Bone graft complications: what can we do to prevent them?

Rahul Tandon D.D.S.; Alan S. Herford D.D.S.

doi:10.1117/12.2036595

4 March 2014 Bone graft complications: what can we do to prevent them?

Rahul Tandon D.D.S., Alan S. Herford D.D.S.

Proceedings Volume 8926, Photonic Therapeutics and Diagnostics X; 89263R (2014) https://doi.org/10.1117/12.2036595
Event: SPIE BiOS, 2014, San Francisco, California, United States

Abstract

Introduction: Bone grafts are commonly used in oral and maxillofacial surgery, helping to restore missing bone structure and provide osseous support. In spite of their reported success, complications can and do arise. Examples include loosening and resorption of the graft, infection, and complete loss of the graft. These complications can potentially lead to larger defects, necessitating additional procedures to correct the problem. This not only causes great discomfort to the patient, but also drains considerable time and resources away from the clinician. Thus, improvements on identifying ways to identify and prevent these complications are constantly being sought. We have performed a literature review and identified several areas in the field of optics that could potentially help solve our problem. Optical Techniques: Raman spectroscopy has been shown to provide a transcutaneous measurement of bone mineral and matrix Raman bands. This could potentially provide surgeons with the ability to more accurately assess bone graft osseointegration. In-vivo near-infrared optical imaging could potentially provide accurate diagnosis of pathologic lesions such as osteosarcoma. Contrast-enhanced ultrasound could be used to detect vascular disturbances and other information related to the transplantation of osseous components. Conclusion: Bone graft complications can be one of the most devastating consequences of osseous surgery. As surgeons, we are constantly searching for ways to identify them earlier and prevent them. We hope that by presenting areas that could be used, we can gain a better insight to ways in which both fields can benefit.

Citation Download Citation

Rahul Tandon D.D.S. and Alan S. Herford D.D.S. "Bone graft complications: what can we do to prevent them?", Proc. SPIE 8926, Photonic Therapeutics and Diagnostics X, 89263R (4 March 2014); https://doi.org/10.1117/12.2036595

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KEYWORDS

Bone

Surgery

Raman spectroscopy

Tissues

Ultrasonography

Near infrared

Blood vessels

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