Posts Tagged ‘bone grafts’

Is one day implant recommended considering bone loss?

Thursday, November 5th, 2009

Q. Dr. andrew i am 18 yrs old and i lost my right front tooth at age 7 at a car accident.I need to implant a tooth , i visited a dentist once and he said that i would need to implant bone and gum. I wanted to know if you could tell me if he is right and if i am a good candidate for the one day implant if not how long will the WHOLE precedure last (weeks,monthes). thank you for your attention .

A. I can’t really tell you without a thorough assessment and x-ray whether you would be suitable for an immediately loaded implant or whther the bone needs rebuilding first. As a guess if the tooth was lost 11 years ago i would assume the bone needs rebuilding 1st then the implant placed at a later date. this type of treatment usually takes 6-9 months to complete

dr andrew moore

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

Is bone graft painful and is it safe?

Wednesday, October 28th, 2009

Q. I’ve always had lovely teeth & visited the dentist regularly.About a year ago I noticed that every time I brushed, my gums would bleed.My dentist suggested various gels for gum disease,but now my top front tooth is slightly twisted and I still bleed.After having some x-rays Ive been told I have lost bone tissue and the next tooth may also come loose.I asked about implants. It has been explained to me that because there is a loss of bone an implant would not be possible at the moment.A bone graft/implant has been suggested.Can you give me some information on this.Where is the bone taken from? Is it done under general anisthetic? I am extreemly worried. I want my teeth to look good and I dont like pain.

A. Thanks for your questions, it is possible to carry out the procedure using an artificial bone, to prevent the need for a graft from another site on your body. This procedure can be carried out under local anaesthetic, although some clinicians will be able to offer Intravenous sedation, if you feel this would help you. The aartificial bone is then allowed to integrate for a period of months, before the process to place the implants would begin. I hope this heglps.
Kind regards
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Should I worry about a bone fragment left after my tooth removal?

Tuesday, October 27th, 2009

Q. Dr. Moore! Hope you doing fine, i have a tooth out last week and the day goes by i feel that thier is a small particle tooth left, so i went back to the dentist yesterday and she said that thiers nothing to worry because its a bone..So why the bone comes out? and is it safe even the bone comes out? anyway thank you so much and hope to hear from you soon..

A. It might be a small fragment of dead bone, this commonly comes to the surface when a tooth is removed and will be no problem

dr andrew moore

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

How long the splint may last?

Tuesday, October 20th, 2009

Q. I had a splint put on my teeth about a month ago i have bone missing and my tooth was loose. how long will the splint last?

A. hi many thanks for your email, if the splint was placed to stabalise the tooth due to lack of bone support it sounds as if the splint will unfortunately be a permanant fixture, it should last around 12 months and then may need replacment.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

I worried that my synthetic collagen are leaking please advice

Saturday, October 17th, 2009

Q. Dear Dr I had a sinus lift today on the right, when the surgeon opened the gum he found out a bigger loss of bone than he expected and after he did the sinus lift he filled the gap around the tooth with synthetic collagen which he explained has 50% success rate to stick to the bone. When I came home I was all right for the first 10 hours and then I started feeling the collagen leaking in my mouth. It’s not a lot, but it has been dropping in my mouth for the past 2 hours so I wonder what has happened. Is it possible that a stitch got undone. I ate much earlier – around 7 hours after the op. I did rinse with a mouthwash as I had a lot of blood in my mouth, and I think after the rinsing I started feeling the collagen in my mouth. Have I messed it all up now? I can’t see my surgeon till Sat, he is off tomorrow, and I’m so worried I can’t go to sleep. I will be grateful for your advice. With thanks,

