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Implants and grafting: what are my options?

Last Updated: Mar 21, 2018

I would greatly appreciate any input on my case. #31 is loose, no nerve, and irritating the gum somewhat. #30 has an onlay and some apparent decay. Dentist wants to extract both, bone graft at time of extraction, and implant after healing. Option to use either human bone (he keeps this type in office) or order a synthetic (Perioglass). Obviously I don’t want to lose both molars at the same time, and I am worried about the type of bone graft along with possible implant failure. Would this be an option: extract #31 only (no bone graft) and allow to heal. If #30 does not hold up, graft (if necessary) and implant #30 instead of both teeth – leaving #31 missing. Many thanks – as you can see I am very uncertain and uncomfortable with the option presented to me.

9 Comments on Implants and grafting: what are my options?

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Cliff Leachman

3/22/2018

loose, no nerve, apparent decay??? Big infection and major bone loss on the #31, the apparent decay on #30 is bombed to the bone. Extract both, bone graft with metronidazole and pray! Extract both, clean it up

Steven

3/22/2018

#30, #31 and #32 should be removed at one time with an immediate bone graft. Trust the recommendations of your dentist regarding the type of bone graft as that it what they are comfortable using. After healing, replace #30 and #31 (I imagine you have upper teeth that oppose them) with implants and crowns. You will do fine. Good luck.

mark simpson

3/22/2018

you need a ct scan to see what is really going on I bet you have no buccal or lingual plate in are #31. You need more than just a bone graft you need a membrane too. #30 is not going to make it long term. do them both

ROBERTO CADALSO

3/22/2018

Both teeth should be removed at the same time and grafted. I personally use Bio-Oss + human allograft bone wait MINIMUM of 4-6 months then place implants

dr abrams

3/22/2018

listen to roberto stay away from perioglass this situation

Yahya Mansour DDS MS DICO

3/22/2018

Agreed with the other Drs. Get a CBCT, most likely ext both with human bone, wait 4-6 months, then place both using a surgical guide. Wait 4-6 month and place the crowns. Thanks.

Dr. Gerald Rudick

3/23/2018

It is not fair to your fellow dentists to ask questions on how to proceed in a case when you give almost not information....... give details; ct can if you have it, photos, a history of the patient, proper xrays...then you will get proper answers.

Dr Robert Aron

3/24/2018

I think the best thing to do would be to go for a second opinion where the doctor can examine your situation and determine with appropriate studies what needs to be done. asking opinions online is not fair to yourself, or your dentist.

Dr JLD

3/26/2018

Great advice!

important replace molar options implants for lower denture when can i expect some benefits