Why front teeth jawbone can not be grafted?

Question

I am experiencing a profound jawbone loss especially on the front teeth (50%), all my teeth are loose (I am only 35). The periodontist said that he would do bone grafitng on the jawbone to save some of my teeth by it is not possible to do it for the front teeth. Anybody knows why?

Answer 1

Your front teeth probably have a poor prognosis. If you have 6-7mm of generalized bone loss in the anterior, placing a graft will not help and the graft will most likely fail. I believe you can do bone grafting in the anterior, but if your teeth are not savable, there is no point in wasting your money or your time in doing something that will not help. I am not a periodontist, I am a general dentist. Periodontist specialized for two years after dental school (which takes 4 years after you graduate from an undergraduate college) to learn how to do specialized surgeries, like bone grafting. They would know far better then anyone else you talk to on what will help you in this situation.

Answer 2

consider yourself lucky. go to a biologic dentist. maybe you have cavitations.

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.