Video Details
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rhBMP-2 Infuse and Titanium Mesh Utilization for Horizontal Augmentation in the Maxillary Lateral Incisior Region
Description:
In this video, Dr. Salama highlights a regenerative protocol utilizing rhBMP-2/ACS INFUSE and mineralized irradiated allograft bone, Miner-Oss in combination with a pre-fit titanium mesh apron and implant placement in a narrow ridge. Incision design and tension free closure are also featured.
Date Added:
6/5/2009
Author(s):
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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Online Videos / Surgery / Bone Grafting / rhBMP-2 Infuse and Titanium Mesh Utilization for Horizontal Augmentation in the Maxillary Lateral Incisior Region
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Questions & Comments
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Maurice Salama - (5/21/2013 9:58 AM)
Nelson: I can only speak of my experiences with BMP-2 and I have no adverse reactions that you are suggesting other than significant post-op edema. regards Dr. Salama
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Nelson Macedo - (5/20/2013 9:30 PM)
What do you think about Infuse adverse effects as bone ovegrowth, sterility, ectopic bone growth?...
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Carl Choi - (8/25/2012 6:54 PM)
Thank you Dr. Salama for you work. Do you have any follow-up images/video for this case?
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omid moghaddas - (8/8/2012 2:55 AM)
Dear Dr Salama,you only fixed the titanium mesh from occlusal,will it be sufficient ?what if you fix it from buccal side also?will additive fixation reduce the risk of movement and exposue?tnx again
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Maurice Salama - (6/4/2012 4:51 PM)
Kevin; Yes. The ACS collagen sponge is the carrier for the BMP-2 liquid. The titanium mesh can be purchased on XP from Neobiotech. They are CTi-Mesh that connect to the implant like an apron.
Yes, as there is a higher cost for the Infuse, I would charge more than just a normal particulate GBR procedure.
Good luck and thanks
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kevin potocsky - (6/4/2012 4:30 PM)
so the collagen sponges is different than the infuse. the infuse is a liquid and the sponges are soaked in it? How much are these components the titanium mesh ? and the infuse? and you charge more than just a normal particulate graft right?
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Maurice Salama - (6/4/2012 3:16 PM)
Leonid; A membrane is contraindicated with the use of BMP-2 as we wish to allow the passing of blood and nutrients to the bioactive material.
thanks Dr. Salama
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Leonid PATLUT - (6/3/2012 6:55 PM)
Very interestig,but why you not use membrain. thank you dr.patlut
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Maurice Salama - (12/29/2011 10:39 AM)
Luigi and Jan; Great discussions. Yes, we must be concerned about higher risk of ti-mesh exposure but it is preferred when using BMP-2 for regeneration. I am not concerned about implant angulation as I confirmed placement with radiograph. Yes, we will thicken KT at 2nd stage uncovering and manage any Ti-mesh dehiscence if they occur. Stabilization of apical end of Ti-mesh is most likely not an issue after clot stabilization but I would prefer a Ti-mesh with apical "cleats" that can be tapped into cortical plate.
I am working with a company now to produce such a Ti-mesh.
Thank you both for a great series of real world Clinical issues.
Happy New Year
Dr. Salama
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