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
Autogenous Bone Graft - Part 1: Flap Management

Description:
In part 1 of this series, Dr. Michael Pikos demonstrates the detailed treatment planning and flap management in preparation for the harvest of autogenous bone from the ramus buccal shelf as part of ridge augmentation for implant therapy.

Date Added:
1/14/2013

Author(s):

Michael A Pikos, DDS Michael A Pikos, DDS
Dr. Michael A. Pikos Dr. Pikos is originally from Campbell, Ohio. He attended The Ohio State University where he graduated Summa Cum Laude and Phi Beta Kappa....
[read more]








Online Videos / Surgery / Bone Grafting / Autogenous Bone Graft - Part 1: Flap Management




Questions & Comments
gholamreza escandary - (2/5/2013 3:07 AM)

hi
Sinus Lift Surgery Sinus 0 What if we did that?
thak you

louie harrison - (1/29/2013 12:13 PM)

I have recently seen some tunneling techniques for horizontal bone defects between mandibular bicuspids and molars. Are these techinques successful? Do they need to decorticate the buccal bone? Looks like a simple procedure , but I know simply is not always better

Jay Lutsky - (1/22/2013 8:08 PM)

Crown to implant ratio is indeed an ambiguous area in the literature. What we do know from the literature is that short implants 6-8 mm have had a very good success rate and often allow us to avoid sinus elevation or vertical augmentation. While there certainly can be a discussion on whether this case required vertical augmentation or not, the technique itself that is demonstrated is quite thorough and effective for managing to achieve full release of the flap for the critical "tension free" closure over the block graft which is a key element no matter what terms are utilized to describe it.

Robert Körner - (1/22/2013 10:46 AM)

Critical comments also welcome? Nobody asking - could (should) this case have been treated without augmentation?Or only a small augm. at the most medial implantsite. Three impl. of at least 10mm length and sufficent diameter should have been possible."crown-implant ratio"-what do we REALLY know about the apropriate length and diameter of implants?Flap "technique"-this a mere elevation of the floor of the mouth.There are comments already three years old- how old is this video?

khaled abdo - (1/21/2013 3:57 PM)

is that laminate veneer without making preparation in anterior teeth for ethatics

Maurice Salama - (2/15/2012 11:10 AM)

Mike Pikos is a master at this technique and very infromative on Flap mangement which is a key to success.
Dr. Salama

shelley godtfredsen - (12/4/2011 5:16 AM)

....when can I see part II of autogenous bone graft / flap management by Dr Pikos - Part I was excellent - very informative useful voice over. Thank you

Band Ditto64 - (11/22/2011 10:13 AM)

I love dentalxp! Great series on bone augmentation by Dr. Pikos. I will now take a hands-on course to add to my education. Band

e chan - (5/9/2010 8:00 AM)

When you plan to replace molars in a free end situation in the lower, do you usually ask the lab to waxup for premolar size and then do the vacuum form type of surgical guide instead of doing usual molar size wax up? I notice Dr. Pikos uses all 3 premolar sizes. Any problems with occlusion using premolar size? And what type of material do you usually ask the lab to do the waxup in since heat from vacuum form will melt the wax? Thanks.

Related Videos
Autogenous Bone Graft - Part 2: Site Preparation Premium Member Content

Autogenous Bone Graft - Part 2: Site Preparation
Demonstration of site preparation for autogenous bone harvesting.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 3: Contouring & Fixation Premium Member Content

Autogenous Bone Graft - Part 3: Contouring & Fixation
Contouring and fixation of a cortical autogenous graft.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 4: Suturing and Tension Free Closure Premium Member Content

Autogenous Bone Graft - Part 4: Suturing and Tension Free Closure
Suturing and tension free closure in bone augmentation.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 5: Case Review Premium Member Content

Autogenous Bone Graft - Part 5: Case Review
Detailed Case Review of a ridge augmentation case utilizing autogeneous bone harvested from the ramus buccal shelf.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
 “The Transition Zone”: The Critical Esthetic Triad of Bone, Tissue & Restoration Premium Member Content

“The Transition Zone”: The Critical Esthetic Triad of Bone, Tissue & Restoration
The achievement of an aesthetic implant-supported restoration is a constant challenge to the restorative dentist. Due to the circular shape of the implant and its smaller diameter, when compared to the root of a natural tooth, a dilemma inevitably occurs of how to construct an artificial crown that will imitate the natural tooth crown form. The appearance of the surrounding soft tissue “the transition zone” is of major importance, and various techniques have been developed to guide its topography. The lecture will show key factors and parameters through clinical procedures in order to achieve a sound aesthetic outcome in different treatment scenarios.

