Dafuq? Do you mind asking him if he has any case studies by himself or his colleagues that demonstrate this ?
- can you ask him how many months post op that he sees this?
- does it depend on where it was used or the amount used ?
- is it reversible ?
I've heard the complete OPPOSITE about HA that it stabilizes bone . s**t.
....Will not lie reading this gave me a sinking feeling in my gut.
I'll absolutely do that. If people have questions about this put them here and I'll ask as I honestly found his response quite shocking. After all most studies have mentioned reabsorption and stability issues but never actual native bone loss.
The other thing that I'm not sure I emphasised enough in my original post was he kept referring to "onlays" when discussing this. Perhaps there is a nuance I'm missing here? However I never mentioned implants only ever hydroxyapatite so I can't imagine that there was much confusion. I'll be sure to confirm just what he means by 'onlay' and whether he is talking about HA paste or some other kind of similar grafting / filler substance. He also said many surgeons seem to prefer to use "onlays" as it can be done far quicker and simpler than recitfying the problem with an osteotomy or distraction (in reference to me talking about MM and jaw angles). It was also following this thread of conversation that he brought up titanium as an excellent choice. So
MAYBE he was referring to implants all along? Although titanium is also used for the screws and brackets in maxfac work. Who knows?
It definitely warrants some digging into. Dr Triaca didn't come across like the kind of guy who would lie about this, nor do I see a reason why he would lie about it.
If you think about it, lying about results of a malar osteotomy in the case of Dr Alfaro makes sense. He claimed that his malar osteotomies were unstable and kept reverting to baseline when every other surgeon's experience is the exact opposite. So there is something in it for him to trash a ZSO / ZO. However in the case of HA paste any surgeon can use it, it clearly has a great deal of utility. Avoiding using it would only be to the surgeons detriment.
Hope you can follow that line of thought. I find it bizarre that HA paste could truly cause such things.