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Started By
Message
OT Dentists: Is A Bone Graft Necessary After Having Wisdom Tooth Pulled?
Posted on 7/9/15 at 7:26 am
Posted on 7/9/15 at 7:26 am
Oral surgeon says I need to have 3 of my wisdom teeth extracted. Ok, no biggie. Insurance will cover 80%.
He then says that since I'm close to 30, he highly recommends having a bone graft done to #17. He says it will really lessen recovery time and amount of pain. Sounds great, until I find out it's a little over $500 and of course insurance doesn't cover any of it. They say I can let them know on day of surgery.
I get home and Google and can't really find anything for or against doing this after a lower wisdom tooth removal. Everything I could find was in reference to implants.
This is one of the top oral surgeons in Dallas btw. A really well regarded oral surgeon, so I'd hope he's not recommending unnecessary procedures. Of course, if it is beneficial, i'd have it done.
Any opinions on this?
He then says that since I'm close to 30, he highly recommends having a bone graft done to #17. He says it will really lessen recovery time and amount of pain. Sounds great, until I find out it's a little over $500 and of course insurance doesn't cover any of it. They say I can let them know on day of surgery.
I get home and Google and can't really find anything for or against doing this after a lower wisdom tooth removal. Everything I could find was in reference to implants.
This is one of the top oral surgeons in Dallas btw. A really well regarded oral surgeon, so I'd hope he's not recommending unnecessary procedures. Of course, if it is beneficial, i'd have it done.
Any opinions on this?
12
Posted on 7/9/15 at 7:28 am to SirSaintly
I got 2 pulled at 29 and didn't even hear about this. Of course this was a military doctor. She didn't even put me out. Just a numbing shot and a bottle of Motrin and sent me on my way
Posted on 7/9/15 at 7:32 am to SirSaintly
Initials of this oral surgeon?
Posted on 7/9/15 at 7:41 am to SirSaintly
Post your radiographs. I'll let you know.
Posted on 7/9/15 at 7:42 am to SirSaintly
I had all 4 of mine pulled over 30 years old, and was never told about this. My recovery time was teeth pulled in the AM felt like a million bucks that evening eating a poboy 
. Nervous for years hearing horror stories and couldn't have asked for easier.
. Nervous for years hearing horror stories and couldn't have asked for easier. This post was edited on 7/9/15 at 7:45 am
Posted on 7/9/15 at 7:50 am to SirSaintly
I got all 4 of mine pulled when I was 29 and there was no mention of a bone graft 
Posted on 7/9/15 at 8:23 am to ForeverLSU02
I got my pulled at 35 from the best oral surgeon in my area and a bone graft was never mentioned. However, the two that were pulled were already fully exposed which made the procedure much easier for the doctor.
I did opt to be put out simply because insurance covered it. Therefore, why not? I woke up with two large holes in my jaw but otherwise felt great.
ETA: It took over 6 months before those holes fully healed over. They never got infected or hurt, but every now-and-then food would get stuck in the holes which was annoying. I remember a few times I had to use tweezers to pull crap out of the holes.
I did opt to be put out simply because insurance covered it. Therefore, why not? I woke up with two large holes in my jaw but otherwise felt great.
ETA: It took over 6 months before those holes fully healed over. They never got infected or hurt, but every now-and-then food would get stuck in the holes which was annoying. I remember a few times I had to use tweezers to pull crap out of the holes.
This post was edited on 7/9/15 at 8:25 am
Posted on 7/9/15 at 8:24 am to SirSaintly
Probably the same dentist that bought the Pennington Estate.
Posted on 7/9/15 at 8:26 am to REB BEER
quote:
Probably the same dentist that bought the Pennington Estate.
That's like a $7 million estate, right...and that was at an incredible discount if I remember correctly. How the hell does a dentist afford a $7 million home?
Posted on 7/9/15 at 8:27 am to ForeverLSU02
I'm a dentist who has been performing this procedure for 28 years. Yes,of course, bone is often times removed in order to "uncover" the impacted wisdom tooth. Yes, this does leave a void in the bone...for a period of time. However, the younger the patient is for the procedure, the more that this bone will regenerate. On an xray, in someone 35 years and younger, by the time that patient is in their mid-40's, there will be virtually no radiographic evidence that there was a tooth lost there...nor bone lost there.