Presented By:: Konstantinos D Valavanis, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Managing Complications in Immediate Implant Therapy - Part 2 of 3 Premium Member Content

Managing Complications in Immediate Implant Therapy - Part 2 of 3
Immediate implant placement in fresh extraction sockets offers several advantages which include patient comfort, ridge preservation as well as decreased treatment time.

Presented By:: Abdelsalam Elaskary, BDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Bi-Directional Augmentation of Double-Arched Posterior Maxillary Vertical Defects Premium Member Content

Bi-Directional Augmentation of Double-Arched Posterior Maxillary Vertical Defects
Double-arched posterior maxillary defects present a unique challenge requiring special considerations for implant replacement. This deformity is characterized by vertical bone loss from both the sinus aspect as well as the ridge. In this video, Dr. H. Ryan Kazemi demonstrates a bi-directional vertical bone augmentation technique to develop sites that not only support the implants but also improve tissue harmony for enhanced aesthetics, function, and longevity.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Complete Management of the Implant Site: From Simple Cases to Complex Situations Premium Member Content

Complete Management of the Implant Site: From Simple Cases to Complex Situations
The health and the structure of the peri-implant tissue is vital for a long term prognosis of aesthetic and functional dental treatments. The prevalence of peri-implant diseases and recessions is a problem that must be overcome by a perfect treatment planning, along with a step-by-step design of the future restorations. When the clinician places an implant, he must consider the 3D positioning regarding the hard and soft tissue. When one decide to restore an implant, he must be aware of the gingival volume and it’s position. In this presentation, we want to show fully documented cases, from bone grafting, soft tissue enhancement, to final restorations.

Presented By:: Mihnea Cafadaru, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Esthetic Tissue Reconstruction Around Implants - Part 2 of 2 Premium Member Content

Esthetic Tissue Reconstruction Around Implants - Part 2 of 2
Esthetics in implant-supported restorations is an important clinical objective in contemporary dentistry. Understanding the biological behavior of hard and soft tissues following tooth extraction is the first step to anticipate the physiological tissue remodeling and its consequences. Our objective in these 2 sequencial lectures was to provide straightforward decision trees related to several clinical scenarios observed in routine clinical practice. The 3 fundamental pillars for peri-implant excellence are: restorative-driven implant position, hard and soft tissue reconstruction using different biomaterials and grafts, and prosthetic management. Using this philosophical approach seems to provide esthetic and stable results over time irrespective of the initial clinical condition.

Presented By:: Robert Carvalho da Silva, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Modern Flap Management in Bone Augmentation Premium Member Content

Modern Flap Management in Bone Augmentation
Let’s see what modern means from a biological and from a surgical standpoint. How can we achieve a full passive closure from the flaps without damaging the blood supply? Can we take care of the oxidative stress? Can PRF help us in these matters? Surgically, the management of anatomical elements such as the mylo-hyoid muscle and the mental foramen will be discussed and a simplification protocol will also be presented. No doubt, “modern” flap management raises a lot of questions!

Presented By:: Jérôme Surmenian, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Histologic Effect of Pure-Phase Beta-Tricalcium Phosphate on Bone Regeneration in Human Artificial Jawbone Defects

Histologic Effect of Pure-Phase Beta-Tricalcium Phosphate on Bone Regeneration in Human Artificial Jawbone Defects
The effect of the pure-phase beta-tricalcium phosphate (beta-TCP) Cerasorb on bone regeneration was evaluated in hollow titanium cylinders implanted in the posterior jaws of five volunteers.

Author(s): Paolo Trisi, DDS, PhD;Walter Rao, MD, DDS; Alberto Rebaudi, MD, DDS; Peter Fiore, MD, DDS
View Article>>
Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change

Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

Author(s): Dennis P. Tarnow, DDS;Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Christian F.J. Stappert, DDS, MS, PhD, Priv-Doz;Henry Salama, DMD;David Garber, DMD;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS; Hanae Saito, DDS, MS
View Article>>
Immediate Implant Placement with GBR Using Alloplast

Immediate Implant Placement with GBR Using Alloplast
Presented here is a case report wherein guided bone regeneration was done simultaneously at the time of immediate implant placement to achieve a desirable outcome.

Author(s): Lanka Mahesh, BDS, MBA;Dr. Sagrika Shukla; Dr. Prashant Nanda; Dr. Manoj Eapen
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register