Over a period of time, the jawbone associated with missing teeth atrophies is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants.
With bone grafting, we now have the opportunity to not only replace bone where it is missing, but also the ability to promote new bone growth in that location! This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and esthetic appearance.
Autogenous bone grafts, also known as autografts, are made from your own bone, taken from somewhere else in the body. The bone is typically harvested from the chin, jaw, lower leg bone, hip, or the skull. Autogenous bone grafts are advantageous in that the graft material is live bone, meaning it contains living cellular elements that enhance bone growth.
However, one downside to the autograft is that it requires a second procedure to harvest bone from elsewhere in the body. Depending on your condition, a second procedure may not be in your best interest.
Allogenic bone, or allograft, is dead bone harvested from a cadaver, then processed using a freeze-dry method to extract the water via a vacuum. Unlike autogenous bone, allogenic bone cannot produce new bone on it's own. Rather, it serves as a framework or scaffold over which bone from the surrounding bony walls can grow to fill the defect or void.
Xenogenic bone is derived from non-living bone of another species, usually a cow. The bone is processed at very high temperatures to avoid the potential for immune rejection and contamination. Like allogenic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void.
Both allogenic and xenogenic bone grafting are advantageous in that they do not require a second procedure to harvest your own bone, as with autografts. However, because these options lack autograft's bone-forming properties, bone regeneration may take longer than with autografts, with a less predictable outcome.
This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected through a syringe.
Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of substances. Some combinations may include: collagen/ceramic composite, which closely resembles the composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or a collagen/ceramic/autograft composite.
Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits.Our Doctorswill determine which type of bone graft material is right for you.
Dr. Toby J. Feldman received her Bachelor of Arts Degree in Biology from Boston University in 1991, her Doctor of Dental Surgery from Columbia University School of Dental and Oral & Maxillofacial Surgery in 1997. As a student she traveled with the Presbyterian Hospital Surgical team to Colombia, South America to aid in the treatment of children with cleft lip/palate deformities. She completed a one year internship in Oral and Maxillofacial Surgery at the Medical College of Virginia.
She completed her residency in Oral & Maxillofacial Surgery in June of 2002 at Denver Health Medical Center in Colorado. Following her surgical training, Dr. Feldman joined Commonwealth Oral & Maxillofacial Surgical Associates, Inc. in July of 2002.
Dr. Jingyi He attended Sun Yat-Sen University of Medical Science in China as a Medical Doctor candidate from 1999 to 2001. She transferred to Brandeis University where she received her Bachelor of Sciences degree in Biology in 2004. She received her Doctor of Dental Medicine degree from Harvard School of Dental Medicine in 2008 and completed her General Practice Residency at Brigham and Women's Hospital in 2009. Dr. He finished her residency training in Oral and Maxillofacial Surgery at Boston Medical Center. During her residency, Dr. He joined an expedition to Colombia with Healing the Children to repair cleft lips and palates of underserved children.
Dr. He is a member of the American Association of Oral and Maxillofacial Surgeons, Massachusetts Society of Oral and Maxillofacial Surgeons, American Dental Association and Massachusetts Dental Society.
Reviews
Rating 3.9 out of 5 based on 37 reviews
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newest oldest highest lowestBella Do
a year ago
I just had three of my wisdom teeth out on Friday (two upper and one lower right). Dr. Feldman performed the surgery and it went very well. I was sedated so no memory of the surgery itself, but it didn't hurt much afterwards (not as much as I used to be when I had the lower left wisdom tooth out a few months ago at another place). Highly recommend Dr. Feldman and her team for wisdom teeth removal.
Seth K
a year ago
Went here to have a wisdom tooth pulled a few years ago. They yanked on it and twisted it left and right, jerked my head around until the novacane wore off, gave me more, yanked on it more. After an hour of that, they informed me they were incapable of pulling my tooth and told me to drive to another office several towns over. So I did, and then I waited there about an hour, without novacane, in agony, which clearly annoyed their receptionist, so sorry. Finally I was able to see a dentist who was bemused at why COMSA wasn't competent to pull it and he pulled it within seconds. My dentist just referred me to come here again. HELLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL NOOOOOOOOOOOOOO
Hugh Barry
2 years ago
I would highly recommend. Twice in the last couple of months, Dr Feldman performed extraction of "bad teeth". Both times, the procedure was quick and painless and Dr. Feldman really explains what to expect. I also found the staff at the front desk very helpful and pleasant.
Chelsea Whitton
2 years ago
So glad I went to Commonwealth Oral. I just had my two lower wisdom teeth out yesterday a.m. and more than 24 hours later, I am in good shape. More importantly, I've never felt more at ease than with Dr. Feldman and her team. I had so much fear going back into this process after having the top teeth removed three years ago elsewhere. They made the process smooth, easy and painless. I am experiencing minimal pain and feel like I was in very good hands with this procedure. They worked with my insurance and were very straight forward. Highly recommend for wisdom teeth extraction.
Yingbo Ma
2 years ago
I asked them to cancel my appointment if they are not in my insurance's network. They said everything is fine, but then after the appointment, they told me that they are not in the network and charged me $125.00 for talking to the doctor for 10 minutes. Don't trust them!
Joshua Souza
2 years ago
Dr. He did an outstanding job on my wisdom teeth and was very comforting throughout the process. I. Had almost no pain or discomfort following my procedure.
