Why do jaw implants cause bone resorption?

[EnjoyerOf Water]

Just that, I never understood why. In the same way, a bimax with CCW would give an increase in the gonions? Finally, my surgeon said that bone grafting can be done in the areas where there is space in the maxillary lengthenings.

 

[Patient A]

Titanium implants don’t. But they are completely permanent.

 

[Deleted member 18361]

mayb u should stop taking advice from random niggas on the internet

 

[randomvanish]

Titanium implants don’t. But they are completely permanent.

show any study proving that titanium implant doesn't cause resorption as a long-term follow-up.

 

[EnjoyerOf Water]

show any study proving that titanium implant doesn't cause resorption as a long-term follow-up.

mayb u should stop taking advice from random niggas on the internet

These "niggas on the internet" can easily save me the laziness of looking for a fucking long-term study, by the way medicine is a fucking mafia, I shouldn't trust them 100% either.

 

[Deleted member 18361]

These "niggas on the internet" can easily save me the laziness of looking for a fucking long-term study, by the way medicine is a fucking mafia, I shouldn't trust them 100% either.

well guess what buddy? ccwr doesn’t cause more extruding gonions, tht dont even make sense. and titanium implants are rarely used anymore because of price and there are far cheaper, softer materials that can remodel the shape better. but titanium is that one metal that the human body accepts

 

[Cardiologyscribe]

Oh my goodness

 

[EnjoyerOf Water]

bueno adivina que amigo ccwr no causa más goniones extruidos, eso ni siquiera tiene sentido. y los implantes de titanio rara vez se usan debido al precio y hay materiales mucho más baratos y más suaves que pueden remodelar mejor la forma. pero el titanio es ese metal que el cuerpo humano acepta

In other words, you are right in that sense, it is impossible for the maxillary rotation to increase the gonions, but what I am going for is the perceived illusion, the philtrum is shortened, the lip is raised, therefore the gonions would be seen under the lip ( really the lip is the one that went up). The titanium thing is what is expected, I suppose it is a luxury. I would also like to know the reason for the bone absorption, I can't find why, because the bone is reabsorbed.

 

[EnjoyerOf Water]

Oh my goodness

what's up mate?

 

[Cardiologyscribe]

what's up mate?

I hoap this doesn't happen to me

 

[Deleted member 13710]

Three schools of thought on this topic:

1) Off the shelf implants cause resorption but custom ones do not, because off the shelf implants are an imperfect fit, so they cause friction.
2) Anything against the bone for extended periods of time will cause erosion, and it is unavoidable.
3) Well fitted implants (not necessarily custom) will eventually cause bone remodeling to fully "integrate" the implants. As a result, the bone does change shape, but isn't truly worn down.

No way to be certain which of these is true.

 

[EnjoyerOf Water]

I hoap this doesn't happen to me

Ah, meme profile, now I understand. Very funny mate.

 

[EnjoyerOf Water]

Three schools of thought on this topic:

1) Off the shelf implants cause resorption but custom ones do not, because off the shelf implants are an imperfect fit, so they cause friction.
2) Anything against the bone for extended periods of time will cause erosion, and it is unavoidable.
3) Well fitted implants (not necessarily custom) will eventually cause bone remodeling to fully "integrate" the implants. As a result, the bone does change shape, but isn't truly worn down.

No way to be certain which of these is true.

This is fucking interesting and makes sense to me, thanks for being a normal person in this forum friend.

 

[randomvanish]

Three schools of thought on this topic:

1) Off the shelf implants cause resorption but custom ones do not, because off the shelf implants are an imperfect fit, so they cause friction.
2) Anything against the bone for extended periods of time will cause erosion, and it is unavoidable.
3) Well fitted implants (not necessarily custom) will eventually cause bone remodeling to fully "integrate" the implants. As a result, the bone does change shape, but isn't truly worn down.

No way to be certain which of these is true.

there is only 1 (one) long term follow up showing implants that are more than 10 years old, causing resorption 1~2 mm at most. many surgeon, including Dr.Eppley claims that is the implant imprint, meaning there will be no never-ending resorption, it's only the adjustment phase.the bone reacts the new, foreing material.

surgeons say before 2010, screw fixation have not been used in general. they only suture the implant to the soft tissue.

i also find some 60s,70s showing resorption in some cancer kids showing silicone causing resorption but those weren't involved screw fixation.

