Cadaver Bone and Wait vs Synthetic Bone and Immediate Load: What Are the Success Rates?
Karen asks:
I have to have my upper right, next to last molar extracted after 2 root canals and an apicoectomy. The crown became loose and when they took it off the tooth is cracked in two places. I went to the oral surgeon today, and he wants to do bone grafts using cadaver bone and the 12-18 month dental implant process. I want the synthetic bone and an immediate load implant. I am vegetarian and I don't want a dead persons or animals bone in my mouth! He wants to do it his way because there are 3 roots and my sinus dips down low. He says I do not need a sinus lift.
What is the success rate for the immediate load in my circumstances? Would I really have to wait 18 months, as the surgeon wants to? Does it really matter if I get synthetic bone instead of cadaver bone? Thanks for any help you can give me!
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Type of bone graft and immediate load
Hello
The type of bone graft material is not crucial- Well recognized and researched materials provide equally great results. Any type of material simply provides matrix for your own bone to grow in to. Now there are some other materials that have bone stimulation properties (osteoinduction).
If bone grafting is needed after your extraction, then it is best to wait at least 6 months before implant placement, and then wait 3-6 months for implants to heal. Immediate load is not a good idea in this circumstances because the nature of grafted bone and how long it takes to mature. For best results, do it in stages.
Dr. Kazemi
Dr. H. Ryan Kazemi
http://www.facialart.com/
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