alveoleectomy 
Author Message
 alveoleectomy

Hi,

I'm sorry if the %subj% is incorrect. I'm not a doctor and English is
not my native language, so please be indulgent :)

The situation is the following. Six months ago I've got my fixed
dentures (metalloceramics). There were 3 of them:

  - on the left lower (on the teeth number 5-7)
  - on the right lower (on the teeth number 4-5-8)
  - on the right upper (on the teeth number 6-7, covering the
    placeholder of the lost teeth number 5)

The last one was necessary because my upper teeth protruded too much
and it would be impossible to install the lower denture without
removing tips of the upper teeth. I've lost my right teeth very long
ago (lower: 6, 7, upper: 5). But the denture was made so that there is
no gap between the denture and the upper tooth number 4.

So far, so good. I was happy - it took lots of time and resources to
get them and they were good. At last I didn't feel any discomfort with
them. Even better - my doctor told me that if it continued like
before, I'd have problems with the mouth equilibrity in the future
(the right side of my mouth lacked too many teeth), for example, TMJ
problems.

Several weeks ago a small part of the teeth number 4 on the right
upper side fell down. A really small part. In fact I had to pick it
out from the cavity between the denture and the tooth - it was jammed
in there. I even think that it was a piece of a filling.

I thought it's just a matter of putting a new filling. But it turned
out to be much more complicated :( My doctor explained me that it
happened because the denture pressure to the tooth was too much (in
fact, as he says, the denture has moved but I couldn't see it on the
X-ray shot). So the remedy is like this:
        - open the alveole on the tooth 5 and put a special
material on the bone to stop the denture from sliding towards the
tooth 4. I don't remember the exact name of the material, it is
something like beo-micro. The operation is called alveoleectomy.
        - put a special kind of filling into the tooth number 4 which
is much more durable and resistant than a usual one. If I'm not wrong,
he mentioned copolymers.

One of the drawbacks are that the result of the operation will last
only about five years. After that period, another operation(?) might
be required. But he is not sure about this, he just says that possibly
the result will be good enough to secure the denture for the longer
time. Or there will be no need to block it anymore because it will
stabilize itself by the time.

My questions are:
1. I want to know more about this operation. Is there are site where I
can read about it?
2. The material (beo-micro?) which is put directly to the bone, is it
something standard? In fact I've never heard about putting anything
directly onto the bone (I know I'm ignorant). What's the name of this
procedure and again, where can more information be obtained?
3. Are there better ways to fix the problem? In particular, is it
really necessary to go for it? (I'm afraid to neglect any problem now
- I could avoid the upper right denture if I had reacted faster to the
loss of my lower teeth in the past).
4. Any comments you would add?

I understand that it is not possible to diagnose on the distance.
I'd like to hear your professional opinion based on your practice.

Thanks in advance.



Sat, 04 Oct 2003 22:52:50 GMT
 alveoleectomy
Dear Illfak,

Your description does not provide enough clarity for me to truly know what
your condition is and what procedures you are describing.  Could you be
referring to an apicoectomy???
--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.

+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will effect
your health.
......................


Quote:
> Hi,

> I'm sorry if the %subj% is incorrect. I'm not a doctor and English is
> not my native language, so please be indulgent :)

> The situation is the following. Six months ago I've got my fixed
> dentures (metalloceramics). There were 3 of them:

>   - on the left lower (on the teeth number 5-7)
>   - on the right lower (on the teeth number 4-5-8)
>   - on the right upper (on the teeth number 6-7, covering the
>     placeholder of the lost teeth number 5)

> The last one was necessary because my upper teeth protruded too much
> and it would be impossible to install the lower denture without
> removing tips of the upper teeth. I've lost my right teeth very long
> ago (lower: 6, 7, upper: 5). But the denture was made so that there is
> no gap between the denture and the upper tooth number 4.

> So far, so good. I was happy - it took lots of time and resources to
> get them and they were good. At last I didn't feel any discomfort with
> them. Even better - my doctor told me that if it continued like
> before, I'd have problems with the mouth equilibrity in the future
> (the right side of my mouth lacked too many teeth), for example, TMJ
> problems.