 

[EnjoyerOf Water]

there is only 1 (one) long term follow up showing implants that are more than 10 years old, causing resorption 1~2 mm at most. many surgeon, including Dr.Eppley claims that is the implant imprint, meaning there will be no never-ending resorption, it's only the adjustment phase.the bone reacts the new, foreing material.

surgeons say before 2010, screw fixation have not been used in general. they only suture the implant to the soft tissue.

i also find some 60s,70s showing resorption in some cancer kids showing silicone causing resorption but those weren't involved screw fixation.

Tell me, in your humble opinion, should those 2 mm be taken into account at most? I think it is literally unremarkable.

 

[EnjoyerOf Water]

solo hay 1 (un) seguimiento a largo plazo que muestra implantes que tienen más de 10 años, causando una reabsorción de 1 ~ 2 mm como máximo. Muchos cirujanos, incluido el Dr. Eppley, afirman que es la huella del implante, lo que significa que no habrá una reabsorción interminable, es solo la fase de ajuste. El hueso reacciona con el nuevo material extraño.

Los cirujanos dicen que antes de 2010, la fijación con tornillos no se ha utilizado en general. solo suturan el implante al tejido blando.

También encontré algunos años 60, 70 que muestran reabsorción en algunos niños con cáncer que muestran silicona que causa reabsorción, pero esos no estaban involucrados en la fijación con tornillos.

Similarly I lost a post that specifies that the "young" (I don't know what age he meant) should stay away from implants, I don't remember the argument he used.

 

[randomvanish]

Tell me, in your humble opinion, should those 2 mm be taken into account at most? I think it is literally unremarkable.

those are also were not fixaded/fixed combined. i think it's a risk can be taken. i found a guy who carry chin implant for 42 years, without any problem.
i also encounter cases like "my chin implant got hit with a tennis ball, now it swollen like hell".
so, some surgeons say long term results of implants are "unknown".

 

[randomvanish]

De igual manera perdí un post que especifica que los "jóvenes" (no sé a qué edad se refería) deben alejarse de los implantes, no recuerdo el argumento que usó.

i don't speak spanish

 

[EnjoyerOf Water]

MB, there I edited it to your language.

 

[EnjoyerOf Water]

those are also were not fixaded/fixed combined. i think it's a risk can be taken. i found a guy who carry chin implant for 42 years, without any problem.
i also encounter cases like "my chin implant got hit with a tennis ball, now it swollen like hell".
so, some surgeons say long term results of implants are "unknown".

I suppose that in case of using an immovable titanium implant, things like that shouldn't happen, ¿what do you think??

 

[randomvanish]

I suppose that in case of using an immovable titanium implant, things like that shouldn't happen, ¿what do you think??

elaborate

 

[Jade]

Implants alone DO NOT cause resorption of any bones.

PEEK, (UHMWPE), Medpore, titanium, Polymethyl methacrylate (PMMA), or even Silicon implants do not cause "resorption" of the bone. The cause of damage to the bone is due to the friction and movement of your muscles pressing on an implant that rubs against your bones.

The rubbing produces a sanding-off effect on the bone. Solid materials like PEEK, Titanium, or UHMWPE, when fixed well (screwed), do not move, and that doesn't damage your bones.

Silicon is flexible and unstable. Your muscles press against it, which causes the bone to deteriorate - it is not the chemical composition of the implant itself.

If you have a silicone implant in your face but never move it, the silicon implants will not cause any issues unless your body reacts to them.

Why is this still an issue? Guys, enough with this, please.

Ask your doctor and find out for yourself.

Unfortunately, your doctor might not know these things either. I know because I see them all the time.

EPPLEY SELLS SILICON IMPLANTS!!! HE HAS SILICON IMPLANTS NAMED AFTER HIM, FOR GOD'S SAKE!!

You can literally buy Eppley's silicone implants and have your particular doctor insert them in you.

Eppley is a good doctor, but just keep that in mind. Silicone implants will not kill you either.

Is there a chance that any foreign object (implant) can cause weird damage to your bones and tissue for the hell of it? Of course.

 

[EnjoyerOf Water]

Implants alone DO NOT cause resorption of any bones.

