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Video Details
Autogenous Bone Graft - Part 2: Site Preparation

Description:
In part 2 of this series, Dr. Michael Pikos demonstrates the site preparation for the harvest of autogenous bone from the ramus buccal shelf as part of ridge augmentation for implant therapy. Surgical guides, instrument utilization, bone harvesting and fixation are also demonstrated.

Date Added:
3/19/2009

Author(s):
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Online Videos / Surgery / Bone Grafting / Autogenous Bone Graft - Part 2: Site Preparation




Questions & Comments
Sam Busich - (1/4/2011 8:10 AM)

Agreed. Do nothing to traumatize the nerve and never attempt to retrieve cancelous bone from this harvest. Only cortical bone. Sam

Maurice Salama - (1/3/2011 5:15 PM)

Dumitru; You should do nothing to the nerve if exposed. Leave it alone. A collagen sponge without any pressure to the nerve is enough. Dr. S

dumitru ovidiu - (1/3/2011 3:20 PM)

HY! If the alveolar nerv is expozed after the bone graft is removed from the ramus, do you protect the nerv in any way? A collagen sponge is enough? thank you!

Danny O'Keefe - (3/7/2010 9:30 AM)

1st time I have watched this technique. Will review for nuances.
What type of sedation? Patient is commenting. don't expect her to remember. Thanks for showing lingual nerve.

dr mohamad ali khayat - (1/8/2010 7:40 AM)

its very Nice surgery good luck

dr mohamad ali khayat - (1/8/2010 7:40 AM)

its very Nice surgery good luck

Maurice Salama - (1/2/2010 7:20 PM)

Manish;
Because it is a 5 wall defect, mesial, distal, occlusal, apical & medial wall it has great regenerative potential without anything added.
A blood clot forms after harvest and if maintained forms the basis for full osseous regeneration. Dr. Pikos has done much research on this topic and some of his articles are available on his Xpert page on this site.
Hope this helps and good luck.
Dr. Salama

Manish Rana - (1/2/2010 7:15 PM)

Just wondering how the donor site gape from which we harvested the bone will be refilled with bone again.
Maher Naji DDS

Maurice Salama - (3/30/2009 12:28 PM)

This is a cookbook on how to manage autogenous blocks from the ramus buccal shelf. This is a video that should be watched several times to appreciate the nuances of this procedure. The P&S course in Orlando this June highlights this and most every other grafting procedure from simple to advanced.

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