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Old 04-21-2019, 05:05 PM #1
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Bryanna Bryanna is offline
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Bryanna Bryanna is offline
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Join Date: Feb 2007
Posts: 4,624
15 yr Member
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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
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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.***
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Old 04-22-2019, 09:20 AM #2
DilaRoche DilaRoche is offline
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DilaRoche DilaRoche is offline
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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
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