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Failed bone grafted again

User Level:
Patient
Posted by: wanderlust  (3 years ago)
Hi, would love some feedback on what path I should take on a second failed bone graft on my second molar. I was without this tooth for a number of years and when I was able to finally do something about it, there was a need for a bone graft. I first had the implant out in, and then the bone graft. This was in early last year. But after a number of months when I went back to the oral surgeon he said it had fail and the tops of the thread on the implant were exposed. He did another bone graft and I just saw him this week and the exact same thing. He said there is no way he would crown the implant because there is a risk of infection and compromise of failure to the implant. He wants to remove the implant and do a bone graft, let that set for a few months then put a new implant in. He said he can't reuse my old implant.

I'm not sure if I should go to a new oral surgeon or if this all sounds on the up and up and this isn't out of the normal. But this is expense and I'm also thinking it's a back molar, maybe just forget the implant.
User Level:
Dentist
Hi, would love some feedback on what path I should take on a second failed bone graft on my second molar. I was without this tooth for a number of years and when I was able to finally do something about it, there was a need for a bone graft. I first had the implant out in, and then the bone graft. This was in early last year. But after a number of months when I went back to the oral surgeon he said it had fail and the tops of the thread on the implant were exposed. He did another bone graft and I just saw him this week and the exact same thing. He said there is no way he would crown the implant because there is a risk of infection and compromise of failure to the implant. He wants to remove the implant and do a bone graft, let that set for a few months then put a new implant in. He said he can't reuse my old implant.

I'm not sure if I should go to a new oral surgeon or if this all sounds on the up and up and this isn't out of the normal. But this is expense and I'm also thinking it's a back molar, maybe just forget the implant.


Second molar implants, particularly second molar implants, are the least predictable in the mouth. I lost an upper second molar implant in my own mother. With two failures, I would just call it quits. Modern humans chew quite well if they have back to their fist molars.
Posted 3 years ago
User Level:
Patient
Posted by: wanderlust  (3 years ago)
Thank you for your reply. I had called him before I saw this and told him that I just could do it again, with the cost and everything. He said he would just charge me $200 for the bone graft. There would be no cost for the implant because I had picked a top of the line implant (noble bio-care), the companies policy because it had failed is he sends the implant back and they send him a new one, no cost. I've already paid for the crown, which was done, when he did the crowns for two other implants. So, for $200 I will try one more time, and thats it.

Your post really helped me knowing that this isn't uncommon. Thank you very much.
User Level:
Patient
Posted by: wanderlust  (3 years ago)
Not sure why I can't edit and pots but in my above post. I meant to say "I had called him before I saw this and told him I COULDN'T do it again.
User Level:
Dentist
Not sure why I can't edit and pots but in my above post. I meant to say "I had called him before I saw this and told him I COULDN'T do it again.

I could not edit my post either! I mean to say "particularly UPPER second molar implants are the least predictable."

Nobel is a fine implant company. I use their NobelActive and Tapered Select models. You are a trooper to go through the whole thing again. Don't think I could do it. Hope you have the same HEIGHT of bone as before. Often height is lost when an implant fails. A good idea would be to have a bite guard after the new implant and crown is placed. You might be grinding your teeth at night, which puts damaging lateral forces on the implant.
Posted 3 years ago
User Level:
Patient
Posted by: wanderlust  (3 years ago)
This will be it for me, if it doesn't work out. There really isn't any major pain. It's just the discouragement of it failing and just wanting it all done. I will certainly get a mouth guard. I've never grinded my teeth, but for the time being I'll get one and use it. Thank you for all your help. I'll let you know if it works in a few months.
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