Grafting is a necessary part of implant placement in many cases. It is my professional opinion that grafting is NOT a normal procedure related to wisdom teeth surgery.
Grafting is a necessary part of implant placement in many cases. It is my professional opinion that grafting is NOT a normal procedure related to wisdom teeth surgery.
Posted on 7/9/15 at 8:28 am to mizzoukills
quote:
How the hell does a dentist afford a $7 million home?
He has other business interests besides his dental practice(s)?
These medical types like their mailbox money. And the smart ones have really big mailboxes.
Posted on 7/9/15 at 8:29 am to tbabino
quote:
I'm a dentist who has been performing this procedure for 28 years. Yes,of course, bone is often times removed in order to "uncover" the impacted wisdom tooth. Yes, this does leave a void in the bone...for a period of time. However, the younger the patient is for the procedure, the more that this bone will regenerate. On an xray, in someone 35 years and younger, by the time that patient is in their mid-40's, there will be virtually no radiographic evidence that there was a tooth lost there...nor bone lost there.
Grafting is a necessary part of implant placement in many cases. It is my professional opinion that grafting is NOT a normal procedure related to wisdom teeth surgery.
This is why I love TD
Posted on 7/9/15 at 8:29 am to SirSaintly
I had all of mine removed when I was 29. All I did was go in, get some shots, he cracked them and pulled out the pieces, and I was out of the chair 15 minutes later.
Cost was like $65/tooth. It wasn't sore at all, and I went back to work off of pain meds the next day
Cost was like $65/tooth. It wasn't sore at all, and I went back to work off of pain meds the next day
Posted on 7/9/15 at 8:29 am to tbabino
quote:
It is my professional opinion that grafting is NOT a normal procedure related to wisdom teeth surgery.
Like I said, I was 35 when mine were taken out by the best oral surgeon in my area and a bone graft was never once mentioned as an option.
Posted on 7/9/15 at 8:30 am to SirSaintly
Had all 4 pulled when I was 40. No graft, no problems.
Posted on 7/9/15 at 8:31 am to SirSaintly
Well you already let him sucker you with the wisdom teeth thing in the first place, might as well go whole hog and let him rip you off a little more.
Posted on 7/9/15 at 8:33 am to WPBTiger
My cousin just had her wisdoms pulled, she's around 50 years old, and she was drinking wine and shootin' the shite the next day.
Posted on 7/9/15 at 8:34 am to RandySavage
quote:
Well you already let him sucker you with the wisdom teeth thing in the first place, might as well go whole hog and let him rip you off a little more.
Would the TD Dentist like to weigh in?
Posted on 7/9/15 at 8:37 am to SirSaintly
Had all 4 pulled back in November and didn't even know this was a thing.
Posted on 7/9/15 at 10:21 am to ruzil
All I have is this pany X-ray
xray
He's taking 3 of the wisdoms. Leaving bottom right (bottom left on X-ray) b/c it's embedded in jawbone and VERY close to nerve. He says if it's not giving me problems(it's not), then it's too risky to remove.
I've shown other people this X-ray and they think it's nuts he's leaving that one as it's impacted. Of course, they're not dentists or oral surgeons.
Just wants to do bone graft to 17. Was referred to oral surgeon b/c 17 erupted partially and became infected. Also developed Pericoronitis according to dentist. Hurt like a mofo. Prescribed antibiotics and pain has gone away. Dentist said if it got infected once, it would again so suggested having it extracted and said I may as well have all of them done. That's how I ended up at oral surgeon.
xray
He's taking 3 of the wisdoms. Leaving bottom right (bottom left on X-ray) b/c it's embedded in jawbone and VERY close to nerve. He says if it's not giving me problems(it's not), then it's too risky to remove.
I've shown other people this X-ray and they think it's nuts he's leaving that one as it's impacted. Of course, they're not dentists or oral surgeons.
Just wants to do bone graft to 17. Was referred to oral surgeon b/c 17 erupted partially and became infected. Also developed Pericoronitis according to dentist. Hurt like a mofo. Prescribed antibiotics and pain has gone away. Dentist said if it got infected once, it would again so suggested having it extracted and said I may as well have all of them done. That's how I ended up at oral surgeon.
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