> Several weeks ago a small part of the teeth number 4 on the right
> upper side fell down. A really small part. In fact I had to pick it
> out from the cavity between the denture and the tooth - it was jammed
> in there. I even think that it was a piece of a filling.

> I thought it's just a matter of putting a new filling. But it turned
> out to be much more complicated :( My doctor explained me that it
> happened because the denture pressure to the tooth was too much (in
> fact, as he says, the denture has moved but I couldn't see it on the
> X-ray shot). So the remedy is like this:
> - open the alveole on the tooth 5 and put a special
> material on the bone to stop the denture from sliding towards the
> tooth 4. I don't remember the exact name of the material, it is
> something like beo-micro. The operation is called alveoleectomy.
> - put a special kind of filling into the tooth number 4 which
> is much more durable and resistant than a usual one. If I'm not wrong,
> he mentioned copolymers.

> One of the drawbacks are that the result of the operation will last
> only about five years. After that period, another operation(?) might
> be required. But he is not sure about this, he just says that possibly
> the result will be good enough to secure the denture for the longer
> time. Or there will be no need to block it anymore because it will
> stabilize itself by the time.

> My questions are:
> 1. I want to know more about this operation. Is there are site where I
> can read about it?
> 2. The material (beo-micro?) which is put directly to the bone, is it
> something standard? In fact I've never heard about putting anything
> directly onto the bone (I know I'm ignorant). What's the name of this
> procedure and again, where can more information be obtained?
> 3. Are there better ways to fix the problem? In particular, is it
> really necessary to go for it? (I'm afraid to neglect any problem now
> - I could avoid the upper right denture if I had reacted faster to the
> loss of my lower teeth in the past).
> 4. Any comments you would add?

> I understand that it is not possible to diagnose on the distance.
> I'd like to hear your professional opinion based on your practice.

> Thanks in advance.



Sun, 05 Oct 2003 02:57:04 GMT
 alveoleectomy

Sorry for being not clear.

If I'm not wrong, an apicoectomy has something to do with the tooth
roots. In my case, I have no tooth at all - it has been removes years
ago. Now the dentist wants to fill the alveole with a special
material. To access the alveole, he cuts the gum and introduces the
material.

On Tue, 17 Apr 2001 14:57:04 -0400, "Dr. Steve"

Quote:

>Your description does not provide enough clarity for me to truly know what
>your condition is and what procedures you are describing.  Could you be
>referring to an apicoectomy???
>--
>=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
>Stephen Mancuso, D.D.S.

>+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
>This posting is intended for informational or conversational purposes only.
>Always seek the opinion of a licensed dental professional before acting on
>the advice or opinion expressed here.  Only a dentist who has examined you
>in person can diagnose your problems and make decisions which will effect
>your health.
>......................



>> Hi,

>> I'm sorry if the %subj% is incorrect. I'm not a doctor and English is
>> not my native language, so please be indulgent :)

>> The situation is the following. Six months ago I've got my fixed
>> dentures (metalloceramics). There were 3 of them:

>>   - on the left lower (on the teeth number 5-7)
>>   - on the right lower (on the teeth number 4-5-8)
>>   - on the right upper (on the teeth number 6-7, covering the
>>     placeholder of the lost teeth number 5)

>> The last one was necessary because my upper teeth protruded too much
>> and it would be impossible to install the lower denture without
>> removing tips of the upper teeth. I've lost my right teeth very long
>> ago (lower: 6, 7, upper: 5). But the denture was made so that there is
>> no gap between the denture and the upper tooth number 4.

>> So far, so good. I was happy - it took lots of time and resources to
>> get them and they were good. At last I didn't feel any discomfort with
>> them. Even better - my doctor told me that if it continued like
>> before, I'd have problems with the mouth equilibrity in the future
>> (the right side of my mouth lacked too many teeth), for example, TMJ
>> problems.

