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Video Details
3D Vertical Augmentation in the Maxilla Utilizing the “Box Technique”

Description:
In this clinical video, a large Vertical Defect in the Maxilla following multiple implant failure is reconstructed utilizing the “Box Technique”. Vertical Tenting Screw with Rigid PLA membranes are utilized for space maintenance followed by 50:50 mixture of BMP-2 and mineralized bone. Soft tissue incisions and suturing as well as post-op follow up are also included.

Date Added:
5/15/2014

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...
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Questions & Comments
Maurice Salama - (7/12/2014 1:22 PM)

Raul; Thank you. I do not know the lactose of biomed? The Sonic Weld can be found at the Left side of this screen under featured products. KLS Martin Sonic Weld. Dr. Salama

Maurice Salama - (7/12/2014 1:22 PM)

Raul; Thank you. I do not know the lactose of biomed? The Sonic Weld can be found at the Left side of this screen under featured products. KLS Martin Sonic Weld. Dr. Salama

Raul Cameras - (7/11/2014 1:27 PM)

Dr. Salama: Is the mesh that you use similar to the mesh that uses the system lactosorb of biomed.? and where it is possible to buy the system of sonicweld, and what price has.
Thanks
Raul Cameras

Raul Cameras - (7/11/2014 1:27 PM)

Dr. Salama: Is the mesh that you use similar to the mesh that uses the system lactosorb of biomed.? and where it is possible to buy the system of sonicweld, and what price has.
Thanks
Raul Cameras

Maurice Salama - (6/17/2014 1:59 PM)

Thank you Osama. I try to show different and current GBR procedures so we can review the principles that provide us success. Dr. Salama.

Osama Abdel Qader - (6/16/2014 11:50 AM)

great job dr salama

Maurice Salama - (5/11/2014 12:10 PM)

Jerome; Yes, the screw exposure occurred at approximately 6 months post-op. It is IMPORTANT that we SHOW you these issues as they may arise. Most likely do to pressure from transitional appliance onto the ridge but this is multi-factorial and could have been minimized by a sonic weld shield on top of the graft....we used Pericardium over the BOX. Not sure about your 50% claim but definitely less than 100% of our goal which is something I think we should all consider PROBABLE not UNLIKELY. Therefore we attempt to OVER-GRAFT and expect some resorption. With this kind of vertical defect I assume a reasonable goal would be 50-90% of total. Regardless, the goal should be to place implants completely in bone of a regenerated ridge which I believe we achieved here. See post op radiograph and photo of re-entry wit implants inserted. Thanks for your comments. regards Dr. Salama

jerome bistritz - (5/11/2014 11:46 AM)

The amount of screw exposure on re-entry suggests that you did not retain the entire vertical dimension originally grafted, from the photos only 50% of original height was present at time of implant placement as well as screw head exposure during healing phase. Any ideas on how to prevent the screw exposure and loss of graft height, would using the sonic weld membrane and form a crestal extention over the site supported by the screw head accomplish this I know there is a water bath available with the sonic weld set to heat the membrane to form these curves?

Maurice Salama - (5/10/2014 11:23 AM)

Kevin; The Cadavaer Course was great. Next one is this October 19-20th in Miami. Hope to see you at the DentalXP Global Symposium next month. regards Dr. Salama

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