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
自家骨による骨造成-Part 4: 縫合と減張切開

Description:
In part 4 of this video instructional series of a cortical autogenous graft harvested from the ramus buccal shelf, Dr. Michael Pikos demonstrates the surgical techniques for suturing and tension free closure which are absolutely required for successful osseous augmentation procedures.

Date Added:
4/21/2009

Author(s):
Recognized Institutes





Online Videos / Surgery / Bone Grafting / Autogenous Bone Graft - Part 4: Suturing and Tension Free Closure




Questions & Comments
edward shapiro - (8/26/2014 11:21 PM)

dr. pikos. very nice closure. do you prefer blunt dissection for release of flap in this area? what is the success rate of vertical growth and how much height was regenerated? thanks for the video.

yazad gandhi - (2/5/2010 9:34 PM)

Thanks Maurice,

Have taken a biopsy specimen lets see. Will keep you posted.
As regards the sterility breakdown that should not be the cause as it was done in the OT under strict asepsis.

Yazad Gandhi

Maurice Salama - (2/4/2010 6:25 AM)

Dr. Gandhi;
A very rare case failure. Very difficult to assess the reason. Did you take a culture or biopsy of the fibrous tissues and black bone? It would be needed to see what type of bacteria was present. Did the patient have a significant medical history or did the patient have any post surgerical illness? Without this information it would be a guess as to why this may have occured. Without flap breakdown or significant medical issues, I see no reason for the failure other than sterility breakdown. The resorption of the bone, especially the Bio-Oss is almost impossible at 4 1/2 months? Do a oral gingival culture and a blood test on this individual and have an ENT to evaluate the health of their Sinus before performing any other surgical procedures.

Dr. Salama

yazad gandhi - (2/4/2010 5:39 AM)

Dr.Pikos and Dr.Maurice,

Would like to know the reason for the failure of a case.
Did a Corticocancellous block graft fixation in the maxilla (iliac bone) in a case of Ectodermal Dysplasia. B/L sinus grafts were done using Autogenous & BIOSS 50:50 with biomend extend membrane. No perforations were there in the membrane which was tough n fibrous.
4 n 1/2 mths later the maxilla displayed fibrosis and upon reentry the graft had almost totally disappeared n left behind soft black bone as appears in aseptic necrosis. Almost all of the sinus graft has resorbed whichn has never happened with me till date and the membranes B/L are thinned out and perforated. All this despite there being no infective foci around.
Please comment on the possible causes.
Thanx

Maurice Salama - (8/11/2009 11:47 AM)

Leonardo;
Difficult situation. If there is exudate the block is probably not going to do well and should be removed, irrigated and sutured before coming back to regraft at a later date. Would prefer grafting soft tissue prior to 2nd surgery to make sure you have good quality tissue to cover the bone graft. If the block was secure with no exudate, I prefer to grind the exposed bone down until I see a bleeding surface and see if we get epithelialization over the top. Normally, we lose the exposed portion at the least.
Good luck
Dr. Salama

Leonardo Diaz - (8/10/2009 7:37 PM)

would like to know what colud I do with a patient with a deshicence in anterior maxilla after bone grafting.

I sutured tension free with dermis membrane alloderm the right site bone block is ok, but the left site is open with a little exudate after 15 days Post-op.

I take off partially the alloderm because a half was loose and the oter half fixed and sensitive pain.

i need to take a defenitive treatment, so could i do the flap again and a new alloderm leaving the bone block or taking this out.

Sean Peng - (4/30/2009 1:04 AM)

Nice and smooth surgery.
I’m looking forward to see some videos about complication management during surgery, such as soft tissue bleeding, intra bony bleeding and sinus membrane perforation. I know it’s hard to collect that kind of video, but it makes Dentalxp different from other similar website. I think we should be able to manage complications comfortably before becoming a good surgeon.

Related Videos
Autogenous Bone Graft - Part 1: Flap Management Premium Member Content

Autogenous Bone Graft - Part 1: Flap Management
Detailed treatment planning and flap management.

Presented By::
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 2: Site Preparation Premium Member Content

Autogenous Bone Graft - Part 2: Site Preparation
Demonstration of site preparation for autogenous bone harvesting.

