Hi,
I need my lower first molar (next to the bicuspid) extracted soon, due to decay/infection and probably cracked tooth under a crown (with a previous root canal). I have bone loss. My dentist, who is wonderful, feels a mini-implant wouldn't be successful in this situation. I'm hoping he's wrong!
Is it possible to have a successful mini-implant without a bone graft, when there's bone loss?
I have a consult with a local oral surgeon in two days (I don't believe he does mini-implants). I'm told he would do a bone graft at the time of extraction, but I don't want a bone graft. Thank you.

Cheri,

I think if the extraction is done with care to preserve the bone on the cheek side you should be a good candidate for a mini implant and a crown.

If there is not enough bone to place the mini implants the day of extraction you should consider a socket preservation. This is different than a bone graft. To preserve the socket all your dentist will do is to fill the extraction site with some bone putty....totally painless and done right after the roots are out.

Of course bone loss is a concern and your dentist will want to ensure that any active perio disease is under control prior to placing minis. But that is one advantage of the mini...if you have lost bone the mini implant is better suited to take advantage of that reduced width and height of bone.

Best of luck,

Paresh B Patel DDS

Jaw bone supports a dental implant and the dental work connected on top of the dental implant. This bone must remain healthy after the dental implant is placed for the dental implant to last. Unfortunately, the bone surrounding a dental implant is sometimes lost. In many cases bone loss around a dental implant can be treated with bone grafting after the original reason for the bone loss is successfully treated by yor implant dentist. The dental work on top of the dental implant is removed to give the dental implant a rest and the gum tissue is carefully treated to restore its health. The same dental work can often be replaced but in some cases, new dental work must be made.
Carlisle PA Dentists

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