Posts tagged “bone graft”

I Need an Implant Replacing, Will Bone Grafting Work?

June 13th, 2015
Q.

Hi Dr Fahey, hope you can help me. I’m a 52 year old female, I don’t smoke and am in good health. I’ve had a back tooth implant for 9 years, but it has small bone loss and feels sensitive and a bit sore where the gums are exposed.My dentist has suggested gum and bone grafting, but I’ve been doing some research and have read a lot about it either being an impossible procedure or having a very low success rate. Can you offer me further advice to help me come to a decision?

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

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Are Gingival Grafts Better For Dental Implants Than Bone Grafts?

April 12th, 2015
Q.

Hi, I have two upper premolars missing and the gum has receded inwards but not upwards. There is enough bone there for implants, but my concern is that when they are placed I will have the same issue I had with the bridge I previously had there – that is of air and saliva being trapped in the gum dip above the tooth ‘shelf’ that sticks out beyond the receded gum. I have been put off bone grafting as I’m told the gum is tight and there is a high failure rate, but I wonder if gingival grafts might serve to bulk up the dip area and lessen the shelf that will be created by the implant teeth? Thank you.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Do Mini Implants Have A Shorter Healing Time Than Regular Implants?

March 6th, 2015
Q.

Hi. I’m 60 and a saxophonist. Last year I lost one front tooth. I cracked it cleanly below the gum line and it came out over a period of months. I have had periodontal surgery but have always had good teeth with only one filling to date. My dental surgeon is suggesting a £5000 implant with bone graft, implant then crown. I’m concerned with the healing time regarding playing my instrument, and have held off. Are mini implants a quicker viable option? Thanks – Ralph.

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

Does Bone Grafting Work As I Need A New Implant To Replace An Old One?

November 13th, 2014
Q.

Hello Dr. Fahey, I am 55 year old male, non-smoker and in good health.
I have a 23 year old front tooth implant which has a small bone loss and is sensitive due to some gum exposure. My dentist says bone and gum grafting will help. But I read that it is either not possible or success rate is non-existant. Is there a rough success rate percentage anywhere I can look before making decision?
I don’t know the make or model of the implant but 23 years ago there were probably only a few around. Thank you for taking the time to answer my question.

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

I Recently Lost A Tooth To An Accident, But Now I Have Two Different Consultations On What To Do Next?

August 14th, 2014
Q.

Dr. Fahey, I recently lost a tooth due to an accident. I’m 36 years old. I saw two dentists, both recommended implants. One said I need a Bio-Col ridge preservation technique done at the same time as tooth extraction, the other said a bone graft is sufficient. What is the difference? Is ridge preservation needed? The second dentist also said the bone graft should be done 3 weeks after the tooth extraction. Which treatment option is better? Thanks.

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

Is My Implant Treatment Plan Too Fast?

April 4th, 2014
Q.

Dear Dr Moore, I hope you may be able to find the time to advise me. I live in Moscow and following recent inflammation was medicated by my dentist for a gum infection which was spreading to the bone. The cause is the unreplaced removal of a maxillary second premolar. This was done 3 years ago and I was unaware of the consequences of inaction. Surrounding teeth have been spreading and my indecision urgently needs to be replaced by an implant. I have consulted with a dental surgeon practising at the same hospital, have had a CBVT scan, and been confirmed as suitable. The language barrier has been heightened by the practitioners not wanting to deal with my detailed inquiries about the procedure. I have researched techniques online, including on this site, and while confident in his abilities by referral from my excellent dentist, feel in need of some reassurance. You will not be surprised to hear that there has been some loss of bone height. I believe there is 6.5mm of healthy bone which he intends to increase to 10mm by grafting. This sounded okay to me but then I heard that he intends to complete the entire procedure in one session; grafting, root form implant and immediate loading, in an estimated 20 mins. It seems to me that he is pushing the envelope in every direction, would you agree? He gave me an 80% estimate of success considering the bone loss, but it appears to me as a layman that that would be increased by a more staged approach, am I wrong? I hope I am not presenting ethical concerns, but I feel in need of a second opinion. Thanks and regards.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Is it safe to get my infected tooth removed and immediately replaced with an implant?

November 29th, 2013
Q.

My top front tooth (left central incisor) is loose due to periodontal gum disease which I have been battling for over 20 years. I currently have an infection which has caused a small lump to form on my gum and there is a slight discharge where the tooth meets the gum. This is despite 3 monthly hygienist appointments throughout the 20 years at which I am frequently told my oral hygiene is good. I have been told that the tooth cannot be saved and will have to be extracted but that a dental implant can be inserted into the socket immediately after the tooth is removed and a temporary denture or maryland bridge put in place until a permanent crown can be placed. I am told that the bone around the tooth has gone but that there is sufficient bone further up to secure the implant without a bone graft and that the infection will clear as soon as the tooth is removed. I have always been given to understand by my own dentist that the bone loss is quite severe so I was surprised to be told by the implant dentist that a bone graft would not be necessary and I am also rather worried about the presence of infection as everything I have read about implants seems to stress that the gums must be free of infection if the implant is to be successful. I would appreciate your comments as I am feeling very confused and worried about being left with an unsightly gap if the implant fails.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Is it best to remove tooth affected by periodontal pockets and get an implant?

November 22nd, 2013
Q.

Hi – I had a upper molar extracted. After this, Bone absorbsion must have taken place, leaving a slight depression, at the same time, a upper wisdom tooth then grew out next to the gap and closed the gap at a slight angle. However, periodontal pockets opened up at the same time, leading to periodontal disease and I now I have a periodontal pocket of over 7mm in the Wisdom tooth.

On a recent panoramic x-ray there is clear bone loss.
I had a deep root scaling to counter the disease, and maintain excellent dental hygiene, but I am again getting periodontal infections in this tooth.

I am utterly fed up with it, so I would like this wisdom tooth extracted and a implant put in it’s place.

I also have read a lot about the gram negative periodontal bacteria which have negative effects on peoples general health. I would like to think that if the tooth is extracted and a implant put in that would be the end of the disease in the site, as I read there is no periodontal ligament with a implant. Would this be the case?

I realise I would likely need a sinus lift and perhaps a bone graft also to build up the bone.

How would you proceed in this sort of case?

If the tooth is extracted would you wait for 2 months for the periodontal bacteria to be eliminated from the site by a patients immune response? Is it better to get the tooth extracted and wait 2 months before I see a implant specialist?

What sort of outcome can people with periodontal disease I hope for with implants?

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

Is it possible to do a bone graft around Bicon implant where there is bone loss?

November 11th, 2013
Q.

i am 32 and a non smoker i had a bi con dental implant on my front tooth 8 years ago during a check up and x rays it was discovered that the bone around the implant was deteriorating due to an infection. The dentist decided that due to the amount of bone loss more than half the implant would have to come out the crown was taken out but the implant remained solid in the remaining bone. Healing can placed on implant. Can new bone be grafted around the implant or does it have to be removed? what are my options ? Thanks

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

I am having my bridge removed, but I cannot have implant for another year, is this normal?

April 19th, 2013
Q.

my bridge needs removing due to bone loss and infection. 2 teeth how soon can i have implants. my dentist has said i will need bone grafts and she will make a two tooth plate which i am reluctant about but that implants will not be an option for a year or so . i was wondering why this was the case. also how long from start to finish can one roughly expect the whole procedure to take? is it painful and can a temporary plate or similar be worn between treatments

Dr Kalpesh Bohara

Dr Kalpesh Bohara
The Dental Suite, 27 Park Rd, Loughborough, LE11 2ED
Web : www.dental-suite.co.uk Tel: 01509 231144
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