Paula Malady
2 years ago
I was referred by my dentist and needed to be sedated, due to panic issues. They made me pay $1200 up front (I have insurance), which I did. They asked me if I wanted some additional work, to which I said yes. They didn't say, "if you do this it will be an extra.$$.." So, with excellent dental insurance, they charged me an an additional $650, after the $1200 and I'm shocked. The dentist was good and nice but the staff at the desk were not. Either way, you should check the cost on everything with them. I don't trust them.
Jordan Flagg
2 years ago
Was in for extraction of 2 wisdom teeth on a Friday. Procedure went well, there was a mixup with the pharmacy location, but Dr He went out of her way to make it right on a weekend as soon as she found out
Bridget Galanto
2 years ago
I had three of my wisdom teeth removed by Dr. Toby Feldman. I arrived around 8:55am, filled out some paperwork, was brought into the room, hooked up to the IV, fell asleep, had the teeth removed, and was walked into the recovery by 9:25am, left by 9:35. Very quick and painless, managed fine with tylenol and ibuprofen. Minimal bleeding, no swelling, all around a great experience. A few years ago I had my first wisdom tooth removed at Tufts dental school and it took many hours, very painful, lots of swelling and bleeding, so the experience at COMSA was completely different. Dr. Feldman was very nice and professional, and explained everything well. I would recommend COMSA to anyone needing teeth extracted!
Polina
2 years ago
Dr. He is the best!
Pietro Grandi
2 years ago
Had my wisdom teeth removed by Dr He, 2 at a time. I had an excellent experience with the surgery. Discomfort has been minimum and I healed pretty quickly both times (1-2 days). Dr He was extremely professional and made feel at ease at each point before, during and after the procedure. Would definitively recommend !
Parina Patel
2 years ago
Dr. He did an amazing job with my wisdom teeth extractions! I was a little nervous at the first visit, but Dr. He was so kind and answered all my questions + discussed everything with me thoroughly. During the actual procedure, Dr. He and her team did a great job of making me feel at ease before going under the general anesthesia, and now 1 day post extractions I feel minimal discomfort and don't need any pain medication.This office does a great job of being accessible, listening to you, and not being dismissive of your concerns. If I had to do it again I would only go to Dr. He!!
Suj R
2 years ago
I was referred to Dr. He by my dentist's office last month for immediate extraction of 3 of my wisdom teeth and a crown lengthening procedure. The office staff were kind and helpful in scheduling appointments at the earliest. Dr. He was thorough and reassuring in the initial consultation , explaining the procedure and what to expect, clearly. The procedure itself was done so beautifully by Dr. He and her team. She gently put me under anasthesia. I followed all the post-operative care as suggested by her and honestly, I needed no pain medication. Dr. He very kindly also checked in with me after the surgery to find out if I was doing OK. A month down the line, my gums have healed beautifully and I'm so glad and grateful I went to Dr. He for this procedure.
Meghan Murdock
2 years ago
I had my wisdom teeth removed by Dr. Feldman and she was fantastic, could not recommend more! I was only there for about 45 minutes, including getting set up with my IV, going under anesthesia and then waking up for recovery. Easy and straightforward. So far I have only needed to use Tylenol, nothing stronger. I only had some minor bleeding directly after surgery. Thank you COMSA and Dr. Feldman!
Polina
3 years ago
Dr. He is the best!
Parina Patel
3 years ago
Dr. He did an amazing job with my wisdom teeth extractions! I was a little nervous at the first visit, but Dr. He was so kind and answered all my questions + discussed everything with me thoroughly. During the actual procedure, Dr. He and her team did a great job of making me feel at ease before going under the general anesthesia, and now 1 day post extractions I feel minimal discomfort and don't need any pain medication.This office does a great job of being accessible, listening to you, and not being dismissive of your concerns. If I had to do it again I would only go to Dr. He!!
Pietro Grandi
3 years ago
Had my wisdom teeth removed by Dr He, 2 at a time. I had an excellent experience with the surgery. Discomfort has been minimum and I healed pretty quickly both times (1-2 days). Dr He was extremely professional and made feel at ease at each point before, during and after the procedure. Would definitively recommend !
J W
3 years ago
I am quite concerned. I was told my insurance would pay for my extraction but I just received a bill from them. Will call Monday and post an update here. I've never had this problem with a dental office before.
Madeleine Sutherland
3 years ago
I had Dr Toby Feldman extract a 2nd molar (not a wisdom tooth) that had all kinds of problems because it grew in crooked. In my consult she was non-judgmental and explained most clearly what she was going to do. She communicated really well what was going on at each stage of extracting my tooth and did it the gentlest way possible to ease my recovery. My recovery was unavoidably unpleasant but she helped find the safest way to manage the pain. I'm 10 days out now and feeling just fine!
Bridget Galanto
3 years ago
I had three of my wisdom teeth removed by Dr. Toby Feldman. I arrived around 8:55am, filled out some paperwork, was brought into the room, hooked up to the IV, fell asleep, had the teeth removed, and was walked into the recovery by 9:25am, left by 9:35. Very quick and painless, managed fine with tylenol and ibuprofen. Minimal bleeding, no swelling, all around a great experience. A few years ago I had my first wisdom tooth removed at Tufts dental school and it took many hours, very painful, lots of swelling and bleeding, so the experience at COMSA was completely different. Dr. Feldman was very nice and professional, and explained everything well. I would recommend COMSA to anyone needing teeth extracted!
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