Bone Graft

Bone grafting is a surgical procedure that helps in fixing bones that are damaged from trauma. A bone graft is a choice of repairing bones present anywhere in the body. A bone graft helps in filling an area where the bone is absent. It is of two types such as allograft and autograft. An allograft uses bone from a deceased donor that is cleaned and stored in a tissue bank. Autograft is taking bone from the other organs of the body.

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Which implant is better for my 50-year-old wife with a bone density of D3? Immediate loading or delayed implant?

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 »

Dr. Ummah Mohammad

Answer: Hello, Welcome to 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 »

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 notice...  Read Full »

Dr. Mehak Agarwal

Answer: Hi, Welcome to 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 c...  Read Full »

Why do I get pain in implant after bone graft surgery?

Query: Hello doctor, I recently had a dental implant to replace one of my lower front teeth. At the time of the surgery, I was informed that I had bone loss, so they did a bone graft on the spot and placed the implant. The abutment was left out so that I could put a temporary tooth on the top of it (inste...  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to The temporary should never have been placed along with the placement of the implant. The implant space should have been closed using sutures and waited for four to six months before giving any load over it. The implant mostly failed due to the load on it and poss...  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 have started walking on leg before a month to induce self heal, but nothing happened. Either bone graft or plate and nails, which ...  Read Full »

Dr. Lokesh

Answer: Hi, Welcome to 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 cerclage wi...  Read Full »

Can fibrous cortical defect in tibia be cured?

Query: Hi doctor, I am suffering mild pain in the middle part of my right leg tibia. An MRI was done and the doctor said that I have fibrous cortical defect. I would like to know is it completely curable.  Read Full »

Dr. Lokesh

Answer: Hi, Welcome to Fibrous cortical defect is also called as non-ossifying fibroma. It is a benign tumor. It usually occurs in children and also usually in the tibia bone. Most of the time it regresses on its own and casting is required. But, if the lesion is found to be too long or involvi...  Read Full »

Can you reverse avascular necrosis?

Query: Hi doctor, I have pain in thighs, hip joints and legs for more than a year. Reports indicate avascular necrosis stage 3. Doctor has recommended me hip replacement. I am really scared of this. Because I did a lot of research on internet about this. I got to know a lot of restriction and risk of dislo...  Read Full »

Dr. Berry Chirag Ashok

Answer: Hi, Welcome to Thank you for using this platform. From the information you provided, it seems like you have stage 3 avascular necrosis (AVN). While there are numerous causes for AVN and often there is no identifiable cause, the prognosis is not very favorable once you reach stage 3. ...  Read Full »

Had an extraction and bone graft was placed over it. Is there any chance for dry socket?

Query: Hi doctor, I had an extraction of a molar in the morning, and a bone graft was placed over it. My surgeon placed a collagen plug over it to make the graft to stay in place. Can I have a blood clot below it? I am afraid of getting a dry socket. Last time, I had a dry socket, when I had a wisdom toot...  Read Full »

Dr. Gaurav Pandey

Answer: Hi, Welcome to First, remove your fear present in your mind. A bone graft present with membrane prevents dry socket formation, and it makes a better environment to have socket healing. Bone graft is not fully utilized in the socket, as it a foreign material. Some amount of graft is re...  Read Full »

What are the treatment options for dental cysts?

Query: Hello doctor, I have two cysts in relation to upper right canine and premolar. Since I did not know anything about it, I ignored it. But last year I got an OPG, and I saw the cysts in it. I do not have pain or swelling, but whenever I touch the root of the upper teeth on the gums, I feel a sensation...  Read Full »

Dr. Tinu Thampy

Answer: Hello, Welcome to The OPG (attachment removed to protect patient identity) shows a cystic lesion extending from your upper right canine to the last molar. Maxillary sinus floor is also involved. Enucleation is a surgical procedure to remove the cystic lesion, depending on the cyst siz...  Read Full »

Shall I opt flap surgery and bone graft for my loose tooth?

Query: Hi doctor, I am having severe toothache and loose teeth. I used to chew tobacco for the past 10 years. I am getting severe tooth pain often and some blister in the gums. My upper sixth tooth got loose and was removed three years ago. I have been to a local dentist and they advised deep scaling, root...  Read Full »

Dr. Naveen Thomas

Answer: Hi, Welcome to It seems that the loose teeth have gone beyond repair and should be removed (attachment removed to protect patient identity). The alternative treatment plan, which is cost effective, do deep scaling first to get clean gums and teeth and then use Betadine mouthwash for ...  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 adj...  Read Full »

Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to 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,...  Read Full »

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