Dentaltown August 2018 - 51
My theory says grafting with allografts or Bio-Oss type material is what is responsible for the
open contacts. My theory also says that no graft or grafting with resorbable synthetic materials
produces normal bone and does not result in open contacts. Simple-when you see an open
contact, check to see if the site was grafted with an allograft or xenograft (and I can be proven
right or wrong here and now). My client list would be of no value for the research you suggest
because I have no open contacts and I never graft with nonbiocompatible materials. ■
ggsteiner
Member Since: 02/22/10
Post: 51 of 86
5/17/2018
My own lower first molar is an implant. No graft in the socket after extraction. Wide open
mesial contact after five years. Nice theory, Greg, but there are simpler explanations that are
more likely true. ■
almunk
Member Since: 12/17/05
Post: 57 of 86
5/17/2018
This is well-documented in the literature, starting with Wei in 2008, Varthis a few years
later, as well as an article by Koori. All reported open contacts occurred 50 to 53 percent of the
time. Type of abutment, cement, screw, etc., were not factors. Common hypothesis is mesial
drift-this is a compensatory movement due to interdental wear caused by gritty food and
analogous to eruption that compensates for occlusal wear. Interdental wear has been greatly
diminished since the industrial age, as has occlusal wear of physiologic etiology. Nonetheless,
MD has been around for millions of years and it's not going to go away in the mere 160 years
since we cleaned up food.
As I have documented it in my practice, I inform my patients that correction or modification
of the contact may become necessary someday. In other words, the patient is informed that this is a
biologic occurrence that cannot be stopped. I also restore primarily with screw-retained, allowing
either noninvasive addition to the adjacent teeth or to the crown if I can't add to the tooth. ■
MMontana
Member Since: 04/08/18
Post: 71 of 86
5/25/2018
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