A. Don’t worry but stop rinsing as this will make it worse I’m sure it will be ok till tomorrow so be careful tonight and get it checked tomorrow

dr andrew moore

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

I need a stable lip support to enable me to play brass band pls advice

Saturday, October 17th, 2009

Q. I used to be a private patient but can no longer afford this due to life changes. I am not registered as an NHS patient, have not seen a dentist in many years and dont know what to do about accessing treatment and advice. I had most of my upper teeth removed a few years ago after I suffered tooth loss through failing crowns and bridgework. My teeth were replaced by a partial but almost complete deture I have two teeth remaining in my upper jaw one is a crown on one of my front teeth and one is a molar that is colapsing and will need extraction. I am reasonably sure I am suffering bone loss from the upper jaw as the denture now sits below the level of the crown. The denture is and has always been a poor fit and I reline this on a regular basis to stop it falling out all the time. Since having the denture fitted I have become very introverted and dont socialise much. My speach is not as clear as it was and this is affecing me in work. I think this is because I use my top lip to hold the denture in place as I am very embarrassed when it drops. I used to play a brass instrument but a combination of wearing the denture and other medical conditions stopped me doing this. Brass band playing was one of the most uplifting experiences I had to look forward to and without it I often feel dipressed. I have tryed to play but find my denture is too unstable to allow me to play with any degree of satisfaction. I had heart by pass surgery last year and dont know if my heart condition would preclude any sort of treatment. I was wondering if there was any way of providing stable lip support needed to enable me to play. I think this would help my mental and physical welbeing if I could get back into this. I hope you can give me some advice.

A. I’m sorry to hear about your situation. Dentures are often reported as being uncomfortable and embarrassing.
There are options to help regain fixed teeth such as dental implants. I personally treat many patients that have medical conditions such as heart problems etc, but as long as the necessary protocols are in place, this shouldn’t be a problem- but MUST be spoken to about with the performing surgeon. Dental implants can help to hold a denture in place to be more sturdy- they can also be placed so that a full upper fixed bridge can be placed. This would mean that the teeth stay put and you need not take them out at night etc As you mentioned before, your finacial situation has been hindering you and dental implants are not cheap. There are many dental practices that offer finance schemes and interest free facilities. This would need to be looked into. I hope this information will help.
Many Thanks
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

What is the success rate for implants on people with gum disease?

Monday, October 12th, 2009

Q. Dear DOCTOR I suffer with periodontal disease which is controlled and my teeth are not loose. Recently I have had a sharp pain on chewing under a molar that is crowned. Following an x-ray I have been told that there is chronic infection low down irritating the nerve and that the tooth will have to come out. I am an NHS patient but am prepared to pay privately to have an implant which the NHS dentist would do. I am told there is no rush to decide providing the pain is only occasional . Does this mean it will not make me ill if I take my time . Also what is the success rate for implants on people with gum disease and would the infection need to be treated before commencing or is chronic infection something that does not go away.Thankyou

A. Chronic infection will only go away when the source of the infection is treated. In your case the dentist has diagnosed an extraction.
I would not be able to advise you on an implant prognosis as it depends on bone and gum levels and various other factors. I recommend you have a full assessment with the implantologist of your choice.

Kind regards

Dr Justin Glasiter

dr justin glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

Do you need bone grafting before having partial or full dentures

Thursday, October 8th, 2009

Q. do you really need bone grafting when you are going to have partial or full dentures?

A. Bone grafting is normally for implants so maybe check with your dentist what he has planned for you?

dr andrew moore

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

How much does it cost for a bone graph to have an implant put in?

Monday, October 5th, 2009

Q. How much does it cost for a bone graph to have an implant put in?

A.

For an accurate quote your bone and gum levels would need to be measured but anything from £3500. You will need to book in with an implantologist for a accurate quote and treatment plan.
Kind regards
Dr Justin Glaister

dr justin glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

My friend feels unwell after the bone implant can you advice?

Sunday, October 4th, 2009

Q. my friend is having treatment for an implant, she has the bone implanted and the stitches removed but still feels unwell would it be related to the treatment? she still has to get the tooth fitted but feels unwell all the time ie nausious

A. You need to have this checked out she may have an infection.

dr riten patel

Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS

Im 40 year old is it possible to have a full mouth of implants?

