Worried About Bone Graft

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Jane, a dental implant patient, ask us:

I am getting two dental implants soon. Tooth # 29 has to be extracted, and tooth # 30 has been missing for many years. The dentist told me that I would need a bone graft done in # 30.

He said he’d be able to do the tooth extraction, the bone graft and the dental implant at the same time in one visit. Laser will be used. I will then have to wait for about 4 months, and have post operative visits to see the progress and determine when the crown and the abutment can be placed.

Does anyone have any advice about the bone graft? I am terrified of the idea of getting the bone graft, as I have heard quite a few stories that were not so good. What kind of graft should I be getting? What should I be looking out for? Why do these grafts sometimes fail? Any professional help in alleviating my anxiety would be much appreciated. Thanks very much.

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20 Responses to “ Worried About Bone Graft ”

• Anonymous August 8th, 2006

  
  

  Good question in light of recent events involving human tissue grafts. The most widely used and tested bone graft materials are bovine material (Bio-Oss). Unlike human, this material is FDA approved and have never been linked to problems with processing etc… Your DDS is fimilar with this product and can order it for your procedure. Hope this helps, it is all we use in our perio practice.

• Dr. Tataru August 9th, 2006

  
  

  We have been using for the past 5 years a mixture of human bone (Grafton Putty from Osteotech ) and bovine bone ( BioOss from Geistlich )with great results and no problems. Recently we started using a mixture of Grafton Putty + MinerOss, both from Ostetech.There is a synergy between the two products since one is osteoconductive and the other osteoinductive.

• Anonymous August 11th, 2006

  
  

  In reference to the previous message who uses Grafton and Mineross products. True they are produced by Osteotech yet they are distributed by BioHorizons Implant Systems.

• Peter Fairbairn August 14th, 2006

  
  

  Synthetics are the future the more they are used the better the results, with safety and reduced patient concerns.I have only used synthetics for the last 2 years and I as well as the patients are happier

• Anonymous August 15th, 2006

  
  

  Mixing Grafton with Miner-oss is a great idea. It provides induction from the Grafton and architectural support from the Miner-Oss. My question is why would you want to have to combine two materials when there is a product that gives you both of these components? OrthoBlast is demin and cancellous min bone in a paste form. Very easy to use and has been working well for many years for me. And as far as the FDA, it received approval to market from the FDA earlier this year. Also, for particulate grafting cases, I have started using a product called Nu-Oss which is a generic Bio-Oss. LOTS less expensive and the same stuff.

• Anonymous August 17th, 2006

  
  

  I would like to know some opinions on the teflon membranes. My Dentist wants to use one of those and Bio-Oss for my implant treatment. I personally would prefer a resorbable pig collagen membrane, but was told it might collapse where the teflon one would hold it’s shape since it’s titanium reinforced. I am concerned about the possibility of carcinogens from the teflon. Also, who knows if you might contract mad cow disease from the cow bone used in Bio-Oss. I would prefer pig bone. I heard it was in the works, but probably won’t be approved for use in the U.S. until 2008. Has anyone else heard about this?

• Anonymous August 18th, 2006

  
  

  Regarding the Teflon membrane it does maintain the space required for bone to grow unlike the collagen membrane yet it needs better surgical skills and maintains possibility for infection if it gets exposed.

• Don Callan August 18th, 2006

  
  

  First, What is in the synthetic materials to make the body`s bone to grow. Nothing, the histological results always shows the allograft to be the best.
  Allograft is SAFE.

• Anonymous August 23rd, 2006

  
  

  Allografts make “the body grow bone”? At best it is a poor filler material that is neither osteoconductive or inductive. It is old school dentistry that is seldom used in progressive markets. Also, regarding an earlier comment…there is no such thing as generic “Bio-Oss”. Check out the SEMs for proof and /or ask for products clinical studies and histology. Lastly, synthetics are the trend for for some procedures. I have seen great bone in extraction sockets four months after extraction.

• Andy October 18th, 2006

  
  

  I have had 2 implants placed in the lower arch (at the back) which are now almost 11 years old. They have functioned very well indeed but over the past couple of months or so, I have lost a tiny little bit of confidence in them in terms of chewing certain foods (say crisps). I don’t know whether this is because there has been some bone loss (the implant is more visible now than it used to be), whether the gum has receded a little or whether it is just my own concern which is unfounded.
  I would be interested to hear from people who have had implants in the back of the lower arch for over a decade and whether they have had any issues? It’s as if saliva can get in between the implants when you place your tongue there and the visibility of the titanium is just a little bit more pronounced these days.

