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Rank: Guest
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Feel free to share your comments with the DentalXP community in regards to the following online educational video: Title: rhBMP-2 Infuse and Titanium Mesh Utilized for Regeneration of the Posterior Mandible Description: In this video, Dr. Salama highlights a regenerative protoco utilizing rhBMP-2/ACS INFUSE and mineralized irradiated allograft bone, Miner-Oss in combination with a prefit titanium mesh and implant placement in the deficient mandibular posterior region. Incision design, intra-marrow penetration and suturing are further discussed. Link: Watch this educational video online now!
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Rank: Newbie
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Joined: 5/21/2009
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Location: tucker, GA
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Great case, can't wait for the results. 10 years from now, block grafting will appear barbaric. ^_^
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Rank: Newbie
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Location: Hong Kong,
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According to the instruction of the product infuse. It is not recommended to extra grafting material onto the carrier. However, I saw a lot of dentists added FDBA onto the collagen carrier. What's your opinion?
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Rank: XPert
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Joined: 7/8/2008
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Location: Atlanta, GA
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Yes, Harry. It is not recommended to add bone to the Collagen sponges with BMP-2.
However, Ridge Augmentation is an off-label use of the product and many clinicians
are suggesting to add bone to the sponges to aid in the regeneration.
I would suggest mineralized irradiated cortical-cancelous allograft as an additional filler and space maintainer.
I would avoid demineralized materials or xenografts as they may interfere with healing with the BMP-2.
It is early yet in this regard and we are hopeful that more information will be available soon to help establish a more definitive protocol for use in ridge augmentation.
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Rank: Newbie
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Location: HONG KONG,
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Dear Dr Maurice Salama, where can I purchase the Collagen sponges with BMP_2. I am working in Hong Kong. Thank you
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Rank: Newbie
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Joined: 6/15/2009
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Location: Scarsdale, NY
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Dear Maurice, Partners in Synergy The Ultimate Grafting Course Was AMAZING! I am very excited to implement many of the techniques that you and Dr. Pikos taught in Orlando, Thank You Both ,for such a GREAT EXPERIANCE.
In this type of case if I did not have acess to a titanium mesh could I use Dynablast bone putty which is I believe a combination of Demineralized cortical ( suposedly Osteogenic) and mineralized cancelous bone? Over that I would use a Biomend extend or a goretex like membrane with tacs. Also a technical question about the Buccal flap is does it become split thickness past the attached tissue or mucogingival junction? Is that how you would create enough tension free closure to allow primary and complete closure of your tissues over the membrane?
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Location: Burbank, CA
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Just a Proposition: Can we A. TRIM the dimensions of the titanium mesh at the borders to the "SPECIFICALLY NEEDED/targeted AREAS" for bone growth(to support and maintain implants), B. Create "ACCESS HOLES" in the mesh for implants, C. Achieve "FIXATION of the MESH" utilising tacks, say, at distal ridge crest, buccal cortical plate, or even in between the implants at a suitable location on the buccal, D. Remove the fixation screws after the planned period of time lapse, and E. LEAVE the mesh in place for PERMANENT. F. What would be consequence/s if any, upon the mesh "left in situ" indefinitely? Thanking you in advance for your earliest convenient response. amgdds@hotmail.com
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Rank: XPert
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Location: Atlanta, GA
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Ashwath ;
A. You can trim the mesh as you wish.
B. Yes, create access holes much like the FT-Wing from Aki Funato.
C. Yes, fixate in at least 2 spots.
D. Yes, remove fixation screws or not if away from sulcus envt.
E. Have not tried it but can't see why not? Could be color problem for gingiva in esthetic.
F. The mesh can "move" and exfoliate or become infected if left in place.
Exciting thoughts for the future.
Maurice
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Location: Mumbai, Maharashtra
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Hi Maurice,
Another nice piece of work.
Yazad R. Gandhi
MDS, FICOI
Oral & Maxillofacial Surgeon
Mumbai
India
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Rank: Member
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Location: Mumbai, Maharashtra
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Hi Maurice,
Another nice piece of work.
Yazad R. Gandhi
MDS, FICOI
Oral & Maxillofacial Surgeon
Mumbai
India
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Rank: Member
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Joined: 9/3/2008
Posts: 12
Points: -158
Location: Mumbai, Maharashtra
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Hi Maurice,
Another nice piece of work.
Yazad R. Gandhi
MDS, FICOI
Oral & Maxillofacial Surgeon
Mumbai
India
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Rank: Member
Groups: Member
Joined: 9/3/2008
Posts: 12
Points: -158
Location: Mumbai, Maharashtra
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Hi Maurice,
Another nice piece of work.
Yazad R. Gandhi
MDS, FICOI
Oral & Maxillofacial Surgeon
Mumbai
India
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Rank: Newbie
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Joined: 6/27/2009
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Location: sevilla,
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Hello Dr. Maurice. My English is not good, sorry. My question is: where can I get the sponge BMP's we see in the video. I currently work with Grafton Putty is a good alternative?.
Regards.
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Rank: Newbie
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Location: aventura, FL
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I always enjoy your presentations great videography and idealized clinical examples which enable trans mission of the basics for decision making.I would like to order the Infuse( BMP sponge) I have heard from the orthopedic surgeons how well the product grows bone in the spine.Please forward the information so I may order the material. Thank you in advance.Keep up the great work!
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Rank: XPert
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Joined: 7/8/2008
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Location: Atlanta, GA
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Gentlemen;
Thanks for the post and your interest in rhBMP-2/ACS. The product is available as "Infuse" from Medtronic. They can be contacted at 800-876-3133.
You should have a rep from the company come and see you to describe the dosage and utilization in clinical practice.
Good luck
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Rank: Newbie
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Joined: 11/26/2009
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Location: montevideo,
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Hi Dr Maurice,this is Dr Marcello Romei From south america Uruguay.Last year I have a quick chat with Dr Henry that was here in Conrad resort in Punta del este.It would be nice that u can visit us also for a little conference.
By the way, wich type of bone this case was? it was easy to make the holes for the implants?
how many bone do you think u can achieve with this technique?Kindest regards Dr romei
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Rank: Newbie
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Joined: 11/26/2009
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Location: montevideo,
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Hi Dr Maurice,this is Dr Marcello Romei From south america Uruguay.Last year I have a quick chat with Dr Henry that was here in Conrad resort in Punta del este.It would be nice that u can visit us also for a little conference.
By the way, wich type of bone this case was? it was easy to make the holes for the implants?
how many bone do you think u can achieve with this technique?Kindest regards Dr romei
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Rank: Newbie
Groups: Member
Joined: 11/26/2009
Posts: 6
Points: 18
Location: montevideo,
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Hi Dr Maurice,this is Dr Marcello Romei From south america Uruguay.Last year I have a quick chat with Dr Henry that was here in Conrad resort in Punta del este.It would be nice that u can visit us also for a little conference.
By the way, wich type of bone this case was? it was easy to make the holes for the implants?
how many bone do you think u can achieve with this technique?Kindest regards Dr romei
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Rank: XPert
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Joined: 7/8/2008
Posts: 189
Points: 91
Location: Atlanta, GA
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Marcello;
Hello and thanks for your post. I am re-entering this case in the next 2 months and will update it on this site for all to see.
The technique is not so unusual but the utilization of BMP-2 is somewhat new for ridge augmentation. I am hopeful that we will see good results as this would be easier for both the patients and the treating surgeon.
Hope to see you in Uruguay.
Dr. Maurice Salama
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