Author Topic: Bone Grafting: Current and Future Methods  (Read 1177 times)

Lefortitude

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Bone Grafting: Current and Future Methods
« on: April 24, 2017, 10:52:37 AM »
Bone grafting is something many of us have experienced.  It is often an essential part of a number of surgical procedures, including bimax, ZSO, Chin wing, and many others.  Most people who undergo jaw surgery will have some kind of bone grafting done, be it Autogenous (patients own bone), an Allograft (human cadaver bone), synthetic bone substitutes OR one of the many new innovative bone graft alternatives such as demineralized bone matricies or blood products.   

Id like to hear some peoples experiences with bone grafting, in terms of the pain, scar, change in sensation, impacts on mobility, healing, and tips to dealing with it. 

Also, there is ALOT of research being done in this field.  New and innovative techniques will soon make the old ones obsolete.  The FDA recently cleared Bone morphogenic proteins for specific uses, which can STIMULATE BONE FORMATION!

"These proteins can be produced, concentrated and placed in the body in areas where bone formation is needed and are powerful enough to stimulate bone formation without the need for taking the patient's own bone...They accomplish this by stimulating "regular" cells to turn into bone forming cells"

Source: https://www.spineuniverse.com/exams-tests/bone-grafts-new-developments

What do you think? Is a breakthrough around the corner?



 




girl

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Re: Bone Grafting: Current and Future Methods
« Reply #1 on: April 26, 2017, 02:42:27 PM »
Particulated bone grafts using 'spares' from surgery, mixed with PRP, is the latest thing I've come across that's currently 'in use'.

See this article from Korea re. forehead augmentation: https://komci.org/GSResult.php?RID=0014JKSAPS%2F2011.17.1.17&DT=6&ITEMNO=4&TITEM=9

I was told by a member that bone grafts can reabsorb but mixing with PRP is thought to increase survival. There are 2 articles studying this - one suggests that PRP can increase the survival, another concluded that there was no difference.

These types of grafts, I assume, differ from block bone grafts and HA paste (synthetic version).

Bone morphogenic proteins hold promise, but it's a grey area - like SVF (stromal vascular fraction) fat grafting.