Do you monitor chin implant patients for bone and tooth damage over the years? (Photo)

Question

Do you monitor your chin implant patients over the years and decades? Do you recommend that they have x-rays to check for bone erosion and tooth or nerve damage? A surgeon told me that  this damage would be a risk for me since I need a large chin implant. He recommended a sliding genioplasty instead.

Michael P. Morrissette, DDS, FACS · Answer

You actually need both a sliding genioplasty and a chin implant. I recommend a sliding genioplasty first with an advancement of 9 mm. The implant can be placed after approximately 3 months, Chin implants are placed low on the bone and tooth damage or erosion is not a problem. Verve damage is uncommon for a surgeon who is experienced with the procedures.

Barry L. Eppley, MD, DMD · Answer

The issue is not whether significant bone loss occurs with chin implant (which it does not) but which operation is the best for type of chin deficiency long-term. In your case a sliding genioplasty is best because you need greater than 10mms of horizontal advancement...which exceeds what chin implant can do. Int is also better for your neck shape because of the pull of the attached neck and tongue muscles forward.

Mats Hagstrom, MD (license on probation) · Answer

Chin implant with enough time will cost some bone erosion. This is known when we do the procedure. It’s usually limited and not a significant issue.

Oral surgeons tend to be pro sliding genioplasty while plastic surgeons tend to lean towards implants.

I don’t think anybody orders x-rays on patients overtime after taking implants just a look to see what’s happening.

If a patient is having a problem and needs an assessment for a revision or other surgery than x-rays may be taken in the future.

Doctors should not order tests especially ones that give radiation unless we’re going to use that information to change how are you treat the patient.

With a chin implant expect to have my other bone erosion over the years.

It’s simply how  bone behaves. Bone is malleable and constantly reforms

I suggest having multiple consultations before deciding what is a more appropriate procedure.

You do look like a good candidate for a sliding genioplasty.

Both procedures have advantages and disadvantages.

In the end choosing the best surgeon may actually be more important than which operation you have.

Best,

Mats Hagstrom MD

Do you monitor chin implant patients for bone and tooth damage over the years? (Photo)

Answers (3)

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