Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
3D Reconstruction of an Atrophic Ridge

Description:
Following extraction of a compromised central incisor the remaining site is not amendable to implant placement. This “over the shoulder� procedure details the reconstruction utilizing an Allograft J-Block shaped to fit the defect on a stereolitho model derived from an I-Cat Scan and Materialise Software. The use of Plasma Rich Growth Factor (PRGF), and the unique fibrin membrane is similarly textured. The appropriate use of both mattress suture and interrupted ties to maintain soft tissue closure as well as post-op healing is critical to success.

Date Added:
6/29/2007

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
[read more]

Recognized Institutes





Online Videos / Surgery / Bone Grafting / 3D Reconstruction of an Atrophic Ridge




Questions & Comments
Osama Abdel Qader - (6/15/2014 3:20 AM)

great presentation Dr Salama

Maurice Salama - (4/15/2013 10:30 AM)

Omid; They all work as you said. It really depends on preference and experience of the surgeon. As we continue to attempt to be LESS INVASIVE in our REGENERATIVE approaches, I seem to favor less Autologous blocks if possible and use more GBR and bioactive modifiers like PRGF, PRF and BMP-2. For these procedures where there is much bone to regenerate I prefer non-resorbable barriers. regards Dr. Salama

omid moghaddas - (4/15/2013 9:36 AM)

great presentation Dr Salama as always,in such cases what do you prefer to utilize ? particulate bones! blocks! resorbabale membranes !non resorbabales! all can work good . tnx again Dr Omid Moghaddas

Maurice Salama - (12/27/2012 9:34 PM)

David; The J-block used in this video is sold by Zimmer Dental and is a Tutogem product. Good luck Dr. Salama

David Chang - (12/27/2012 11:10 AM)

Very practical presentation Dr. Salama! Where can I buy the J-block allografts? Thanks! Dr. Chang

Maurice Salama - (6/6/2012 11:34 AM)

Rodolfo and Nicolas; Thank you. Yes, the allograft block is prepared on the sterile stereolithographic model the same day as the patient surgery and we hydrate the block in saline and then PRGF for an additional 10 minutes. As for the MGJ, yes that must be managed by additional CTG at time of Bone Block or at 2nd Stage with apical positioning of the outer flap.
thanks for the posts and interest
Dr. Salama

Rodolfo Piccolo - (6/6/2012 10:02 AM)

good morning. i want ask you if you prepare the block allograft before the surgery using a stereolitografic model o other?? thanks for all and i hope to know you to italy soon!

Nicolas Aronna - (4/4/2012 10:59 AM)

Amazing procedure and totally agree with everything. Initially right after the surgery I can see a displacement of the MGJ towards the crest and afterwards 11 days post op I can see the repositioning of the MGJ apically. Is that achieved thanks to the CTG that you placed under the flap? Thank you very much Dr Salama

Maurice Salama - (5/30/2010 4:50 PM)

Dr. Durrani; Perhaps the most important aspect of any regenerative procedure is stability of the graft and tension free closure. We achieved both on this case. It turned out very well and has been loaded in function for almost 2 years. I will post these images in the near future. thanks again for your interest
Dr. Salama

Related Videos
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Incisor Implant in Narrow Ridge with BMP-2 Infuse and CT Graft Premium Member Content

Incisor Implant in Narrow Ridge with BMP-2 Infuse and CT Graft
Dr. Paul Kozy shares an approach to the routine clinical challenge of placing an implant in a narrow ridge.

Presented By:: Paul S Kozy, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2 Premium Member Content

Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 1 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa. The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.

Presented By:: Daniel Buser, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique Premium Member Content

Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique
This lecture is focused on an effective regenerative approach, but at low knowledge. The goal is to provide a new skill in favor of well-established techniques. The Fibrin Sealant (FS) is an additional clot of human origin. It has adhesive, sealant and inductive action stimulating hard and soft-tissue regeneration. The FS, mixed with bone chips and biomaterials, allows a better handling of the graft that, becoming plastic and moldable, adapts perfectly to bony defects without dispersion of granules. It’s effective also on wound protection achieving a faster healing of soft-tissue. This approach is excellent in the socket preservation and in the peri-implant regeneration on "closed" sites where the implants are inside the defects.

Presented By:: Vincenzo Foti, MD, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge Premium Member Content

Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic posterior mandibular alveolar ridge. This will include a discussion of the various options to this form of grafting, such as Short implants, Lingual positioning, nerve re-positioning, distraction osteogenesis, and GBR. The Mutli-Tier onlay Bone Graft Technique will be highlighted in this presentation. Additionally, a review of a recently submitted research paper of long term follow up of implants placed into autologous bone blocks harvested from the mandibular ramus, retromolar and sympheseal areas will be discussed. A description of surgical donor harvest sites in the mandible will also be performed as well as post op healing of these sites. Additional time will be spent reviewing causes of failure with bone blocks and implants placed into these sites.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Optimum Implant Esthetics Through Extraction Socket Preservation Techniques Premium Member Content

Optimum Implant Esthetics Through Extraction Socket Preservation Techniques
This presentation will focus on ideal implant placement through maintaining the bucco-lingual dimension of bone following extraction through extraction socket preservation techniques.

Presented By:: Mario A. Vilardi, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study

Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study
The use of guided tissue regeneration (GTR) procedures for the treatment of gingival recession has shown encouraging results and is gaining clinical acceptance. However, attaining space maintenance beneath the membrane remains a problem for clinicians. Hence, the purpose of this pilot case study was to evaluate the effect of adjunctive demineralized freeze-dried bone allograft (DFDBA) placement during collagen membrane GTR-based root coverage procedures. Five patients with Miller Class I or II defects…

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Kenneth Kimble, DDS, MS, Robert Eber, DDS, MS
View Article>>
Mandibular Block Autografts for Alveolar Ridge Augmentation

Mandibular Block Autografts for Alveolar Ridge Augmentation
This article reviews indications, limitations, presurgical evaluation, surgical protocol, and complications associated with mandibular block autografts harvested from the symphysis and ramus buccal shelf for alveolar ridge augmentation. The author draws from 14 years of experience with more than 500 mandibular block autografts.

Author(s): Michael A Pikos, DDS
View Article>>
Bone Augmentation of the Atrophic Posterior Mandible for Dental Implants Using rhBMP-2 and Titanium Mesh: Clinical Technique and Early Results

Bone Augmentation of the Atrophic Posterior Mandible for Dental Implants Using rhBMP-2 and Titanium Mesh: Clinical Technique and Early Results
The purpose of the case series was to evaluate the use of recombinant human bone morphogenetic protein 2/acelluar collagen sponge (rhBMP-2/ACS) and titanium mesh for augmentation of the atrophic posterior mandible prior to implant insertion.

Author(s): Craig M Misch, DDS, MDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register