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Osteonecrosis After Gum Graft
asked 1 year ago by txgirl83 in Houston, TX
Latest answer by Robert Fields, DDS
Question viewed 254 times
Tags: gums, female, graft, necrosis, treatment
My mother-in law just get diagnosed with osteo-necrosis from an oral surgeon that i referred her to see. Now, he referred her to a different oral surgeon because he did a gum graft one year ago and its open up again, couldn't heal at all, and other site that got gum graft from gets bone expose out too, no more gum left to do grafting. What can i do to help her. She's been paying a lot for this problems. Is there other options to treat this or should i take her to a different oral surgeon?
3 answers to Osteonecrosis After Gum Graft
+1
Osteonecrosis of the Jaw after Gum Graft
The gum graft should have NOT have been done on your mother in law if there was a history taken by the oral surgeon that showed she had been on any oral or IV medication for the treatment of osteoporosis. Fosamax and Boniva are examples of these bisphosphonates. Long term use of these oral medications can pose a threat to the patient with a predisposition for osteonecrosis. General dentists, seeing a health history of ostesoporosis medication, will refer the patient to an oral...
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Robert Fields, DDS
Los Angeles Cosmetic Dentist
Los Angeles Cosmetic Dentist
+1
Osteonecrosis of the jaw
Most common factor for osteonecrosis is the history of taking bisphosphonates, that is a very common treatment of osteoporosis in females after 60 or bone metastasis during cancer treatment. Usually before accepting such patient for any surgical procedures certain blood tests are performed (CRX bone turnover marker) that allows to evaluate to risks of possible complications. The major problem in such cases is decreased bone turnover time and slow healing that increases risks of infection. In...
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+1
Osteonecrosis of the jaw bone
Dead bone in the jaw can be caused by medications used to treat osteoporosis. It is thought that the stimulation causes some bone to outgrow its blood supply. The treatment recommended depends on the degree of severity. For minor cases no treatment is recommended. For more severe cases the segment of dead bone has to be removed. If you attempt to graft gum over this dead bone it will not survive. You might try an oral surgeon at your local university medical center.
My response to your...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon