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
The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 1 of 2

Description:
In this 1st of a 2 part lecture, Dr. Dan Holtzclaw reviews multiple ridge augmentation techniques for the reconstruction of ridge width deficiencies in order to facilitate more optimal placement of dental implants. One particularly effective technique involves splitting the resorbed ridge and filling the split with bone. Dr. Holtzclaw discusses the role of piezoelectric hinge assisted ridge split (PHARS) technique as an additional new protocol to help accomplish this endeavor more efficiently.

Date Added:
7/4/2011

Author(s):

Dan Holtzclaw, DDS, MS Dan Holtzclaw, DDS, MS

Dr. Holtzclaw received his dental degree (Cum Laude) from the University of Texas Health Science Center at San Antonio. During a subsequent 12 year ...
[read more]






Online Videos / Surgery / Bone Grafting / The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 1 of 2




Questions & Comments
omid moghaddas - (7/26/2012 12:30 PM)

GREAT .ENJOYED IT A LOT.my question is should the depth of the osteotomy from the crest be equal or more than the length of the implant?and do you prefere to do ridge splitting in maxilla or mandible?
tnx again, Dr Omid Moghaddas

Andres Paraud - (7/30/2011 1:54 AM)

Great lecture, about the 2 screws placed in the first case, they were removed in the second surgery? or the implant goes between them? regards Andres Paraud.

dan holtzclaw - (7/19/2011 5:07 PM)

Thank you for the kind comments. To answer your questions:

1) About the screws used for GBR early in the presentation. That case simply demonstrates that there are multiple ways to solve the problems of a deficient ridge. The case could have been treated with a variety of techniques. Personally, I would not use a block of bone there as I have built my practice around non-autogenous grafting and I find that block allografts sometimes don't tend to fare as well in the posterior as the anterior.

2) When mobilizing the buccal plate, the height of the plate will be slightly apical to the height of the lingual plate. When you add the particulate bone, however, this usually allows you to regain the lost height (which is often very minimal).

Daniel Kim - (7/10/2011 10:09 AM)

when ridge split is done what can be done to get same bone height buccaly and lingualy , buccal height is lower than lingual. when add allograft, decorticalzation has to be done or not? GREAT LECTURE THANKS

Marcelo Silva - (7/9/2011 3:36 PM)

Great Lecture!!! Well done!!

dr mohamad ali khayat - (7/8/2011 1:04 PM)

Thank you dr that great video and great explanation, but I want to explain to me why you placed 2 screw at the first case and put granules of the bone and not a block of bone

Related Videos
The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 2 of 2 Premium Member Content

The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 2 of 2
This 2 part lecture demonstrates the piezoelectric hinge assisted ridge split (PHARS) technique for reconstruction of ridge deficiencies to facilitate the placement of dental implants. A review of multiple ridge augmentation techniques is provided along with advantages and unique challenges of the PHARS technique.

Presented By:: Dan Holtzclaw, DDS, MS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Pre-Implant Ridge Bioengineering: The Bone Block Allograft Technique - Part 2 of 2 Premium Member Content

Pre-Implant Ridge Bioengineering: The Bone Block Allograft Technique - Part 2 of 2
Narrow ridge deficiencies can limit dental implant placement. As well, the pain and various complications associated with chin, ramus and hip bone block grafts for ridge augmentation purposes discourage many from pursuing this method of treatment. The 'bone block allograft technique' helps overcome narrow ridge limitations for dental implant placement as well as minimizing surgical post-op pain, risks and complications. This is an extremely versatile procedure which can be performed in the anterior and posterior sextants of both the maxillary and mandibular arches. The 'bone block allograft' technique helps overcome narrow ridge limitations for dental implant placement as well as minimizing surgical post-op pain, risks and complications. This is an extremely versatile procedure which can be performed in the anterior and posterior sextants of both the maxillary and mandibular arches.

Presented By:: Herbert Veisman, BSc, DDS, FRCD
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>>
Venipuncture & Blood Drawing: Phlebotomy Step-by-Step Premium Member Content

Venipuncture & Blood Drawing: Phlebotomy Step-by-Step
The use of platelets concentrates is becoming unavoidable in our surgeries. To take full advantage of these techniques, the surgeon has to be familiar with the blood collection technique and capable to draw blood at any time. This presentation will show you how to manage simply the venipuncture according to a step by step protocol, with special attention for tricky situations & difficult patients.

Presented By:: Elisa Choukroun, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique Premium Member Content

Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique
This lecture is focused on an effective regenerative approach, but at low knowledge. The goal is to provide a new skill in favor of well-established techniques. The Fibrin Sealant (FS) is an additional clot of human origin. It has adhesive, sealant and inductive action stimulating hard and soft-tissue regeneration. The FS, mixed with bone chips and biomaterials, allows a better handling of the graft that, becoming plastic and moldable, adapts perfectly to bony defects without dispersion of granules. It’s effective also on wound protection achieving a faster healing of soft-tissue. This approach is excellent in the socket preservation and in the peri-implant regeneration on "closed" sites where the implants are inside the defects.

Presented By:: Vincenzo Foti, MD, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
A Defined Algorithm for Regenerative Success Part 1 of 2 Premium Member Content

A Defined Algorithm for Regenerative Success Part 1 of 2
These presentations will focus open the above concepts but prioritize the diagnostic phase and surgical common denominators required for a successful regenerative outcome. Flap design, space maintenance, bone and membrane selections and tension free closure provides the template for all the new age materials and technologies to be successful in clinical practice.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy Premium Member Content

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites

Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites
Evealuation of regenerated bone density.

Author(s): Eduardo Anitua, MD, DDS, PhD;Gorka Orive, MD, DDS; Isabel Andia, PhD
View Article>>
Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft

Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft
Trauma to teeth and the dentoalveolar process may result in a ridge defect that precludes straightforward implant therapy of the patient. Typically bone and soft tissue augmentation of the area would first be needed to adequately prepare the tissues for the implant and its restoration..Grafting of the site is substantially more difficult in cases where the ridge also lacks adequate height, and techniques to recreate a bony envelope to apply guided bone regeneration may be required. Moreover, defects in the anterior aesthetic zone that require both bone and soft tissue grafting and a restoration that harmonizes the adjacent pink and white aesthetics may be an even more significant challenge to the restorative team. Hereafter a case of trauma to an anterior maxillary tooth that saw destruction of the ridge is presented, with the defect reconstructed to accommodate a functional and aesthetically pleasing implant supported restoration.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit, BChD
View Article>>
Socket Gafting with the use of Autologous Bone - an Experimental Study in the Dog

Socket Gafting with the use of Autologous Bone - an Experimental Study in the Dog
In five beagle dogs, the distal roots of the third and fourth mandibular premolars were removed. The sockets in the right or the left jaw quadrant were grafted with either anorganic bovine bone or with chips of autologous bone harvested from the buccal bone plate. After 3 months of healing, biopsies of the experimental sites were sampled, prepared for buccal–lingual ground sections and examined with respect to size and composition.

Author(s): Mauricio G. Araujo; Jan Lindhe
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register