>> Several weeks ago a small part of the teeth number 4 on the right
>> upper side fell down. A really small part. In fact I had to pick it
>> out from the cavity between the denture and the tooth - it was jammed
>> in there. I even think that it was a piece of a filling.

>> I thought it's just a matter of putting a new filling. But it turned
>> out to be much more complicated :( My doctor explained me that it
>> happened because the denture pressure to the tooth was too much (in
>> fact, as he says, the denture has moved but I couldn't see it on the
>> X-ray shot). So the remedy is like this:
>> - open the alveole on the tooth 5 and put a special
>> material on the bone to stop the denture from sliding towards the
>> tooth 4. I don't remember the exact name of the material, it is
>> something like beo-micro. The operation is called alveoleectomy.
>> - put a special kind of filling into the tooth number 4 which
>> is much more durable and resistant than a usual one. If I'm not wrong,
>> he mentioned copolymers.

>> One of the drawbacks are that the result of the operation will last
>> only about five years. After that period, another operation(?) might
>> be required. But he is not sure about this, he just says that possibly
>> the result will be good enough to secure the denture for the longer
>> time. Or there will be no need to block it anymore because it will
>> stabilize itself by the time.

>> My questions are:
>> 1. I want to know more about this operation. Is there are site where I
>> can read about it?
>> 2. The material (beo-micro?) which is put directly to the bone, is it
>> something standard? In fact I've never heard about putting anything
>> directly onto the bone (I know I'm ignorant). What's the name of this
>> procedure and again, where can more information be obtained?
>> 3. Are there better ways to fix the problem? In particular, is it
>> really necessary to go for it? (I'm afraid to neglect any problem now
>> - I could avoid the upper right denture if I had reacted faster to the
>> loss of my lower teeth in the past).
>> 4. Any comments you would add?

>> I understand that it is not possible to diagnose on the distance.
>> I'd like to hear your professional opinion based on your practice.

>> Thanks in advance.



Sun, 05 Oct 2003 03:50:30 GMT
 alveoleectomy
Now you are describing grafting.  Grafting can be done using a variety of
materials.  Generally, the best material is your own bone.  Some times, your
own bone is not a good choice, so alternatives are chosen.

Often (not always), bone grafting under a denture will shrink and eventually
return to its previous condition.  Fairly consistently, grafting will stay
in place better if an implant is placed into the grafted bone.  This
requires a knowledgeable surgeon with modern materials and techniques.

Now,,,,,,,, if you are talking about a connective tissue graft to "plump" up
the tissues under the artificial tooth of a fixed bridge, that is different.
These are generally some soft tissue removed from under the "gums" on the
roof of your mouth and placed under the "gums" at the recipient site to just
make the tissue *look* more normal.
--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.

+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will effect
your health.
......................


Quote:

> Sorry for being not clear.

> If I'm not wrong, an apicoectomy has something to do with the tooth
> roots. In my case, I have no tooth at all - it has been removes years
> ago. Now the dentist wants to fill the alveole with a special
> material. To access the alveole, he cuts the gum and introduces the
> material.

> On Tue, 17 Apr 2001 14:57:04 -0400, "Dr. Steve"

> >Your description does not provide enough clarity for me to truly know
what
> >your condition is and what procedures you are describing.  Could you be
> >referring to an apicoectomy???
> >--
> >=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> >Stephen Mancuso, D.D.S.

> >+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> >This posting is intended for informational or conversational purposes
only.
> >Always seek the opinion of a licensed dental professional before acting
on
> >the advice or opinion expressed here.  Only a dentist who has examined
you
> >in person can diagnose your problems and make decisions which will effect
> >your health.
> >......................