Saturday, October 3rd, 2009

Q. hello i am 40 years old and im considering dental implants but i need a full mouth of implants when i was 20yrs old i went to my local dentist because i had a chip in my front tooth i also needed a back tooth removed i was put to sleep for the extraction and when i woke the dentist had removed my 4 front teeth but after going back there i experienced alot of pain which put me very scared of a dentist most of my teeth have chipped and fell out now i need information on implants is it possible to have a full mouth of implants thankyou

A. It often is possible to restore a mouth with implants.  Sometimes bone grafting is required to provide enough bone to place the implants in.  Please come in for an assesment.  The treatment can be carried out under sedation if you are concerned.

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

Will bone grafting last and what option should I look at implant or bridges

Friday, September 25th, 2009

Q. I need to have my front four teeth pulled I have lost bone over the years due to periondonal diease. I am looking at dental implants vs perm bridge? I have had a consultation regarding the dental implants and it was determined they would need to do a bone graph to build the bone back up. My quuestion is – will this last? What is your opinion on both procedures? Thanks

A. A bridge would mean drilling down 2-4 teeth which when it fails usually means the bridge has to be extended even more, sometimes this isn’t possible. i would recommend implants if possible to avoid the need to drill down teeth and to stimulate the bone to avoid loosing even more bone at the front of your mouth

dr andrew moore

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

How much does it cost for bone augmentation?

Thursday, September 24th, 2009

Q. I had implants fitted to my lower jaw in 2007 and I am very happy with them. I am now looking at having work done on the top jaw. I lost all of my teeth when i was a teenage (now considerably older) and have been advised that i need bone augmentation prior to the implant surgery. I have been quoted £5000 for the bone augmentation alone, using bone from my hip. This is in the Manchester area and includes aneasthetist, surgical and hospital fees. Does this sound about the going rate or should i shop around.

A. hi many thanks for your email, the bone aumentation fee sounds reasonable. the best surgeon for this in manchester is Prof Coultard. hope this is helpful.

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Is it possible to have a temporary implant before having the permanent one?

Thursday, September 24th, 2009

Q. I have asked your advise before and hope you don’t mind if I ask a few more questions? What do you think about the mini, temporary implant. My daughter is 13-14 in Nov. We were told today that she could have a mini done now with a bone graft to repair the indentation in her bone and gum above her missing tooth, and change it for a perminant implant when she is 18 or 19 depending on the growth xrays. They also said that the mini and the bone graft can be done on the same day. Is this O.K. to do or should we do the bone graft, then wait a few months to do the mini implant? Thanks so much for your help.

A. I’m sorry but I would need to see your daughter for more complex questions in order for me to give you more detail on this type of treatment, but it does sound feasible to place a temporary implant now.

dr andrew moore

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

How much does it cost for implant?

Sunday, September 20th, 2009

Q. Hi ive got a rear lower tooth (2nd from back)thats is currently a crown that is causing problems. My dentist has suggested i should have it extracted and replace it with an implant. Could you give me some kind of indication of what cost im looking at for this please?

A. In my practice I charge £1900 for the implant and crown plus the cost of bone grafting if required.

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

My front teeth are crumbling due to usage of steroids what can i do?

Wednesday, September 16th, 2009

Q. 2front teeth slowly crumbling due to long term use of steroids&sweet tooth!15yrs since laast saw dentist.so frightened&money shortage,have to only eat soft food now

A. Contact NHS Direct for details of how to find a local dentist and help paying dental charges

dr rob tennet

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ

My wife has implants but due to gum recession discontinued plz advice?

