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Video Details
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 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 complete...
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Online Videos / Surgery / Bone Grafting / The Palatal Bone Block - An Innovative Autogenous Harvest Site




Questions & Comments
Joseph Boone - (6/15/2016 12:30 AM)

Howard great video I have learned a lot. I always enjoy your teaching style. In this lecture you showed how this can be used at the time of placement. Can this technique be used on implants that have been placed and integrated but are missing the facial bone.

Howard Gluckman - (8/14/2014 10:36 AM)

Thank you Sok. You can fill the palatal area with whatever you want it is a closed defect so it generally fills without anything. I only place xenograft if I have a situation where the defect is deep or very large. But collagen is good and will do no harm. thanks for the question

Sok Chea - (8/12/2014 9:15 AM)

From Sok Chea, Cambodia Great presentation. I really love your presentation in Dentalxp, Florida. Question : Is it possible to use collagen sponge to fill the space at palatal donor site?

Howard Gluckman - (5/10/2014 1:03 PM)

Thank you Zaid I remember you well. Thank you for the kind words

zaid tayob - (3/30/2014 5:06 PM)

i know it's about 3 years later but your style of lecturing is superb and very refreshing!! thank you for the great presentation. I have attended your courses some years ago in cape town and I appreciate very much your contribution. Best regards zaid

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

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

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.

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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