> >> Hi,

> >> I'm sorry if the %subj% is incorrect. I'm not a doctor and English is
> >> not my native language, so please be indulgent :)

> >> The situation is the following. Six months ago I've got my fixed
> >> dentures (metalloceramics). There were 3 of them:

> >>   - on the left lower (on the teeth number 5-7)
> >>   - on the right lower (on the teeth number 4-5-8)
> >>   - on the right upper (on the teeth number 6-7, covering the
> >>     placeholder of the lost teeth number 5)

> >> The last one was necessary because my upper teeth protruded too much
> >> and it would be impossible to install the lower denture without
> >> removing tips of the upper teeth. I've lost my right teeth very long
> >> ago (lower: 6, 7, upper: 5). But the denture was made so that there is
> >> no gap between the denture and the upper tooth number 4.

> >> So far, so good. I was happy - it took lots of time and resources to
> >> get them and they were good. At last I didn't feel any discomfort with
> >> them. Even better - my doctor told me that if it continued like
> >> before, I'd have problems with the mouth equilibrity in the future
> >> (the right side of my mouth lacked too many teeth), for example, TMJ
> >> problems.

> >> Several weeks ago a small part of the teeth number 4 on the right
> >> upper side fell down. A really small part. In fact I had to pick it
> >> out from the cavity between the denture and the tooth - it was jammed
> >> in there. I even think that it was a piece of a filling.

> >> I thought it's just a matter of putting a new filling. But it turned
> >> out to be much more complicated :( My doctor explained me that it
> >> happened because the denture pressure to the tooth was too much (in
> >> fact, as he says, the denture has moved but I couldn't see it on the
> >> X-ray shot). So the remedy is like this:
> >> - open the alveole on the tooth 5 and put a special
> >> material on the bone to stop the denture from sliding towards the
> >> tooth 4. I don't remember the exact name of the material, it is
> >> something like beo-micro. The operation is called alveoleectomy.
> >> - put a special kind of filling into the tooth number 4 which
> >> is much more durable and resistant than a usual one. If I'm not wrong,
> >> he mentioned copolymers.

> >> One of the drawbacks are that the result of the operation will last
> >> only about five years. After that period, another operation(?) might
> >> be required. But he is not sure about this, he just says that possibly
> >> the result will be good enough to secure the denture for the longer
> >> time. Or there will be no need to block it anymore because it will
> >> stabilize itself by the time.

> >> My questions are:
> >> 1. I want to know more about this operation. Is there are site where I
> >> can read about it?
> >> 2. The material (beo-micro?) which is put directly to the bone, is it
> >> something standard? In fact I've never heard about putting anything
> >> directly onto the bone (I know I'm ignorant). What's the name of this
> >> procedure and again, where can more information be obtained?
> >> 3. Are there better ways to fix the problem? In particular, is it
> >> really necessary to go for it? (I'm afraid to neglect any problem now
> >> - I could avoid the upper right denture if I had reacted faster to the
> >> loss of my lower teeth in the past).
> >> 4. Any comments you would add?

> >> I understand that it is not possible to diagnose on the distance.
> >> I'd like to hear your professional opinion based on your practice.

> >> Thanks in advance.



Sun, 05 Oct 2003 05:44:37 GMT
 alveoleectomy

Quote:
>Often (not always), bone grafting under a denture will shrink and eventually
>return to its previous condition.  

What kind of materials are used for grafting? Organic or non-organic
materials?
If it is non-organic, how can it shirnk?
Have you heard about material named "beo-micro"?

Thanks for the reply!

Quote:

>> If I'm not wrong, an apicoectomy has something to do with the tooth
>> roots. In my case, I have no tooth at all - it has been removes years
>> ago. Now the dentist wants to fill the alveole with a special
>> material. To access the alveole, he cuts the gum and introduces the
>> material.

>> >> I'm sorry if the %subj% is incorrect. I'm not a doctor and English is
>> >> not my native language, so please be indulgent :)

>> >> The situation is the following. Six months ago I've got my fixed
>> >> dentures (metalloceramics). There were 3 of them:

>> >>   - on the left lower (on the teeth number 5-7)
>> >>   - on the right lower (on the teeth number 4-5-8)
>> >>   - on the right upper (on the teeth number 6-7, covering the
>> >>     placeholder of the lost teeth number 5)

>> >> The last one was necessary because my upper teeth protruded too much
>> >> and it would be impossible to install the lower denture without
>> >> removing tips of the upper teeth. I've lost my right teeth very long
>> >> ago (lower: 6, 7, upper: 5). But the denture was made so that there is
>> >> no gap between the denture and the upper tooth number 4.