PEEK, (UHMWPE), Medpore, titanium, Polymethyl methacrylate (PMMA), or even Silicon implants do not cause "resorption" of the bone. The cause of damage to the bone is due to the friction and movement of your muscles pressing on an implant that rubs against your bones.

The rubbing produces a sanding-off effect on the bone. Solid materials like PEEK, Titanium, or UHMWPE, when fixed well (screwed), do not move, and that doesn't damage your bones.

Silicon is flexible and unstable. Your muscles press against it, which causes the bone to deteriorate - it is not the chemical composition of the implant itself.

If you have a silicone implant in your face but never move it, the silicon implants will not cause any issues unless your body reacts to them.

Why is this still an issue? Guys, enough with this, please.

Ask your doctor and find out for yourself.

Unfortunately, your doctor might not know these things either. I know because I see them all the time.

EPPLEY SELLS SILICON IMPLANTS!!! HE HAS SILICON IMPLANTS NAMED AFTER HIM, FOR GOD'S SAKE!!

You can literally buy Eppley's silicone implants and have your particular doctor insert them in you.

Eppley is a good doctor, but just keep that in mind. Silicone implants will not kill you either.

Is there a chance that any foreign object (implant) can cause weird damage to your bones and tissue for the hell of it? Of course.

I understand, but basically I would have to buy personalized titanium implants for my jaw, right? What methods are used to literally make something to the mold of your jaw, or is it computerized and I didn't know it?

 

[EnjoyerOf Water]

Lo que quiero decir es, ¿qué métodos se utilizan para que el implante quede de borde a borde con la mandíbula?

Los implantes por sí solos NO provocan la reabsorción de ningún hueso.

PEEK, (UHMWPE), Medpore, titanio, polimetilmetacrilato (PMMA) o incluso los implantes de silicona no provocan la "reabsorción" del hueso. La causa del daño al hueso se debe a la fricción y el movimiento de los músculos que presionan un implante que roza contra los huesos.

El frotamiento produce un efecto de lijado en el hueso. Los materiales sólidos como PEEK, Titanio o UHMWPE, bien fijados (atornillados), no se mueven y eso no daña tus huesos.

El silicio es flexible e inestable. Sus músculos presionan contra él, lo que hace que el hueso se deteriore; no es la composición química del implante en sí.

Si tiene un implante de silicona en la cara pero nunca lo mueve, los implantes de silicona no causarán ningún problema a menos que su cuerpo reaccione a ellos.

¿Por qué sigue siendo un problema? Chicos, basta de esto, por favor.

Pregúntale a tu médico y descúbrelo por ti mismo.

Desafortunadamente, es posible que su médico tampoco sepa estas cosas. Lo sé porque los veo todo el tiempo.

EPPLEY VENDE IMPLANTES DE SILICIO!!! ¡¡ÉL TIENE IMPLANTES DE SILICIO CON SU NOMBRE, POR EL AMOR DE DIOS!!

Literalmente, puede comprar los implantes de silicona de Eppley y pedirle a su médico que se los inserte.

Eppley es un buen doctor, pero tenlo en cuenta. Los implantes de silicona tampoco te matarán.

¿Existe la posibilidad de que algún objeto extraño (implante) pueda causar un daño extraño a sus huesos y tejidos por el placer de hacerlo? Por supuesto.

 

[Jade]

Lo que quiero decir es, ¿qué métodos se utilizan para que el implante quede de borde a borde con la mandíbula?

Lo que usted necesita es un implante hecho a la medida, (borde a borde) el cual también se le añaden tornillos siempre. El mejor material para esto no es Titanio, sino UHMW polyethylene o PEEK. El Titanio le causará efectos de frio o calor y también es pesado. Por favor, lea mis threads previos y mis otros comentarios.

 

[Jade]

@EnjoyerOf Water Yo me dedico literalmente a diseñar y conectar pacientes con diferentes cirujanos plásticos y maxilofaciales en USA y Mexico.

Por favor, leer mis comentarios anteriores de otros días.

De dónde es usted?

 

[EnjoyerOf Water]

@EnjoyerOf Water Yo me dedico literalmente a diseñar y conectar pacientes con diferentes cirujanos plásticos y maxilofaciales en USA y Mexico.

Por favor, leer mis comentarios anteriores de otros días.