  To the experts : should I have this looked at and is this a prelude to future problems with the implants or is this normal?

  Do you have any idea how long my implants are likely to last?

  I was told by my dentist that they should last ‘a lifetime if looked after properly’. Is there anyway that I can improve the way that I floss them or look after them?

• Sandon October 19th, 2006

  
  

  My dentist kept 2 of my wisdom teeth in when I had the other 2 extracted. The dentist said that they might be useful in the future - my question is whether it is possible to extract a tooth and use a wisdom tooth to replace that tooth by attaching it to the root?

  I just wondered whether the wisdom tooth has any additional use?

• Jerry May 26th, 2007

  
  

  What history is their of rejection of bovine material in bone grafts?

• yazad gandhi May 27th, 2007

  
  

  jerry,
  bovine materials are not much different from allografts when it comes to rejection .Remember the same principles of rejection & infection apply to most graft materials.

• mya July 4th, 2007

  
  

  can anybody provide me with informations about cerasorb m bone graft material?is it as good or comparable to grafton + biooss?

• Segal September 4th, 2007

  
  

  I’m not confidence when Ido implats on a graft area .
  I had use a lot of grafting materials , and I still fill not secure.

• Janet Mahan December 6th, 2007

  
  

  The middle of August I had #5 (2nd tooth from top left right under my nose) removed because a crown with pin on a root canal had shattered. Bovine material was implanted and I am supposed to have a screw and tooth implanted there. I am realizing now that I might be having some kind of reaction to the bovine material because three weeks after the surgery I had a “silent” migrane while shopping with my husband. He took me to Emergency and everyone thought I had suffered a stroke. I had complete loss of memory, slurred speech and did not know my husband or my surroundings for 8 hours. I had a MRI and CAT scan (no stroke). I am now on 100 mg of Topamax daily, I lost my job, my nose is cold and sometimes runs. The last two nights I have awakened with a feeling of numbness in my lip and feel like I have a tooth ache in that area. Because I am still suffering from short term memory loss, I am just now remembering the dental procedure and wondering if I should mention this to my doctors/dentist before proceeding this month with the screw? Could this procedure be the cause of the migrane? I am very sensitive to preservatives and the Bovine material is very close to my brain.

• Dutchy January 2nd, 2008

  
  

  The bovine material doesn’t contain any protein contents or prions which can cause allergy or BSE. It is just the mineral contents that are left which function as a frame for your bone-cells. You should always mention these problems to your dentist. It looks like ( because your nose is feeling cold and running sometimes) thatyou deal with a sympatic / parsympathic problem, but there are many opions: epeleptic desease, Nervus vagus problems,orofacial problems, transient global amnesia, etc, etc, etc. So maybeyou can let yourself referto a team of specialist to do a whole check-up. Good luck

• Docindeed January 16th, 2008

  
  

  Mya,
  Cerasorb is a synthetic. I believe it is a Beta Tri-Calcium Phosphate. Grafton & BioOss are cadaver & bovine based grafts. With Cerasorb, you are not relying on donor bone quality nor do you have to worry about disease transmission or immunologic reactions. Cerasorb is also the only synthetic that is FDA approved for all dental indications and the studies have proven that Cerasorb produced much more vital bone growth than BioOss & Grafton. Just ask yourself if you want cadaver bone, cow bone or a synthetic calcium in your mouth and that should give you your answer. I hope this helped.

• James August 6th, 2008

  
  

  I just had bone and tissue grafting done for both of my incisor teeth five days ago. I have been missing them all of my life. I was not able to get the implants at the same time as this surgery because there was not enough bone. That is why I had the grafts. I had my wisdom teeth out at the same time so they took the bone for the graft from those spots on my jaw. They also took tissue from the roof of my mouth and from above my canine teeth. It has been a fairly painful recovery, and my face is pretty swollen, but I know it will be worth it eventually. Good Luck with yours.

• lisa August 6th, 2008

  
  

  James, how is your recovery going? I too have had quite a painful recovery from implant and bone graft surgery. Any feedback would be appreciated.

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