Presented By::
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 3: Contouring & Fixation Premium Member Content

Autogenous Bone Graft - Part 3: Contouring & Fixation
Contouring and fixation of a cortical autogenous graft.

Presented By::
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 5: Case Review Premium Member Content

Autogenous Bone Graft - Part 5: Case Review
Detailed Case Review of a ridge augmentation case utilizing autogeneous bone harvested from the ramus buccal shelf.

Presented By::
Presentation Style: Video
Community Rating:
 
Watch Now>>
Central-Lateral Dilemma for Immediate Implant Placement Premium Member Content

Central-Lateral Dilemma for Immediate Implant Placement
The periodontal ligament is the main source of blood supply to the buccal bundle bone, but also to the peri-implant soft tissue and interproximal bone. Partial extraction therapy is a game-changer for adjacent implants. There is not a better possibility to prove it than adjacent central-lateral cases, the topic that occupied us so much on the DentalXP Forum.

Presented By:: Snježana Pohl, MD, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Emerging Trends in Esthetic Zone Bone Reconstruction Premium Member Content

Emerging Trends in Esthetic Zone Bone Reconstruction
Dr. Mike Pikos will present the technological advances needed to create the all-important bone scaffold for optimal tissue aesthetics.

Presented By::
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
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
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.

Presented By:: Avi Schetritt, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Ridge Expansion, GBR & Meshes: Decision Making in Clinical Practice Premium Member Content

Ridge Expansion, GBR & Meshes: Decision Making in Clinical Practice
A variety of bone augmentation procedures are currently available at use to the clinician. Techniques of variable complexity can essentially yield favorable results. The choice of technique to utilize however, is often based on defect site presentation and operator comfort level. This presentation will focus on the use of ridge expansion, guided bone regeneration (GBR), and titanium mesh. Merits and indications of each technique will be discussed, and clinical cases will be presented that showcase the decision making process involved in treatment planning.

Presented By:: Ehab Moussa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Vertical Bone Augmentation: Current Concepts and Techniques Premium Member Content

Vertical Bone Augmentation: Current Concepts and Techniques
This lecture will review several approaches used for vertical bone augmentation and discuss the benefits and limitations of each. There will be special emphasis on the titanium mesh and interpositional osteotomy techniques.

Presented By:: David Dara Yarmand, DDS, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series
To measure the buccal plate reconstruction of extraction sockets with labial plate dehiscence defects using a bone allograft in combination with an absorbable collagen membrane and a custom-healing abutment at the time of tooth removal. Implants placed into sockets with labial plate dehiscence defects demonstrated radiographic reformation of the labial plate dehiscence defect at 6 to 9 months post-treatment. The net gain in labial plate on CBCT in L1 and L2 was 3.0 mm, where 0 mm existed at pre-treatment. The minimum amount of labial plate thickness of 2.0 mm was achieved in all treated sites, evaluated radiographically at 6-9 months post-operatively, in a single procedure, without flap elevation and maintaining the gingival architecture and satisfactory esthetics.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
View Article>>
Reconstruction of a Horizontal and Vertical Bone defect using The Cortical Lamina Technique

Reconstruction of a Horizontal and Vertical Bone defect using The Cortical Lamina Technique
For many years guided bone regeneration has been a challenge in oral and implant surgery. Many techniques and devices have been used in trying to regenerate and reconstruct resorbed edentulous ridges. The literature in the field is scarce due to the impossibility to perform RCT on such lesions, therefore the judgement of the international community is based on case reports and retrospective studies. In the last ten years a new device has proved to be quite successful and predictable on top of showing a very low morbidity, a membrane made of xenogeneic collagenated bone with features that are very different from any other material used in the past. This paper will show the application of the cortical lamina technique where a vertical and horizontal defect was corrected and successfully restored.

Author(s): Roberto Rossi, DDS;Edoardo Foce MD, DDS
View Article>>
"Sandwich" Bone Augmentation Technique - Rationale and Report of Pilot Cases

"Sandwich" Bone Augmentation Technique - Rationale and Report of Pilot Cases
The aim of this article is to present a new technique for augmentation of deficient alveolar ridges and/or correction of osseous defects around dental implants.

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Carl Misch, DDS, MDS; Rodrigo F. Neiva, DDS, MS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2022

Preferred Language: English Flag
Contact Us · Login · Register