Recently Answered Questions
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The area in my mouth where I had undergone many surgical procedures has swollen. Why so?
Query: Hello doctor, I have undergone a lot of orthodontic procedures in my lifetime to fix my underbite and crossbite. Later, I had a canine removed that was fused to the bone of my upper jaw. I also had a bone graft and crown done in that area. That particular area is a bit swollen and puffy. Why so? Pl... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It seems you have got a post-treatment swelling after dental procedures. Orthodontic treatment sometimes causes ankylosis, granuloma, or cystic lesions in the dental arch. However, I would like you to describe yo... Read Full »
Please suggest the best-recommended treatment for femur fracture.
Query: Hi doctor,I had a double fracture in the femur following an accident. In 24 hours, I got intramedullary nail insertion. But, it did not heal even after seven months. I started walking on my leg for a month to induce self heal, but nothing happened. Either bone graft or plate and nails, which is the ... Read Full »
Answer: Hi, Welcome to icliniq.com. This will not heal and so no point in waiting for it to heal. You need to get this intramedullary nail removed. The following treatment has to be done. Get the fracture site open, remove the fibrous tissue, get bleeding fracture surfaces and apply a plate and cercla... Read Full »
How to close a small gap in the soft palate of a 2-month-old baby?
Query: Hi doctor, My 2.6 months old daughter was born with a soft cleft palate and was operated when she was 2 years old. After the surgery, her speech has improved, and no solid food or water is coming out from her nose anymore. Rarely, just a single drop of milk comes out of her nose. Recently, I noticed... Read Full »
Answer: Hi, Welcome to icliniq.com. After going through the photo (attachment removed to protect patient identity), this is what I suggest. Physical examination of your daughter by a doctor is crucial, as the closure of a gap depends on the exact location of it. If the gap is on the soft palate, then it can... Read Full »
I have had osteomyelitis in my fractured leg. Please help.
Query: Hi doctor, Can osteomyelitis infection be cured completely? I met with an accident nine months ago, in which my right leg got fractured. I had surgery and had a rod put inside my leg. After three months, I got osteomyelitis. The doctor drained it but recurred again. My doctor removed the rod and pu... Read Full »
Answer: Hello Welcome to icliniq.com. I have read your query and understand your concern. In any bone infection, first of all, the infected tissue has to be removed completely so that only healthy tissue remains. This requires thorough debridement and if required, an antibiotic spacer to be put inside ... Read Full »
Query: Hello doctor,I would like to learn more about what happens to the bone after a gum graft, such as how it heals, changes, and potentially becomes stronger, or at least partially restores itself after a soft tissue graft is performed. In my case, only the bottom gum is affected, while the top is unaff... Read Full »
Answer: Hello,Welcome to icliniq.com. If gum grafting is performed, it typically takes approximately five to six months for the bone to heal, and the bone's anchorage to the tooth improves during this time. The less interdental bone (the bone between two teeth) that is lost, the faster the healing process t... Read Full »
I have swelling following bone grafting for an implant. Why?
Query: Hi doctor, I have bone grafting done for the implant of my top four central teeth. It was done under general anesthesia, and a molar was extracted to get some bone. I have considerable swelling now. However, the pain is reducing and also taking antibiotics. Is that much swelling normal? Please adv... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for your query. I have reviewed your reports (attachment removed for protecting the patient's identity). There will be swelling for five days to a week because of inflammation. However, the swelling looks normal as your submandibular spaces look fine, and the... Read Full »
The bone graft done three years ago has not healed. Why?
Query: Hello doctor, I had a bone graft done three years back. They placed the abutment six months later. I went back two weeks later to see how it was going and took X-rays. I came back to see how everything healed after a few months. The doctor said that it was not healed. So he wanted to take out the ab... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern Your chief complaint suggests that the bone graft has not worked successfully, so the doctor has advised you to repeat the procedure. There can be many reasons for this, such as technical issues, bone resorption, and in... Read Full »
Can I get a bone graft while on orthodontic treatment?
Query: Hi doctor,Can I get a bone graft in preparation for a subsequent dental implant while I am undergoing Invisalign treatment, or should I wait until the Invisalign treatment is over? A bone graft can take up to a year to heal, so I thought I could get a head start on it now. But, of course, if the Inv... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your question I can understand your concern. If you can, please upload the radiograph you had done before so that I can see how much bone is there and how much augmentation is needed through a bone graft, also where bone graft is needed. Yes, there ... Read Full »
Which is a suitable dental implant for my 50-year-old wife?
Query: Hi doctor, My wife is nearing 50, and she needs a dental implant. Should I go for an immediate loading implant or delayed implant, with or without bone grafting? Her bone density is D3. I have attached the test reports. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the attachments and reports. The reports are all good. There is not much bone loss, and density D3 is normal for posterior mandibular teeth. I concluded that the teeth had not been extracted long back from the case study. I suggest you go for bone grafting, a... Read Full »
Is an implant really necessary after extraction of second molar?
Query: Hi doctor, My second molar in the left side of upper jaw was extracted two months back. I thought of placing an implant. So, bone grafting was done. Now, I got few opinions that implant is not required in that region. Are there any future implications due to gap being there like displacement of adja... Read Full »
Answer: Hi, Welcome to icliniq.com. Because you have done a bone graft, that means there would have been bone loss. The prognosis of the tooth will be poor after implant in that region. If your adjacent teeth are not having or showing any bone loss, you may opt for a fixed partial denture (bridge). Yes, t... Read Full »