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
The Next Challenge in Implant Dentistry: The Rise in Peri-implantitis and What Can We do About It? Premium Member Content

The Next Challenge in Implant Dentistry: The Rise in Peri-implantitis and What Can We do About It?
In this presentation, Dr. H. Ryan Kazemi will discuss etiologies for implant failure due to peri-implantitis, its preventive measures, and what treatment modalities work best. He will also describe a new classification to help clinicians choose the optimal treatment approach.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Fresh Frozen Allograft Bone Plus Bone Marrow Aspiration as a NEW Alternative to Autogenous Bone Augmentation - Part 1 of 2 Premium Member Content

Fresh Frozen Allograft Bone Plus Bone Marrow Aspiration as a NEW Alternative to Autogenous Bone Augmentation - Part 1 of 2
The lecture describes the behaviour of autogenous bone, how to handle it, its major indications and several challenging cases will be presented. In addition the peculiarities of Fresh Frozen Allograft Bone will be will thoroughly described, as the advantages of adding bone marrow aspiration.

Presented By:: Dr. Juan Alberto Fernandez Ruiz
Presentation Style: Video
Community Rating:
 
Watch Now>>
Bone Augmentation & Bioengineering in the Clinical Implant Practice Premium Member Content

Bone Augmentation & Bioengineering in the Clinical Implant Practice
This webinar will introduce efficient and predictable bone graft solutions as well as bioactive modifiers that can be immediately incorporated into clinical practice.

Presented By:: Maurice Salama, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Vertical Bone Augmentation: Current Concepts and Techniques Premium Member Content

Vertical Bone Augmentation: Current Concepts and Techniques
This lecture will review several approaches used for vertical bone augmentation and discuss the benefits and limitations of each. There will be special emphasis on the titanium mesh and interpositional osteotomy techniques.

Presented By:: David Dara Yarmand, DDS, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy Premium Member Content

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Esthetic Management for Compromised Extraction Sites - Part 2 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 2 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Related Articles
Minimally Invasive Alveolar Ridge Augmentation Procedure (Tunneling Technique) Using rhPDGF-BB in Combination with Three Matrices: A Case Series

Minimally Invasive Alveolar Ridge Augmentation Procedure (Tunneling Technique) Using rhPDGF-BB in Combination with Three Matrices: A Case Series
This study investigated a minimally invasive surgical procedure for alveolar ridge augmentation that combined recombinant human platelet-derived growth factor BB (rhPDGF-BB) and three different matrices.

Author(s): Myron Nevins, DDS;Marc L. Nevins, DMD, MMSc; Marcelo Camelo, DDS; Peter Schupbach, PhD; Bernard Friedland, BChD, MSc, JD; Joao Marcelo Borges Camelo, DDS; David M. Kim, DDS, DMSc
View Article>>
Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies

Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies
As dental implant reconstruction has evolved into a mainstream alternative to replace missing teeth, bone grafting techniques have also evolved as an ancillary procedure for site development, sinus augmentation, and guided bone regeneration.

Author(s): Scott D. Ganz, DMD
View Article>>
Screw "Tent-Pole" Grafting Technique for Reconstruction of Large Vertical Alveolar Ridge Defects Using Human Mineralized Allograft for Implant Site Preparation

Screw "Tent-Pole" Grafting Technique for Reconstruction of Large Vertical Alveolar Ridge Defects Using Human Mineralized Allograft for Implant Site Preparation
The purpose of this study was to evaluate the effectiveness of using titanium screws in combination with particulate human mineralized allograft, in a “tenting” fashion, to augment large vertical alveolar ridge defects for implant placement.

Author(s): Bach Le, DDS, MD, FICD;Michael D. Rohrer, DDS, MS; Hari S. Prassad, BS, MDT
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register