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Video Details
Fresh Frozen Bone Bank & Bone Marrow Aspiration: An Alternative to Autogenous Bone

Description:
Bone loss in edentulous jaws negatively influences the functions of the stomatognathic system. Reconstructive prosthetic surgery was advocated to provide suitable prerequisites for implant placement and preserve the noble structures, which at the same time satisfies aesthetic demands. For this reason, bone regeneration procedures become mandatory to create the conditions for prosthetic-driven implant placement.  Among the different techniques, proposed over the years, bone reconstruction with autogenous onlay grafts is the best documented and most versatile procedure, as it can be used to treat the vast majority of defects, irrespective of variables such as type of atrophy and extension of the defect. Clinical results are favorable and stable over time either for the reconstructed bone and for implants placed in those areas . In case of extreme atrophy of the alveolar ridge, extra-oral donor sites generally represent the only option to obtain an adequate quantity of bone for the reconstruction.  However, bone harvesting from the anterior ilium presents some morbidity, other extra-oral donor sites, such as the calvarium is less frequently accepted by patients, and, although extremely rare, complications can be relevant. During the presentation, we will share our 5 years experience using Fresh Frozen Bone Allograft in combination with Bone marrow aspiration ( from the same patient). Our full protocol will be exposed and clinical cases, with histological evidence, will be presented.   

Date Added:
5/18/2017

Author(s):

Dr. JUAN ALBERTO FERNÁNDEZ RUIZ Dr. JUAN ALBERTO FERNÁNDEZ RUIZ
DR. JUAN ALBERTO FERNÁNDEZ RUIZ

Bachelor in Medicine and Surgery from 1990 to 1996 by the University of Navarra

Resident Student in Oral and Maxil...
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Online Videos / Surgery / Bone Grafting / Fresh Frozen Bone Bank & Bone Marrow Aspiration: An Alternative to Autogenous Bone




Questions & Comments
Maurice Salama - (5/18/2017 10:16 AM)

George, well stated. This is one of the crucial steps toward a lower morbidity future to patients with these problems....incredible that things like this show up first on sites like Dentalxp. My most sincere compliments to Dr. Juan Alberto and his team. I do know that in a similar manner Dr. Craig Misch has also shown outstanding early results with a similar approach utilizing a "Lazarus" graft using BMP-2 and spinal cadaver bone. regards Maurice

George Duello - (5/17/2017 8:53 PM)

Dr. Ruiz-very interesting biologic treatment of a severely resorbed total edentulous patient. These are the most challenging of all implant patients. Non-grafted alternatives include quad-zygomas and grafted alternatives with onlay grafts as you have shown here are the range of treatments. You have good rationale for your treatment protocols that are based on good science. The most important thing also to discuss is not allowing patients to become so resorbed which is why early diagnosis and treatment of the edentulous jaw is the responsibility of the profession worldwide.

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