread Tools Display Modes
Old 02-16-2019, 01:42 PM #1
CG76 CG76 is offline
Newly Joined
 
Join Date: Feb 2019
Posts: 1
5 yr Member
CG76 CG76 is offline
Newly Joined
 
Join Date: Feb 2019
Posts: 1
5 yr Member
Default 4+ Days After Bone Graft Small Piece of Membrane Came OffI had an infected tooth (bot

I had an infected tooth (bottom center, right tooth) that also jeopardized the tooth next to it. After two failed root canals on the infected tooth my endo & DDS determined the following course:

- Root canal on the one tooth that they could do a root canal
- Two weeks later went back and had the infected tooth which was next to it (anti biotics 5 days before & 5 days post surgery) removed, gum opened, membrane put in with bovine granuals (not socket grafting). Goal is to get an eventual implant. He did tell me that I had a significant amount of bone loss from the infection.

Last evening, (Fri, 2/15) I was eating dinner when a small piece of the membrane came off. Dentist is on vacation for the next week, his staff told me this can be normal & a sign of healing. I spoke to another oral surgeon's office over the phone & she said it indeed is possible but to monitor for any infection etc & they wouldn't do anything unless there was a present infection of some sort. Do I need emergency appt somewhere? I'm traveling most of next week.

Is my bone graft doomed? Very healthy/early 40 y/o, doesn't smoke etc.
CG76 is offline   Reply With QuoteReply With Quote

advertisement
Old 02-17-2019, 10:32 PM #2
Bryanna's Avatar
Bryanna Bryanna is offline
Grand Magnate
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
Default

Hi CG76,

A couple of things.
Number one, all root canaled teeth are chronically infected. It is irrelevant how well or how many times a root canal procedure is performed, the microscopic canals are untouchable and will continue to harbor infected nerve tissue. I will post a diagram of the anatomy of a tooth to show you how many hundreds of microscopic canals every tooth has and how inaccessible they are.

Two... The lower front jaw bone, just like the upper front bone, is very thin. When there is a long term infection such as from a root canaled tooth, the loss of bone in that area is usually severe ... and due to the natural thinning of that bone it is often not able to be rebuilt.

Three... Placing an implant in a thin area of jawbone that had an infection and next to a chronically infected (root canaled) tooth is at high risk for infection and failure. Your dentist should have informed you of that.

Four.... The membrane that was placed was either resorbable or non resorbable. It is placed underneath the flap of gum tissue to help hold the graft material in the socket and to help prevent the gum tissue from infiltrating the open bony socket where the tooth use to be. Depending on what type of membrane was used, some dissolve within a few days while others remain intact for a few months. If the goal is to attempt to preserve the socket while the body builds new bone cells to integrate with the graft material, which takes several months to do, then it is not okay for that membrane to come out too early.

The question is... what type of membrane was used and should it be replaced asap? I would not rely on an office administrator to answer that question. It would also behoove you to have an xray of that area to see what is actually still present in that area.

I hope you are able to get this squared away properly.
Bryanna





Quote:
Originally Posted by CG76 View Post
I had an infected tooth (bottom center, right tooth) that also jeopardized the tooth next to it. After two failed root canals on the infected tooth my endo & DDS determined the following course:

- Root canal on the one tooth that they could do a root canal
- Two weeks later went back and had the infected tooth which was next to it (anti biotics 5 days before & 5 days post surgery) removed, gum opened, membrane put in with bovine granuals (not socket grafting). Goal is to get an eventual implant. He did tell me that I had a significant amount of bone loss from the infection.

Last evening, (Fri, 2/15) I was eating dinner when a small piece of the membrane came off. Dentist is on vacation for the next week, his staff told me this can be normal & a sign of healing. I spoke to another oral surgeon's office over the phone & she said it indeed is possible but to monitor for any infection etc & they wouldn't do anything unless there was a present infection of some sort. Do I need emergency appt somewhere? I'm traveling most of next week.

Is my bone graft doomed? Very healthy/early 40 y/o, doesn't smoke etc.
Attached Thumbnails
4+ Days After Bone Graft Small Piece of Membrane Came OffI had an infected tooth (bot-dentin-tubules-jpg  
__________________
Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
Bryanna is offline   Reply With QuoteReply With Quote
Reply

Tags
bone, days, infected, infection, tooth

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
How should a Bone graft feel after 13 days? Echidna Dentistry & Dental Issues 1 11-30-2016 04:49 PM
Please help! Just had bone graft 5 days ago. HoustonTX Dentistry & Dental Issues 6 09-01-2014 06:27 PM
Infected tooth removal, bone graft? diaba Dentistry & Dental Issues 70 06-05-2014 07:11 PM
Infected bone graft? Joyful Anyway Dentistry & Dental Issues 1 03-27-2014 11:47 AM
Had a dental bone graft 2 days ago, some of the graft material is leaking. Normal? Nadia_384 Dentistry & Dental Issues 1 05-01-2009 03:45 PM


All times are GMT -5. The time now is 02:02 PM.

Powered by vBulletin • Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise v2.7.1 (Lite) - vBulletin Mods & Addons Copyright © 2024 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.