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Bone Grafting Consultations


What is your Gender?
Male
Female
What is your age bracket?
20 - 40
41 - 55
56 - 70
71 - 80
81 and over
Cause of bone loss:
Untreated extractions
Trauma
Gum Disease
Long term use of partials
Long term use of dentures
Long term use of bridgework
Long term decay
Type of dentist used for consultation:
General Dentist
Periodontist
Prosthodontist
Oral Surgeon
Not sure
Reason for not being a candidate for grafts:
Active gum disease
Too much bone loss
Existing bone too weak
Long term smoker
Bone grafts won't last
Bovine (animal) Bone Grafts were discussed
Yes
No
Hip Bone Grafts were discussed:
Yes
No
Synthetic Bone Grafts were discussed:
Yes
No
Chin Block Grafts were discussed:
Yes
No
Ramus Block Grafts were discussed:
Yes
No
Cadaver Block Grafts were discussed:
Yes
No
Were you encouraged to seek other specialists?
Yes
No
Are you currently having difficulty eating?
A little
A lot
Extremely



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