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


advertisement
Reply
 
Thread Tools Display Modes
Old 04-18-2019, 02:42 PM #1
DilaRoche DilaRoche is offline
Newly Joined
 
Join Date: Apr 2019
Posts: 3
3 yr Member
DilaRoche DilaRoche is offline
Newly Joined
 
Join Date: Apr 2019
Posts: 3
3 yr Member
Default Bone graft particles embedded in gum

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.
DilaRoche is offline   Reply With QuoteReply With Quote

advertisement
Old 04-18-2019, 10:37 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 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 View Post
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.
__________________
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
"Thanks for this!" says:
Beckyw49 (04-21-2019)
Old 04-20-2019, 05:04 PM #3
DilaRoche DilaRoche is offline
Newly Joined
 
Join Date: Apr 2019
Posts: 3
3 yr Member
DilaRoche DilaRoche is offline
Newly Joined
 
Join Date: Apr 2019
Posts: 3
3 yr Member
Default

Hello Bryanna!
Thank you so much for your input! I really appreciate your help! You clarified a lot of issues for me.
I don’t know the answers to the majority of your questions though.
The guy who performed the surgery was definitely a surgeon, but I don’t know if he was an oral surgeon or a regular one.
I am not sure if he performed osseous surgery.

He definitely didn’t perform the PRP.
The tooth was not loose before but it has been loose for 4 months after the surgery. It is still a little loose.
The tooth is crowned but it is live. No root canal treatment has ever been performed on it.

I don’t have a periodontal disease.
I will definitely try to get a second opinion from another surgeon in the coming weeks.
Thanks again for your help!
Tania
DilaRoche is offline   Reply With QuoteReply With Quote
Old 04-21-2019, 05:05 PM #4
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 Tania,

May I ask... why was this procedure performed? Why did this area require bone replacement?

Just some general information....

Dental surgeons are called... Oral Maxillofacial Surgeons. This is the number one dental specialty of oral surgery and these dentists only perform surgery from something minor to highly complicated oral, sinus, dental and facial structure surgeries.

Periodontists are dentists that specialize in the health of the gums and supporting structures. They perform non surgical as well as surgical treatment. They do bone grafting, tissue grafting, dental implants, root amputations, some extractions, osseous surgery and different types of gum surgeries.

Endodontists only perform endodontic procedures limited to root canal therapy. Some also do surgical root canals which is called an Apicoectomy.

General dentists sometimes perform minor oral surgery procedures which could include tooth extractions and placement of bone grafts.

When you get the second opinion, be sure to see an Oral and Maxillofacial Surgeon and bring your pre and post op xrays for proper evaluation.

Bryanna






Quote:
Originally Posted by DilaRoche View Post
Hello Bryanna!
Thank you so much for your input! I really appreciate your help! You clarified a lot of issues for me.
I don’t know the answers to the majority of your questions though.
The guy who performed the surgery was definitely a surgeon, but I don’t know if he was an oral surgeon or a regular one.
I am not sure if he performed osseous surgery.

He definitely didn’t perform the PRP.
The tooth was not loose before but it has been loose for 4 months after the surgery. It is still a little loose.
The tooth is crowned but it is live. No root canal treatment has ever been performed on it.

I don’t have a periodontal disease.
I will definitely try to get a second opinion from another surgeon in the coming weeks.
Thanks again for your help!
Tania
__________________
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
Old 04-22-2019, 09:20 AM #5
DilaRoche DilaRoche is offline
Newly Joined
 
Join Date: Apr 2019
Posts: 3
3 yr Member
DilaRoche DilaRoche is offline
Newly Joined
 
Join Date: Apr 2019
Posts: 3
3 yr Member
Default

Hi Bryanna!
Thank you for getting back to me.

The tooth that was operated on is crowned. Over the course of 10 last years or so it started to lean out of line. It also had a significant gum recession. So my dentist recommended the procedure of bone grafting and physically pulling the recessed gum down to cover the exposed upper part of the tooth. The tooth was not loose at the time. But x-ray showed a significant bone recession hence the proposed procedure.
I've since looked up the procedure on-line and saw that this surgery is usually done when the tooth is missing and the cavity that is filled with bone graft is covered by a membrane. In my case the tooth is still there and I struggle to visualise how the surgeon could possibly cover the graft with the membrane to prevent granules from coming out. As far as I remember after opening the gum, the membrane was placed in front of the tooth. The gum was then pulled down and sewn back into place. So there was little to stop the bone granules from sliding down into the gum. My gum looks very uneven now, with white dots not just over the operated tooth but over 5 other teeth.
I was going to get my front crowns replaced. But now I don't know how much longer I will have to wait for my gum to heal.
I haven't had a post-op x-ray done yet but I have made an appointment with a different surgeon. I hope he can get it done at his office.

Thank you again for all your help.
Warmest regards,
Tania

Quote:
Originally Posted by Bryanna View Post
Hi Tania,

May I ask... why was this procedure performed? Why did this area require bone replacement?

Just some general information....

Dental surgeons are called... Oral Maxillofacial Surgeons. This is the number one dental specialty of oral surgery and these dentists only perform surgery from something minor to highly complicated oral, sinus, dental and facial structure surgeries.

Periodontists are dentists that specialize in the health of the gums and supporting structures. They perform non surgical as well as surgical treatment. They do bone grafting, tissue grafting, dental implants, root amputations, some extractions, osseous surgery and different types of gum surgeries.

Endodontists only perform endodontic procedures limited to root canal therapy. Some also do surgical root canals which is called an Apicoectomy.

General dentists sometimes perform minor oral surgery procedures which could include tooth extractions and placement of bone grafts.

When you get the second opinion, be sure to see an Oral and Maxillofacial Surgeon and bring your pre and post op xrays for proper evaluation.

Bryanna
DilaRoche is offline   Reply With QuoteReply With Quote
Reply

Tags
bone, granules, gum, months, white

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
Bone graft. Fridy Dentistry & Dental Issues 10 11-07-2016 04:57 AM
Bone Graft Gone Bad? Kolleen F Dentistry & Dental Issues 1 01-10-2015 09:05 PM
bone graft tdb921 Dentistry & Dental Issues 1 05-29-2014 01:54 PM
To Bone Graft Right Away or Not to Bone Graft Right Away John Steven New Member Introductions 1 04-15-2012 01:45 PM
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 04:01 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.