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Dentistry/Upper Palate Bone Loss


Dr. Tieg, My dentist said I have receding bone behind my upper maxilla area from long time denture wearing, He said My ridge of bone is still hard to hold on to the denture. He seen no irritation or gum problems, just atrophy on the right side. He cannot reline or rebase it because it wouldn't work. He said I need to go to an oral surgeon and have a CT scan.  I can not get in the office until early June for an appointment. Also, he said I would need to have that area filled in with bone, before I could get the reline. Does that mean I would later have to have and implant placed after the allograft bone, Does that mean because the added bone will eventually melt away? Thanks

JoAnn - this is a tough question for me to answer without examining you.  If excessive bone has worn away from an ill fitting denture, then a bone graft and implant is the technique that is recommended these days.  The CT scan will tell the surgeon where the implants can be placed and what areas specifically need a bone graft.  

So I think the plan these doctors are coming up with is for a graft followed with implants.  Is that wrong? Probably not, but it will require quite a bit of time before this whole reconstruction is complete.  Second, this will probably be expensive.  I am not saying this approach is wrong, but you need to be aware of the plan and the costs before you commit.  You need to ask the doctors put down on a piece of paper their plans.  Also they need to tell you options.  There is not only one technique so they need to let you know all the approaches possible.  

I wish you well and hope the final treatment is best for you.  If you wish, after they review and give you options, you can get back to me and I'll try to help you make appropriate decisions.


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Joel S. Teig, DMD, Diplomate ABOMS, retired


I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.


Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.

American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

BA -University of Connecticut DMD - University of Pennsylvania School of Dental Medicine

Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude

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