When having a wisdom tooth removed, is a bone graft necessary?

Question

My dentist recommended a bone graft for when I have my wisdom teeth removed, but the pics they showed me only had examples of how it helped when you have teeth on both sides of where the bone graft would be. This will be in the very back of my mouth on the bottom. What's the benefit to me?

Answer 1

The only reason bone grafting should be performed after any extraction is if bone density is needed for another procedure such as a dental implant. If that is not the case, I would seek another opinion if I were you. Bone grafting is expensive.

Answer 2

Bone Graft Wisdom Teeth

Answer 3

I had my wisdom teeth taken out and didn't have to have a bone graft either....I strongly suggest you get a second opinion. My dentist, orthodontist and periodontist strongly advised me to get a skin graft done on my front bottom gums and it's the biggest mistake I've ever made. I know this doesn't really pertain to your situation but be sure you find out, that's all I'm saying. I didn't ask what the long term side effects were and I'm gonna be drinking with a straw forever. Be sure you know what your gonna be going through, to an extent, before you go through with it. That way, maybe you won't regret it. Good Luck!!!

Hope it helps some!

Answer 4

Never heard of this. I had all 4 of my wisdom teeth removed and never needed a bone graft. Most people I know did the same. I would get a second opinion just in case. Could be something with your particular mouth and a reason behind it. I'm sure it's costly even with insurance coverage. Second opinion never hurt anyone. Play it safe.

Answer 5

do not get a bone graft. it is unecessary and won't work. most are made from dead pig or cow bone. unless you get live bone from yourself, your body will build up antibodies to it and launch an immune response. they only last a few years. go to a biologic dentist who is qualified to pull teeth.

EXTRACTIONS

Extractions have to be done well. Normally they pull a tooth out, stick a piece of gauze in there and say bite on it. After the tooth is removed, the socket has to be completely cleaned so that complete healing can occur. If tissue such as torn pieces of ligaments or periosteum is left in the socket and covers the bone, the bone will tend to heal over the top, leaving a hole in the bone, and new bone cannot form. This hole can persist for the rest of the patient's life. It is a chronic infection that is called an alveolar cavitational osteopathosis or cavitation. This means that there is an infected cavity in the bone. These bone infections are only now being seriously researched. If they are fairly easy to prevent by proper socket cleaning, why is this not being done? But many if not most dentists have never heard of cavitations.

CAVITATIONS

A cavitation is an unhealed hole in the jawbone caused by an extracted tooth [or a root canal or an injury to a tooth]. Since wisdom teeth are the most commonly extracted teeth, most cavitations are found in the wisdom tooth sites. Please see the graphic and photo below to get a glimpse of what may be in your mouth and the effects it is having. The photo and diagram demonstrate the destructive and pathologic consequence of a routine tooth extraction. Dentists are taught in dental school that once they pull a tooth, the patient's body heals the resulting hole in the jawbone. However, approximately 95% of all tooth extractions result in a pathologic defect called a cavitation. The tooth is attached to the jawbone by a periodontal ligament which is comprised of "jillions" of microscopic fibers. One end of each fiber is attached to the jawbone and the other end of the fiber is attached to the tooth root. When a tooth is extracted, the fibers break midway between the root and the bone. This leaves the socket (the area where the root was anchored in the bone) coated with periodontal ligament fibers.

There are specialized cells in the bone called osteoblasts. Osteoblasts make new bone. The word "osteoblast" means bone former. They are active during growth and maintenance. However, the periodontal ligament prevents the osteoblasts from filling in the tooth socket with bone since the periodontal ligament fibers lining the socket act as a barrier beyond which the osteoblasts cannot form bone. In other words, an osteoblast "sees" a tooth when it "sees" periodontal ligament fibers. Since there are billions of bacteria in the mouth, they easily get into the open tooth socket. Since the bone is unable to fill in the defect of the socket, the newly formed "cavitation" is now infected. Since there is no blood supply to the "cavitation" it is called "ischemic" or "avascular" (without a blood supply). This results in necrosis (tissue death). Hence we call a cavitation an unhealed, chronically infected, avascular, necrotic hole in the bone. The defect acts to an acupuncture meridian the same way a dead tooth (or root canal tooth) acts. It causes an interference field on the meridian which can impair the function and health of other tissues, organs and structures on the meridian. Significantly, the bacteria in the cavitation also produce the same deadly toxins that are produced by the bacteria in root canals (see Root Canals). These toxins are thio-ethers (most toxic organic substance known to man), thio-ethanols, and mercaptans. They have been found in the tumors in women with breast cancer.

Answer 6

Seek another medical opinion. No one in my family had a bone graft with wisdom tooth removal. Perhaps you have a condition which warrants it, but get that second opinion!
Good luck!

Answer 7

I had 2 wisdom teeth removed in my early 20s. It entailed oral surgery and was quite painful for about 2 weeks. I remember being black and blue on my cheek for quite some time. In general, if the teeth are bothering you- pain or discomfort, and you are willing to go through what it takes to remove them, then that would be sound reason to do so. Yes, it is also true, that these teeth are hard to clean and can become decayed, but some of that can be prevented with good hygiene and regular professional cleanings. I personally feel that the "regular" removal of wisdom teeth is not warranted in many if not most cases. It seems to be the trend now. In the end, it is a personal decision. I'd suggest you go with your first instinct, "if it is not broken, don't fix it".

Answer 8

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