De dónde es usted?

Chile, I live in Chile... Regarding titanium, I say this because regardless of aesthetics, I am of the opinion that a man should always be ready to fight and receive a hard blow.

 

[EnjoyerOf Water]

Lo que usted necesita es un implante hecho a la medida, (borde a borde) el cual también se le añaden tornillos siempre. El mejor material para esto no es Titanio, sino UHMW polyethylene o PEEK. El Titanio le causará efectos de frio o calor y también es pesado. Por favor, lea mis threads previos y mis otros comentarios.

Regarding the maxillofacial, my dentist (well recognized in this country, he attended the previous president and a friend of my family), is in contact with the maxillofacial surgeon, in fact he recommended it to me. However, the bimax will be for functional and aesthetic purposes (maximum possible harmony). However, the jaw implant is merely a whim of mine, and I consider my gonions to be, well, invisible.

 

[Jade]

Chile, I live in Chile... Regarding titanium, I say this because regardless of aesthetics, I am of the opinion that a man should always be ready to fight and receive a hard blow.

Regarding the maxillofacial, my dentist (well recognized in this country, he attended the previous president and a friend of my family), is in contact with the maxillofacial surgeon, in fact he recommended it to me. However, the bimax will be for functional and aesthetic purposes (maximum possible harmony). However, the jaw implant is merely a whim of mine, and I consider my gonions to be, well, invisible.

PEEK and UHMWPE are much harder than your bones.

Even if you use Titanium, you will still brake your bones if you get hit hard.
Titanium is old technology, and most doctors DO NOT want to use it.

Also, you can not buy implants yourself; they are sold to medical professionals only.

If you want to get extreme, titanium is a lot less safe in a "fight." Maybe you should not plan on fighting, ever.

I am really sorry that your dentist had to care for any president or politician. I hope your dentist din't become a thief or a complete piece of crap like all politicians are.

 

[EnjoyerOf Water]

PEEK and UHMWPE are much harder than your bones.

Even if you use Titanium, you will still brake your bones if you get hit hard.
Titanium is old technology, and most doctors DO NOT want to use it.

Also, you can not buy implants yourself; they are sold to medical professionals only.

If you want to get extreme, titanium is a lot less safe in a "fight." Maybe you should not plan on fighting, ever.

I am really sorry that your dentist had to care for any president or politician. I hope your dentist din't become a thief or a complete piece of crap like all politicians are.

On the other hand, he explained to me that the "cracks" that remain in the jaw after a maxillofacial can be filled with bone graft. I say this because I am an athlete (damn having a bad bite and snoring at night, added to a deviated septum, it's hell, it's like constantly carrying a 15k backpack), somehow I still perform well in terms of sport, however I tend to get very skinny in terms of body fat (I could get to 8%, with veins all over my abdomen, etc). This is what worries me, my face also gets very thin (except for the jowls part), when doing a maxillofacial, it would really piss me off if problems were seen. I suppose that with regard to attending to the president, he doesn't really care, he has a painting signed with his photo as a demonstration of "status and professionalism", far from that, meh.

 

[EnjoyerOf Water]

PEEK and UHMWPE are much harder than your bones.

Even if you use Titanium, you will still brake your bones if you get hit hard.
Titanium is old technology, and most doctors DO NOT want to use it.

Also, you can not buy implants yourself; they are sold to medical professionals only.

If you want to get extreme, titanium is a lot less safe in a "fight." Maybe you should not plan on fighting, ever.

I am really sorry that your dentist had to care for any president or politician. I hope your dentist din't become a thief or a complete piece of crap like all politicians are.

I really appreciate your knowledge, but with fighting, I must be ready, I need that "functionality", Besides, I suffer from bruxism (My masseter muscles are really thick), I think a jaw implant that is not 100% added to the force of my masseters could give problems to the bones of my jaw.

 

[Jade]

I really appreciate your knowledge, but with fighting, I must be ready, I need that "functionality", Besides, I suffer from bruxism (My masseter muscles are really thick), I think a jaw implant that is not 100% added to the force of my masseters could give problems to the bones of my jaw.

I believe I understand what you mean.

The best materials and best techniques in the world are as follows:

Custom (hecho a la medida) PEEK or UHMWPE implants. There is nothing better than this in the world.

