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 2 of 2

Description:
In this 2nd of a series, Dr. Dan Holtzclaw demonstrates the role of piezosurgical mediated ridge split technique in the reconstruction of ridge width deficiencies in order to facilitate more optimal placement of dental implants. A number of different variations exist regarding this technique. However, in this section, Dr. Holtzclaw discusses the role of piezoelectric hinge assisted ridge split (PHARS) technique in creating a hinged ridge split that is filled with particulate allograft and covered with a barrier membrane. Specific emphasis is placed on outlining the advantages and unique challenges of the PHARS technique.

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 2 of 2




Questions & Comments
Eviatar Buchman - (10/24/2011 5:32 PM)

Thank you very much for your presentation. In a case of braking the buccal wall how do you recomand to fix it. Is there any video about it. second question, what if the risk to damage the inferior nerve?

E. Buchman

dentimp huang - (7/23/2011 2:11 PM)

Great answer ! Thank you , Dr.Holtzclaw.

dan holtzclaw - (7/19/2011 5:03 PM)

Thank you for the kind comments.

To answer everyone's questions:

1) I generally will not place implants simultaneously in the mandible. The bone here is very dense, especially with a resorbed ridge. That is why I employ the apical hinge cut. This allows me to lateralize the buccal plate more extensively. With this being said, however, it also makes the area less stable for simultaneous implant placement. In the maxilla, I generally have no problem with placing implants with a ridge split (circumstances permitting)

2) I have only used PRF and have not used PRGF. They both have their supporters. It is very fun to watch Chokroun and Anitua square off against one another. I have seen great cases from both sides.

3) I have found that the ridge heals just fine with a full thickness flap. I understand the concept for a split thickness flap, but have not found it to be necessary.

dan holtzclaw - (7/19/2011 4:58 PM)

test

alessandro zussino - (7/12/2011 2:23 PM)

Thank you Dr. Holtzclaw for your very interesting lecture and for the elegant surgery I've seen. When I approach this tecnique I try to insert implants at the same time of the ridge splitting in order to save time to my patient and myself, and also considering that implants can work maintaining the space of the splitted ridge, and moreover reducing the amount of graft needed; what's your opinion about that? Also: what do you think about the tecniques that suggest a split flap incision (like the ERE tecnique of Bruschi and Scipioni)?
Thank you so much.

Wleed Haq - (7/10/2011 10:20 AM)

Thank you - some excellent results with this technique, particularly the amount of bone regenerated. What are your thoughts on using motorised bone expanders for separating the cortical plates and the use of transitional expander implants during the healing phase? Also, have you tried this technique using PRGF? Many thanks

mahnaz syed - (7/10/2011 6:06 AM)

very helpful and useful video thanks for sharing your knowledge

Related Videos
The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 1 of 2 Premium Member Content

The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 1 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>>
Managing Complications in Immediate Implant Therapy - Part 2 of 3 Premium Member Content

Managing Complications in Immediate Implant Therapy - Part 2 of 3
Immediate implant placement in fresh extraction sockets offers several advantages which include patient comfort, ridge preservation as well as decreased treatment time.

Presented By: Abdelsalam Elaskary, BDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Restoration of Optimal Esthetics in Complex Clinical Situations Premium Member Content

Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Preexisting malocclusion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases. The authors emphasize the importance of carefully planning the timing and sequence of performing periodontal, orthodontic, and implant therapies. The advanced techniques and technologies successfully implemented in this case report include the growth factor and titanium mesh (Ti mesh)-assisted bone augmentation; ovate pontic-mediated, noninvasive soft tissue contouring; and photofunctionalization

Presented By: Tomohiro Ishikawa, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Managing 3D Shape and Space in Bone Augmentation: Putty Assisted Regeneration. Premium Member Content

Managing 3D Shape and Space in Bone Augmentation: Putty Assisted Regeneration.
This presentation will demonstrate the utilization of Novabone in several different applications to include ridge preservation and sinus grafting and immediate implant placement.

Presented By: Richard Martin, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery Premium Member Content

BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery
Biological modifiers and growth factors are substances that the body produces naturally in response to injury or disease. The use of these substances in regenerative procedures has made hard and soft tissue regeneration more predictable while accelerating healing and decreasing patient morbidity. This webinar will review the wound healing process and the role that growth factors play in regeneration. BMP, PRP, PRF and PRGF will be reviewed and their clinical applications will be demonstrated. At the end of this webinar the participant will have a good understanding of the differences between these biological modifiers and their benefits.

Presented By: Avi Schetritt, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Simultaneous Autogenous Block Grafting and Implant Placement: A Predictable and More Efficient Method to Augment the Buccal Bone Premium Member Content

Simultaneous Autogenous Block Grafting and Implant Placement: A Predictable and More Efficient Method to Augment the Buccal Bone
This lecture will give you all the necessary guidelines and surgical pearls associated with simultaneous bone block and immediate implant placement as well as deal with any complications should they arise.

Presented By: Howard Gluckman, BDS, MChD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge Premium Member Content

Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic posterior mandibular alveolar ridge. This will include a discussion of the various options to this form of grafting, such as Short implants, Lingual positioning, nerve re-positioning, distraction osteogenesis, and GBR. The Mutli-Tier onlay Bone Graft Technique will be highlighted in this presentation. Additionally, a review of a recently submitted research paper of long term follow up of implants placed into autologous bone blocks harvested from the mandibular ramus, retromolar and sympheseal areas will be discussed. A description of surgical donor harvest sites in the mandible will also be performed as well as post op healing of these sites. Additional time will be spent reviewing causes of failure with bone blocks and implants placed into these sites.

Presented By: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies

Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies
As dental implant reconstruction has evolved into a mainstream alternative to replace missing teeth, bone grafting techniques have also evolved as an ancillary procedure for site development, sinus augmentation, and guided bone regeneration.

Author(s): Scott D. Ganz, DMD
View Article>>
Peridontal Osseous Surgery and Root Resective Therapy

Peridontal Osseous Surgery and Root Resective Therapy
Historically, osseous surgery was performed to eliminate infected bone. Early in the 20th century clinicians realized that periodontally affected bone was not actually infected. Instead of an invasive bacterial infection, chronic inflammation was responsible for bone destruction. This finding changed the rationale for periodontal therapy and led to modern concepts of osseous surgery. Currently accepted approaches are based on guidelines, parameters, and definitions published by many highly respected…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;David Kurtzman, Sidney H. Stein, Marc E. Moskowitz, Jerry J. Garnick
View Article>>
Maximizing Aesthetics in the Deficient Alveolar Ridge

Maximizing Aesthetics in the Deficient Alveolar Ridge
This article will present a predictable method for replacing the lost bone prior to implant placement through the ramus block graft technique.

Author(s): Steven L. Rasner, DMD, MAGD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2014

Preferred Language: English Flag
Contact Us · Login · Register