Maurice Salama - (1/8/2013 2:16 PM)

Still an amazingly well done video series on the actual surgical flap and lateral window access in Sinus Augmentation.
Dr. Salama

WooHyuk Yun - (7/4/2010 6:21 AM)

Thanks for great presentation by great surgeon. and I have a question. I wonder why Dr.Pikow inserted collagen membrane beneath the elevated sinus membrane before bone graft, though there was no membrane perforation. Is there any advantage compared to "not inserting membrane"? and May I understand that's a part of Dr.pikos's routine protocol on lateral sinus augmentaion?
I have a big respect for Dr.pikos, so I want to know his protocol concretely. so I'm asking you about that. thank you.

Maurice Salama - (4/25/2010 8:53 AM)

Recent research on Sinus Augmentation with BMP-2 ACS

International Journal of Periodontics and Restorative Dentistry
March/April 2010
Volume 30 , Issue 2

Maxillary Sinus Augmentation Using Recombinant Bone Morphogenetic Protein-2/ Acellular Collagen Sponge in Combination with a Mineralized Bone Replacement Graft: A Report of Three Cases

Dennis P. Tarnow, DDS/Stephen S. Wallace, DDS/Stuart J. Froum, DDS/Alessandro Motroni, MS/Hari S. Prasad, BS, MDT/Tiziano Testori, MD, DDS, FICD

The objective of the following case reports was to assess whether mineralized bone replacement grafts (eg, xenografts and allografts) could be added to recombinant human bone morphogenetic protein-2/acellular collagen sponge (rhBMP-2/ACS) in an effective manner that would: (1) reduce the graft shrinkage observed when using rhBMP-2/ACS alone, (2) reduce the volume and dose of rhBMP-2 required, and (3) preserve the osteoinductivity that rhBMP-2/ACS has shown when used alone. The primary outcome measures were histomorphometric analysis of vital bone production and analysis of serial computed tomographic scans to determine changes in bone graft density and stability. Over the 6-month course of this investigation, bone graft densities tended to increase (moreso with the xenograft than the allograft). The increased density in allograft cases was likely the result of both compression of the mineralized bone replacement graft and vital bone formation, seen histologically. Loss of volume was greater with the four-sponge dose than the two-sponge dose because of compression and resorption of the sponges. Vital bone formation in the allograft cases ranged from 36% to 53% but, because of the small sample size, it was not possible to determine any significant difference between the 5.6 mL (four-sponge) dose and the 2.8 mL (two-sponge) dose. Histology revealed robust new woven bone formation with only minimal traces of residual allograft, which appeared to have undergone accelerated remodeling or rhBMP-2–mediated resorption. (Int J Periodontics Restorative Dent 2010;30:139–149.)

edward shapiro - (4/24/2010 9:18 PM)

once again your expertise makes this video a pleasure to watch. not only excellent skills but performed in a short time. thank you.

alessandro zussino - (4/23/2010 10:17 AM)

Very elegant surgery (as usual!). I would like to know the name of the "tac gun", and if you can use it also in the mandible where the bone quality is often harder: sometimes it happened to me to break a tac or two! Thank you

christian berdy - (4/23/2010 5:58 AM)

A great complement to part I, again excellent photography and commentary as Dr Pikos performs his surgery. He makes a complex procedure requiring, a delicate touch, look easy.