You could never break or bend PEEK or UHMWPE with your hands. Maybe, you could not even crack them with a hammer.

Yes, you can use bone grafts, but aesthetic control has some limitations. However, that is also a possibility you and your doctor can explore.

 

[EnjoyerOf Water]

I believe I understand what you mean.

The best materials and best techniques in the world are as follows:

Custom (hecho a la medida) PEEK or UHMWPE implants. There is nothing better than this in the world.

You could never break or bend PEEK or UHMWPE with your hands. Maybe, you could not even crack them with a hammer.

Yes, you can use bone grafts, but aesthetic control has some limitations. However, that is also a possibility you and your doctor can explore.

Good, you really know him a lot. It is good to find a user who is not a narcy trying to troll and really contributes with knowledge, I hope I don't take your time, but since I see that you are very well educated on the subject, tell me friend, in your "personal opinion", what do you think of osteotomies to lengthen the branch? I just saw comments from you however, merely in your personal opinion regarding my goals (being ready to take a hit). Oh by the way, you should consider making a donation platform, damn I'm really seeing that you are very dedicated to helping others.

 

[Jade]

Good, you really know him a lot. It is good to find a user who is not a narcy trying to troll and really contributes with knowledge, I hope I don't take your time, but since I see that you are very well educated on the subject, tell me friend, in your "personal opinion", what do you think of osteotomies to lengthen the branch? I just saw comments from you however, merely in your personal opinion regarding my goals (being ready to take a hit). Oh by the way, you should consider making a donation platform, damn I'm really seeing that you are very dedicated to helping others.

Osteotomies for lengthening any bones makes sense many times; however, for the Ramus or any other facial bone, aesthetics alone becomes the predominant factor.

In this case, custom Non-porous UHMWPE or PEEK are ideal. If you don't like how implants make you look, you can easily change that. With osteotomies you are stuck (somewhat).

"Oh by the way, you should consider making a donation platform."

Thanks. I do make an income from working with patients and doctors; I am not sure donations are appropriate for me in this situation.

Who is your doctor?
Do you have a CT Scan yet?

It would be interesting to learn more about your case and work with your doctor on designing and ordering you flawless implants and make you look amazing.

 

[Wallenberg]

1) Off the shelf implants cause resorption but custom ones do not, because off the shelf implants are an imperfect fit, so they cause friction.

Chin or jaw angle implants? I have read chin implants causing a significant amount of resorption, but not jaw angle implants. Not saying jaw angle implants can't cause a significant amount of resorption.

 

[Deleted member 16220]

Would a genioplasty and a gonial angle implant be more ideal than just a full wraparound? The only issue is getting the measurements and face shape perfect if you get a genio. Because you can essentially design an entirely new lower third with full wraparound but with genio you have to account for a bit more.

 

[Deleted member 13710]

Chin or jaw angle implants? I have read chin implants causing a significant amount of resorption, but not jaw angle implants. Not saying jaw angle implants can't cause a significant amount of resorption.

I'm not sure why it would make a difference, unless the greater movement of hte tissues (lips) = more friction.

 

[lonelycurry]

tesseract said:
bueno adivina que amigo ccwr no causa más goniones extruidos, eso ni siquiera tiene sentido. y los implantes de titanio rara vez se usan debido al precio y hay materiales mucho más baratos y más suaves que pueden remodelar mejor la forma. pero el titanio es ese metal que el cuerpo humano acepta

In other words, you are right in that sense, it is impossible for the maxillary rotation to increase the gonions, but what I am going for is the perceived illusion, the philtrum is shortened, the lip is raised, therefore the gonions would be seen under the lip ( really the lip is the one that went up). The titanium thing is what is expected, I suppose it is a luxury. I would also like to know the reason for the bone absorption, I can't find why, because the bone is reabsorbed.

beaner

 

[Dystopian]

Chile, I live in Chile... Regarding titanium, I say this because regardless of aesthetics, I am of the opinion that a man should always be ready to fight and receive a hard blow.

cual es el maxilofacial del q hablas, yo tambien soy de chile, cuantos años tienes?

 

[Eduardo DOV]

I think the solution to this concern is after a few years to have an exam to check how your bones are in that place. what do you think

@EnjoyerOf Water @randomvanish