Xenografts and Religious beliefs
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Date
2014
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
South African Dental Association
Abstract
A 24-year old Hindu female presented with missing central incisors
and grossly decayed lateral incisors. Her options were
varied - to have a fixed partial denture, removable partial denture,
or an implant supported prosthesis/prostheses. From the initial
consultation, she decided that once the teeth were extracted
she would prefer dental implant placement. She did not want a
partial denture because she felt she might have difficulty with self
maintenance and was not confident with the aesthetics it might
offer. She specifically wanted independent tooth replacement.
Upon extraction of the lateral incisors, a full thickness flap
was elevated, revealing an anterior maxillary ridge too deficient
in bone to accommodate the planned dental implants.
It was explained to the patient that bone was lacking in the
area and that an additional augmentation procedure would
be required. This would entail a bone block harvested from
her ramus, fixed in place at the implant site and packed
with bone particulate. The patient, though hesitant to have
additional and extensive surgery, felt obliged to continue on
the clinician's recommendation. The bone block was fixed
in place and bone particulate, harvested from the patient's
upper jaw, was combined with bovine bone particulate and
packed between the block and placed implants. A membrane
of porcine pericardium stabilised the graft, the wound
was closed and the patient left to heal for a period of 8
months. She was not informed about the fact that some of
the components of the graft were of animal origin.
Description
Keywords
Dental implants, Prosthodontics, Ethics
Citation
Naidoo, S., Du Toit, J. (2014). Xenografts and Religious beliefs. South African Dental Journal, 69 (1): 28 - 29