>> >> So far, so good. I was happy - it took lots of time and resources to
>> >> get them and they were good. At last I didn't feel any discomfort with
>> >> them. Even better - my doctor told me that if it continued like
>> >> before, I'd have problems with the mouth equilibrity in the future
>> >> (the right side of my mouth lacked too many teeth), for example, TMJ
>> >> problems.

>> >> Several weeks ago a small part of the teeth number 4 on the right
>> >> upper side fell down. A really small part. In fact I had to pick it
>> >> out from the cavity between the denture and the tooth - it was jammed
>> >> in there. I even think that it was a piece of a filling.

>> >> I thought it's just a matter of putting a new filling. But it turned
>> >> out to be much more complicated :( My doctor explained me that it
>> >> happened because the denture pressure to the tooth was too much (in
>> >> fact, as he says, the denture has moved but I couldn't see it on the
>> >> X-ray shot). So the remedy is like this:
>> >> - open the alveole on the tooth 5 and put a special
>> >> material on the bone to stop the denture from sliding towards the
>> >> tooth 4. I don't remember the exact name of the material, it is
>> >> something like beo-micro. The operation is called alveoleectomy.
>> >> - put a special kind of filling into the tooth number 4 which
>> >> is much more durable and resistant than a usual one. If I'm not wrong,
>> >> he mentioned copolymers.

>> >> One of the drawbacks are that the result of the operation will last
>> >> only about five years. After that period, another operation(?) might
>> >> be required. But he is not sure about this, he just says that possibly
>> >> the result will be good enough to secure the denture for the longer
>> >> time. Or there will be no need to block it anymore because it will
>> >> stabilize itself by the time.

>> >> My questions are:
>> >> 1. I want to know more about this operation. Is there are site where I
>> >> can read about it?
>> >> 2. The material (beo-micro?) which is put directly to the bone, is it
>> >> something standard? In fact I've never heard about putting anything
>> >> directly onto the bone (I know I'm ignorant). What's the name of this
>> >> procedure and again, where can more information be obtained?
>> >> 3. Are there better ways to fix the problem? In particular, is it
>> >> really necessary to go for it? (I'm afraid to neglect any problem now
>> >> - I could avoid the upper right denture if I had reacted faster to the
>> >> loss of my lower teeth in the past).
>> >> 4. Any comments you would add?

>> >> I understand that it is not possible to diagnose on the distance.
>> >> I'd like to hear your professional opinion based on your practice.

>> >> Thanks in advance.



Sun, 05 Oct 2003 19:25:59 GMT
 alveoleectomy
both.  There is a good journal article I just read that may shed some light
for you.  Email me and I'll scan and send to you.
It shrinks an average of 30-50% due to the desired activation of the bone
growing cells as well as the bone melting cells (same cell base, different
functions) and the process, as everything melts together, ends up with a net
gain of 50-70% (make sense?).  IOW, better than nothing and infact you can
graft as many times as you can go through the surgery and get some gain
(less and less % of course total) each time.  Practicality and avoidance of
complications usually only one surgery is done and every thing is overbuilt.
Autogenous bone usually works the best (bone from you only) but usually we
have to add Human or Bovine (cow) bone to "hold the space" so that faster
growing gum tissue doesn't grow in first before the slower growing bone can
grow into the hole.
Thus the non-organic materials fill the gap (among other thinks in detail)
until the bone can grow in.  Often some of the inorganic matrix stays mixed
with the new bone and so I lean toward organic for now.
the article gives a technical but good study to see the different ones.
(doesn't cover all available)
regards
fmn

--
Practice win-win or no deal. (Stephen R. Covey)

Quote:

> >Often (not always), bone grafting under a denture will shrink and
eventually
> >return to its previous condition.

