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Success rate of autogenous bone grafting?

Last Updated: Feb 08, 2016

I have a failed upper dental bridge which was to be replaced with two dental implants supporting a third tooth in between. The teeth had been missing for some time and required bone grafting. This was performed using cadaver bone graft. However, for some reason it didn’t fuse to the existing bone and I have postponed my oral surgeon’s plan to use an autogenous bone graft from my jaw. First, I’m very nervous about this procedure. Second, I don’t know what the success rate is compared to cadaver bone graft? Third, of course, it’s extremely expensive especially given the fact that I’ve already spend thousands of dollars and am still at square one. However, I have to do something because I’ve been wearing a temporary “flipper” for ages and want to have a permanent solution that isn’t a denture. Another bridge is out of the question because the supporting teeth that held the first one are no longer there. Can any provide any thoughts on my case? Success rate of autogenous grafting? Risks? Thanks.

4 Comments on Success rate of autogenous bone grafting?

Haydar G.

02/09/2016

Autogenous bone graft is the gold standard and it has the highest success rate , but its not just the type of the graft,the technique,skill and experience play a role in graft success

Dennis Flanagan DDS MSc

02/09/2016

It is unfortunate when an implant doesn't integrate. Nonetheless, it is important to understand that graft material whether it be cadaver or autogenous are merely space maintainers for blood vessel ingrowth and subsequent bone growth. Cadaver bone is dead bone. Autogenous bone is still dead bone that may have some remaining cytokines, intercellular hormones, to help integration. Grafted sites have a lower success rate than natural occurring basal bone sites. We don't know how extensive your treatment will entail. Will it be surface grafting or sinus floor elevation? Is your site amenable to ridge expansion? Most cases are eventually successful but it may take a couple of attempts especially in the posterior maxilla. Additionally, the flipper may be applying pressure to the underlying healing implants when you bite down causing them to fail to integrate. Thus an appliance that does not touch the ridge sites is important to prevent a failure. An Essix appliance may be appropriate. Dennis Flanagan DDS MSc

Rlagunda

02/10/2016

Somebody showed me platelet rich fibrin surgical reconstruction. I think it's a little less invasive than autogenous bone harvesting. Just an opinion maybe you should explore than option.

Dr. Samir Nayyar

02/11/2016

Hello The bone grafting technique is very sensitive and you need to choose the technique according to the situation. Surgeon should choose the protocol as per conditions.

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