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
Single Tooth Implant Restoration in the Aesthetic Zone Premium Member Content

Single Tooth Implant Restoration in the Aesthetic Zone
Dr. Ryan Kazemi shares his team's replacement of a missing central incisor with an implant supported crown.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Advanced Simultaneous Bone Ridge Augmentation and Internal Sinus Elevation - Part 2 of 2 Premium Member Content

Advanced Simultaneous Bone Ridge Augmentation and Internal Sinus Elevation - Part 2 of 2
This video centric and surgically based presentation will highlight a few of these new tools in the augmentation of a severely resorbed posterior maxillary ridge in conjunction with a progressive crestal approach for sinus augmentation.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Science and Technology Supporting Graft Material Selection Premium Member Content

The Science and Technology Supporting Graft Material Selection
A wide variety of grafting materials is currently available. Understanding the right indications and the possible limitations of certain materials can be challenging. The main objective of this course is to provide guidelines for selection of the adequate materials to be used for specific indications in order to maximize treatment predictability.

Presented By:: Rodrigo Neiva, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
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: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Site Preparation & Osseodensification in Bone Management Premium Member Content

Site Preparation & Osseodensification in Bone Management
Today's implant arena involves not only the understanding of procedures but also the science behind wound healing. Often new technologies and instrumentation evolves that have a significant impact on what we are able to do clinically. Piezosurgical devices, periotomes, osteotomes, hydraulic sinus devices, neurosurgical drills, and the "PET" (Partial Extraction Therapies) system are just a short list of those that have made surgery more efficient and less traumatic for our patients. Osseodensification is another concept that can be added to this long list. This lecture will speak about new age bone management concepts and how these technologies may be able to assist us. Potential issues and focus on use will be touched upon as well.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Combined Augmentation Therapies in the Esthetic Zone Premium Member Content

Combined Augmentation Therapies in the Esthetic Zone
The esthetic zone presents a far bigger challenge than any other area of the mouth. It is the one area that a patient has the ability to really scrutinize the work that has been done and anything that does not pass muster will quickly create problems in our practices. Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlife the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Quantitative Evaluation of Extraction Socket Healing Following the Use of Autologous Platelet-Rich Fibrin Matrix in Humans

Quantitative Evaluation of Extraction Socket Healing Following the Use of Autologous Platelet-Rich Fibrin Matrix in Humans
Advantages of PRFM alone include less surgical time, elimination of techniques and potential healing difficulties associated with membranes, and less resorption during healing, as compared to guided bone regeneration procedures.

Author(s): Barry I. Simon, DDS, MSD; Priyu Gupta, DDS; Shereen Tajbakhsh, DDS
View Article>>
Influence of Thin Mucosal Tissues on Crestal Bone Stability Around Implants With Platform Switching: A 1-year Pilot Study

Influence of Thin Mucosal Tissues on Crestal Bone Stability Around Implants With Platform Switching: A 1-year Pilot Study
The aim of this pilot study was to determine what effect thin mucosal tissues can have on crestal bone stability around implants with platform switching. Within the limitations of this pilot study it can be concluded that implants with platform switching did not preserve crestal bone better in comparison with implants with traditional implant-abutment connection if, at the time of implant placement, thin mucosal tissues were present.

Author(s): Tomas Linkevicius, DDS, Dip Pros, PhD;Peteris Apse, Prof, DDS, Dip Pros, MSc (Toronto); Dr hab Med (Latvia); Simonas Grybauskas, DDS, MOS, RCSEd, PhD; Algirdas Puisys, DDS
View Article>>
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>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register