> What kind of materials are used for grafting? Organic or non-organic
> materials?
> If it is non-organic, how can it shirnk?
> Have you heard about material named "beo-micro"?

> Thanks for the reply!

> >> If I'm not wrong, an apicoectomy has something to do with the tooth
> >> roots. In my case, I have no tooth at all - it has been removes years
> >> ago. Now the dentist wants to fill the alveole with a special
> >> material. To access the alveole, he cuts the gum and introduces the
> >> material.

> >> >> I'm sorry if the %subj% is incorrect. I'm not a doctor and English
is
> >> >> not my native language, so please be indulgent :)

> >> >> The situation is the following. Six months ago I've got my fixed
> >> >> dentures (metalloceramics). There were 3 of them:

> >> >>   - on the left lower (on the teeth number 5-7)
> >> >>   - on the right lower (on the teeth number 4-5-8)
> >> >>   - on the right upper (on the teeth number 6-7, covering the
> >> >>     placeholder of the lost teeth number 5)

> >> >> The last one was necessary because my upper teeth protruded too much
> >> >> and it would be impossible to install the lower denture without
> >> >> removing tips of the upper teeth. I've lost my right teeth very long
> >> >> ago (lower: 6, 7, upper: 5). But the denture was made so that there
is
> >> >> no gap between the denture and the upper tooth number 4.

> >> >> So far, so good. I was happy - it took lots of time and resources to
> >> >> get them and they were good. At last I didn't feel any discomfort
with
> >> >> them. Even better - my doctor told me that if it continued like
> >> >> before, I'd have problems with the mouth equilibrity in the future
> >> >> (the right side of my mouth lacked too many teeth), for example, TMJ
> >> >> problems.

> >> >> Several weeks ago a small part of the teeth number 4 on the right
> >> >> upper side fell down. A really small part. In fact I had to pick it
> >> >> out from the cavity between the denture and the tooth - it was
jammed
> >> >> in there. I even think that it was a piece of a filling.

> >> >> I thought it's just a matter of putting a new filling. But it turned
> >> >> out to be much more complicated :( My doctor explained me that it
> >> >> happened because the denture pressure to the tooth was too much (in
> >> >> fact, as he says, the denture has moved but I couldn't see it on the
> >> >> X-ray shot). So the remedy is like this:
> >> >> - open the alveole on the tooth 5 and put a special
> >> >> material on the bone to stop the denture from sliding towards the
> >> >> tooth 4. I don't remember the exact name of the material, it is
> >> >> something like beo-micro. The operation is called alveoleectomy.
> >> >> - put a special kind of filling into the tooth number 4 which
> >> >> is much more durable and resistant than a usual one. If I'm not
wrong,
> >> >> he mentioned copolymers.

> >> >> One of the drawbacks are that the result of the operation will last
> >> >> only about five years. After that period, another operation(?) might
> >> >> be required. But he is not sure about this, he just says that
possibly
> >> >> the result will be good enough to secure the denture for the longer
> >> >> time. Or there will be no need to block it anymore because it will
> >> >> stabilize itself by the time.

> >> >> My questions are:
> >> >> 1. I want to know more about this operation. Is there are site where
I
> >> >> can read about it?
> >> >> 2. The material (beo-micro?) which is put directly to the bone, is
it
> >> >> something standard? In fact I've never heard about putting anything
> >> >> directly onto the bone (I know I'm ignorant). What's the name of
this
> >> >> procedure and again, where can more information be obtained?
> >> >> 3. Are there better ways to fix the problem? In particular, is it
> >> >> really necessary to go for it? (I'm afraid to neglect any problem
now
> >> >> - I could avoid the upper right denture if I had reacted faster to
the
> >> >> loss of my lower teeth in the past).
> >> >> 4. Any comments you would add?

> >> >> I understand that it is not possible to diagnose on the distance.
> >> >> I'd like to hear your professional opinion based on your practice.

> >> >> Thanks in advance.



Sat, 11 Oct 2003 15:24:42 GMT
 
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