Tuesday, September 15th, 2009

Q. My wife is currently undergoing implant treatment to replace her upper 4 front teeth. This started out because one of her root fillings cracked and our regular dentist felt that he couldn’t coninue to reset the crown indefinately. On the recomendation of our dentist she saw a local cosmetic dentist who recommended replacing all 4 crowns with 2 implants and a bridge, despite reservations about the amount of expected gum/bone resession which the dentist assured us should not, in his opinion be excessive. As the gum resessed more than he expected, my wife undertook cow-bone relacement therapy prior to the implants being placed. At this stage she was also shown a wax-up of the proposed crown&bridge work which she rejected as they did not resemble her original crowns, or the temporary denture (which is an acceptable appearance) she had been given, as the ‘teeth’ were visibly & significantly smaller. At her last appointment she was presented with what to all intents and puposes should be the ‘Finished Article’. However, not only are the ‘teeth’ significantly longer than those of her denture with very little gumline, there is also a significant backward incline which would give the appearance of her having ‘buck-teeth’. On top of this there is a significant gap between the proposed bridge and her gum which results in a significant lisp when she talks. As she is a praticing Occupational Therapist who spends most of her time talking to clients and other profesionals this is unacceptable. Should we be insisisting on having the work redone to a standard we are happy with or do we just have to accept or reject it as beeng the best on offer. my wife feels particularly pressured as the dentist is wanting to permanently place the offered implants at her next appointment which is in two weeks time. Your advice on this would be much appreciated.

A. I would speak to him before the next appointment so that they can change these provisional teeth to something more acceptable to your wife before the final ones are made. There are always some compromises to be made in these cases but it doesn’t sound like she should accept something so different than what she really wants. It would be good to tell the dentist that the denture is quite close to what she wants for the fianl teeth.

dr andrew moore

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

My mother has lost majority of her teeth what can i do?

Monday, September 14th, 2009

Q. Hi, I would like to request a consultation for my Mother. She has over the last 8 months lost the majority of her teeth. After recently visiting a Dentist from the National Health Service in London, she has been told that she does not have sufficient bone to recomment implants. I was researching on the Internet where I say your advert regarding Sinus Lifting. I would like for you to speak with my Mother in regards to this procedure. I am a little confused about why we were not recommended anything like this from the Dentist she went to visit. I look forward to hearing from you.

A. Dear.  I am sorry to hear about your mothers predicament. There are number of ways to deal with the problem of lack of bone for implant dentistry.  In the upper jaw one way is to bone graft within the floor of the sinus.  Please contact my surgery to make an appointment for your mother.  I look forward to meeting both of you. 

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

Im diagnosed for periodental disease can i get implants and bone grafts?

Friday, September 11th, 2009

Q. Dear Dr Butt I am a 32 year old female having been diagnosed with acute periodontal disease. I have already lost 5 teeth and Guys hospital have given a poor diagnosis. I have severe bone loss and a denture top right has been recommended for now. I was devestated when told but now having got used to the info, I realize the out come is poor. My treatment is being paid for by HC2 certificate. Can you tell me about implants and bone grafts and the cost. Any info would be greatly appreciated. I am in West London. I have everything going for me and this is a particularly grim time for me. Kind regards

A. hi,
this is quite complex as it depends on where the bone is deficient and how much is left .
the price can vary a great deal.
i can offer you a free consultation with an implantologist at one of our practices , or i can recommend avenue dental based in ealing who may be closer to you.

dr safeer butt

Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex

I have had bone implant and my tooth is still loose?

Tuesday, September 8th, 2009

Q. hello i have periodontal disease i already had the bone implant and its been about 5 month since and my tooth is still loose will it improve how long should it take before any results? and if it doesn’t work is their more i can do about my bone loss as far as tooth replacement if i was to lose it? i am only 26yr old and i don’t want to lose my teeth. Please any hope

A. There is always hope.  Obviously periodontal disease at 26 is quite young for the amount of bone loss necessary for a tooth to loosen.  You should discuss your concerns with your dentist and I would recommend that you be referred to a specialist periodontist.

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN