Video Details
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The Palatal Bone Block - An Innovative Autogenous Harvest Site
Description:
Autogenous bone is the gold standard of guided bone regeneration. Autogenous bone blocks allow us to build more bone more predictably with less complications. Harvesting of bone blocks from the traditional sites like the ramus or symphysis has a high rate of morbidity and the need for second surgical entry often reduces the patients acceptance of treatment. The Maxillary Palate is an area which has excellent cortical bone which if harvested correctly can often produce substantial autogenous bone from same area and incision as the placement of the implant. It is also a site with very little morbidity due to the overlying thick mucoperiosteal flap as well as the lack of muscle pull in the area. It also provides a one site surgery which is a far more attractive treatment option for many patients. This lecture will take you through the step by step technique of harvesting and fixing the bone blocks harvested from the palate. Flap design and suturing techniques will also be covered.
Date Added:
8/9/2011
Author(s):
Howard Gluckman, BDS, MChD
Dr Gluckman completed his dental training at the university of Witwatersrand in Johannesburg in 1990. After spending a number of years in a general practice he complet...
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Online Videos / Surgery / Bone Grafting / The Palatal Bone Block - An Innovative Autogenous Harvest Site
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Questions & Comments
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Howard Gluckman - (11/13/2012 3:47 PM)
Hi Benedict we teach this protocol at our academy in south Africa. You can also get an article I wrote on it on the website just look for the articles under my name and you will find it and down load it.
regards
Howard
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Benedict Lui - (9/11/2012 10:16 PM)
Hi, I am over a year late from the posted date of the video. I really really like the concept of one site surgery. Please if possible, let me know where else I can read up on this surgical protocol or any recommended course/lecture so I can learn more.
Thank you very much
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Howard Gluckman - (10/14/2011 4:40 AM)
Hi Omar
you cannot use a trephine with a smaller internal diameter of 5mm as it will not fit around the implant. the ideal is a 6mm internal diameter or larger and it is ideal to have a few trephines as you need to remove the bone according to the defect on the buccal. I have trephines from internal 5 external diameter 6 right up to a 10mm external diameter which has a 9mm internal diameter. please remember that it is the internal diameter that will give you the size of the block.
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omar mohamed - (10/8/2011 2:02 PM)
do you recommend diameter 8 trephine or diameter 6 could suffice? i mean if i am going to purchase one which is better?
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Howard Gluckman - (10/3/2011 9:31 AM)
@ Rudolfo, Marc and Wong Thank you for your positive comments. always appreciated.
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Howard Gluckman - (10/3/2011 9:29 AM)
I would strongly suggest that your take a cone beam every time you place an implant it just gives you that much more information. You do not have to but then I would only take bone in areas of edentulism so that there is no risk of hitting the roots. The depth of the trephine is dependent on the depth of bone so again this can easily be determined by the CBCT. I did not use CBCT in the beginning of this procedure but it is definitely the best way to check out the bone levels and the root positions. Thanks for your comments.
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omar mohamed - (10/2/2011 8:02 PM)
very precious presentation ...but do we need to do CBCT with every case and howa deep do we need to drill with the trephine into the palate?
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Rodolfo Felices - (10/2/2011 9:18 AM)
RUDOLFO FRO ARGENTINA. IT WAS AN EXCELENT PRESENTATION
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Wong James - (9/4/2011 9:13 AM)
great option for seperate or simultaneous approach
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