HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

I Recently Had A Bone Graft Done To A Bottom

default
Posted on Mon, 17 Oct 2022
Question: I recently had a bone graft done to a bottom left premolar, tooth #21. The tooth was also extracted. I feel an uncomfortable heaviness and some prolonged pain. Can a bone graft be reduced after it has been put in like this or once it is in place, it has to stay like this?
doctor
Answered by Dr. Dr. Rohit S Menon (6 hours later)
Brief Answer:
Please sent the clinical picture of the site

Detailed Answer:
Hiii, first of all thank you for approaching us with your query. I read through your query and must say that bone graft usually will get reduced by itself in few weeks time...If you can sent the pic of the clinical site where bone graft was done we can reach a better conclusion. I suggest you to take some antinflammatory medicines if you have too much of pain. Otherwise do gargle with warm salt water for thrice daily for a week. Please sent the pic also to reach a proper conclusion.
Hope you understood what I meant. Thank you and have a healthy day. DrRohit
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Dr. Rohit S Menon (7 hours later)
Hi, doctor and yes, understood what u said and thank u. Unfortunately, unable to send a pic.
However, u were a help just speaking generally. As I understand it, there are a few different type bone grafts and not sure which one oral surgeon opted for, would reduction be applicable in all four options? I believe he used a powder but not sure.
doctor
Answered by Dr. Dr. Rohit S Menon (2 hours later)
Brief Answer:
All bone grafts will get reduced

Detailed Answer:
Hii thank you for your followup query. I read through it. I must say that all bone grafts will get resorbed little in few weeks time. No bone graft will form bone 100 percent. During this process there can be pain and slight amount of inflammation. To reduce these I told you to take any antiinflammatory medicine. If powder type bone graft is used it may resorb slightly more and also faster. So pls dont get stressed thinking about the pain. It will be fine within few days. Do warm salt water gargle too regularly. Stressfree and calm mind is the best medicine for any problem. Hope you understood what I meant. Pls rate me so that I can improve my answering in future.Thank u and have a healthy day. Dr Rohit
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Dr. Rohit S Menon (7 hours later)
Yes, I will definitely rate you with 5 stars as well as a written review. You are not only very competent but concise in your answers. Thank u again.
doctor
Answered by Dr. Dr. Rohit S Menon (4 minutes later)
Brief Answer:
Thank u soo much

Detailed Answer:
Hiii, thank u soo much for your sweet and kind words.... If have more queries pls be free to ask us.. Vr waiting to solve ur probs in all possible ways by us.. Thank u and have a healthy day. Dr Rohit
Above answer was peer-reviewed by : Dr. Dr. Yogesh D
doctor
default
Follow up: Dr. Dr. Rohit S Menon (3 days later)
Hi, Dr. XXXXXXX I'm writing again due to an urgent situation that just came up. Had a tooth that erupted (#21) and needed to be extracted. Due to having trigeminal neuralgia, I need to have an implant placed at time of extraction and always have. This time, however, surgeon found little to no bone and did only a bone graft (putty one) and said I have to wait a few months and if I tried to have implant placed now, after only a few weeks, it would disrupt the graft and possible infection. Just wanted to get your feedback on this before visiting another oral surgeon who probably would attempt an implant. Just don't want to do more harm than good. Thank u so much.
doctor
Answered by Dr. Dr. Rohit S Menon (2 days later)
Brief Answer:
Better to wait and then place implant

Detailed Answer:
Hii thank you for your followup query. I read through it and I must say that if you had come to my clinic as patient, in these scenario where there is no or little bone. I would do bone graft and then wait for the body to take up the graft and then get a favourable bone height and width then I will place implant. This is because if we place inplant with little or no bone and pack the implant area with bone graft , the graft will resorb or go away fast and implant will not get fixed and it will start shaking (get failed). So better to give time and then do implant. Its because of no bone or very little scenario , if there is some bone we could have tried placing implant and graft around it. This is what is best to be done. Hope you understood what I meant. Have a healthy day. Dr Rohit
Above answer was peer-reviewed by : Dr. LAKSHMI
doctor
default
Follow up: Dr. Dr. Rohit S Menon (5 hours later)
Just one last follow up general question since I am unable to send a pic. I did ask and found out that a putty type material was used for bone graft, not powder. I assume from what u said prior that even this putty will reduce in time? Question is this - the oral surgeon thinks that putting the implant in before the 2 or 3 months is up may work since I do not want to wait that long for an implant. Just wanted to get your thoughts on that. Thanks so much.
doctor
Answered by Dr. Dr. Rohit S Menon (14 minutes later)
Brief Answer:
Go ahead with the treatment

Detailed Answer:
Hiii Thank you for your followup query. I read through it and I must say that the putty type bone graft will also resorb to some extent (no bone graft will give you 100percent bone, all gratfs will give you 60-70 percent bone, rest will get resorbed). Since I havint seen your xray or scan or even clinical pic I cant tell that you cant do implant with 2-3months of bone grafting. Your oral surgeon must have seen everything and might have told you the treatment , so I feel you can go ahead with it. Clinical picture and scans reveal better than what we are telling. I feel you can go ahead with the treatment told by your surgeon. Believe in your doctor(no doctor will do something harmful knowingly)and keep calm and peaceful mind.Calm and happy mind is best solution for any problem.Hope you understood what I meant. Please be free to ask followup queries. Thank you and have a healthy day. Dr Rohit
Above answer was peer-reviewed by : Dr. Dr. Yogesh D
doctor
default
Follow up: Dr. Dr. Rohit S Menon (4 hours later)
Doctor, first thank u for your insights. After the bone grafting surgery, my dentist noticed (as did I since they are painful) that I have either a few bony fragments or dentist said possibly fibroma on the side of socket where implant will be placed. My question is should I have these taken care of prior to having the implant surgery or would it be better for the oral surgeon to remove them at same time as implant?
doctor
Answered by Dr. Dr. Rohit S Menon (2 hours later)
Brief Answer:
Better to remove them at sametime as implant

Detailed Answer:
Hiii thank u for ur followup query. I feel that now it has happened so no use thinking about what has already happened. Now better to get it removed at the same time as implant so as to avoid further pain.Please dont take it deep into your mind and worsen the case. Keep calm and think positive . As i always tell keep calm and happy. A happy and calm mind can solve any problem along with doctors treatment. Hope you understood what I meant. Thank you and have a healthy day. Dr Rohit
Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Rohit S Menon

Dentist

Practicing since :2013

Answered : 562 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
I Recently Had A Bone Graft Done To A Bottom

Brief Answer: Please sent the clinical picture of the site Detailed Answer: Hiii, first of all thank you for approaching us with your query. I read through your query and must say that bone graft usually will get reduced by itself in few weeks time...If you can sent the pic of the clinical site where bone graft was done we can reach a better conclusion. I suggest you to take some antinflammatory medicines if you have too much of pain. Otherwise do gargle with warm salt water for thrice daily for a week. Please sent the pic also to reach a proper conclusion. Hope you understood what I meant. Thank you and have a healthy day. DrRohit