Significant bone erosion after jaw implant removal

[Clover*]

I recently removed gore-tex jaw implants after a procedure I had 8 years ago in hopes to then perform a bimax surgery which I should have done day one besides trying to camouflage the issue. Post removal of the gore-tex the surgeon found significant bone erosion created by the implants which he said will make it impossible to perform a bimax given there isn't enough bone density to work with where the bsso cuts need to go. He said I will need to wait some time in hope the bone re-grows/remodels allowing enough density to perform the bimax.

Has anyone heard of any similar cases to this before? Also can anyone advise on what can be taken to encourage or speed up new bone formation on the jaw?

 

[lurking truecel]

If you are adult new bone will not grow, unlucky

 

[BimaxPLZ]

fucking brutal

 

[BimaxPLZ]

was your implant fixated with screws ?

 

[key]

Also can anyone advise on what can be taken to encourage or speed up new bone formation on the jaw?

Resorbed bone doesn't grow back, your dr sounds like a retard.

Find a new one who can perform the surgery in your current condition, a skilled dr will improvise and find a solution

 

[Clover*]

was your implant fixated with screws ?

Fixated with one screw, but the Dr said there was rotation which caused the bone erosion.

 

[Clover*]

Resorbed bone doesn't grow back, your dr sounds like a retard.

Find a new one who can perform the surgery in your current condition, a skilled dr will improvise and find a solution

It's Dr Raffaini who was the surgeon, given his background I would expect he knows what he is talking about? He said we see new bone formation every 6 months.

 

[lurking truecel]

It's Dr Raffaini who was the surgeon, given his background I would expect he knows what he is talking about? He said we see new bone formation every 6 months.

Sure if its a fracture

 

[monecel]

Brutal, surgeons using materials other than titanium or PEEK is actually retarded and you should be liable for damages ngl

 

[tweaqo]

@lurking truecel


I am now fully convinced I will never get any jaw angle implant, no matter what. There are too many risks associated with it, this being one of them.

Ima just stick to ramus widening when I get bimax, and also might chew some hard gum for a while to get slightly big masseters.

 

[lurking truecel]

@lurking truecel


I am now fully convinced I will never get any jaw angle implant, no matter what. There are too many risks associated with it, this being one of them.

Ima just stick to ramus widening when I get bimax, and also might chew some hard gum for a while to get slightly big masseters.

Yea, chew when bite is perfect

 

[monecel]

@lurking truecel


I am now fully convinced I will never get any jaw angle implant, no matter what. There are too many risks associated with it, this being one of them.

Ima just stick to ramus widening when I get bimax, and also might chew some hard gum for a while to get slightly big masseters.

This is because of the wrong material, not the location, PEEK would not do this

 

[tweaqo]

This is because of the wrong material, not the location, PEEK would not do this

Yeah it’s true that some materials have better biocompatibility like PEEK, but regardless i dont need them that much, I can just widen a few mm with BSSO and get larger masseters.

I don’t wanna have to remove any implant in a few decades, and I also don’t wanna risk masseter dehiscence

 

[lurking truecel]

This is because of the wrong material, not the location, PEEK would not do this

This is not material its the how they fixated the implant. Apparently both ram and pag has had cases where the jaw implant loosened with time and started resorption

 

[Mr.Proper]

what can be taken to encourage or speed up new bone formation on the jaw

I think it can overlap with bone fracturing healing, to done degree, so, pulsed ultrasound, laser and other instrumental methods. Prp, maybe igf-1, osteoporosis drugs (should be careful with them, though).

 

[monecel]

This is not material its the how they fixated the implant. Apparently both ram and pag has had cases where the jaw implant loosened with time and started resorption

I don't see how you would have any resorption at all with the right material though

 

[RealSurgerymax]

I recently removed gore-tex jaw implants after a procedure I had 8 years ago in hopes to then perform a bimax surgery which I should have done day one besides trying to camouflage the issue. Post removal of the gore-tex the surgeon found significant bone erosion created by the implants which he said will make it impossible to perform a bimax given there isn't enough bone density to work with where the bsso cuts need to go. He said I will need to wait some time in hope the bone re-grows/remodels allowing enough density to perform the bimax.

Has anyone heard of any similar cases to this before? Also can anyone advise on what can be taken to encourage or speed up new bone formation on the jaw?

If you are adult new bone will not grow, unlucky

Actually I invented a way.

We can put the bone back with a special technique.

He could have BSSO 6 months later.