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Video Details
Implant Therapy and Esthetic Considerations - Staged Implant Placement with Additional GBR - Part 2 of 6

Description:
In this second of a series of detailed clinical videos, Dr. Maurice Salama follows-up on a case of staged implant placement and describes the step-by-step surgical techniques required to ensure successful implant placement at the regenerated site during a 2nd surgery.

Date Added:
5/10/2010

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Online Videos / Surgery / Bone Grafting / Implant Therapy and Esthetic Considerations - Staged Implant Placement with Additional GBR - Part 2 of 6




Questions & Comments
Anupam Singh - (9/10/2015 11:55 AM)

Great series of video Dr Salama. I have completed watching the part 2. Kindly let me understand from which region did you harvest the autogenous bone for 2nd time grafting over the buccal aspect mixed with allogenous bone graft? Warm Regards- Anupam

Maurice Salama - (5/22/2011 9:44 AM)

Dr. Yip; The Bone graft material you speak of is not available in the US and I have no experience with it. As for Cytoplast, yes it is also a good membrane material and resorbs if exposed. Good luck and thanks for the post Dr. Salama

Chi Cheong Yip - (5/21/2011 11:42 PM)

Dr. Salama, Thank you very much for the excellent video. Yes, my experience with GBR using Biooss is similar in that it is soft. Recently I tried Xenograft of equine source from Technoss (Italy). There seems to be better primary stability but that is just a clinical experience with no scientific basis. Do you have any experience with that to share and would appreciate your comment on the use of cytoplast membrane for such a case since the latter material appeared uncomplicated despite being exposed or not covered. Best rgds, Dr. YIp(met you in Singapore before)

Maurice Salama - (3/27/2011 11:16 AM)

Millind; Good Questions. 1. Autologous Bone Block could have worked better/ Yes and No. Better in terms of faster healing and denser bone regeneration. But No, higher morbidity for patient and higher risk of wound dehiscence. 2. I believe very much in CTG with bone regeneration in these esthetic zone cases. Even with bone graft, membrane and PRGF. It thickens the soft tissue and provides for excellent long term gingival stability. As for block graft vs. GBR, yes the bone is always more soft-less dense with GBR. thanks Dr. Salama

milind saudagar - (3/27/2011 8:38 AM)

very good soft tissue healing. i was wondering about two things:-
1] autologus block graft from chin or ramus would have helped more in the first part?
2] does the palatal ct graft had too much imprtance in this case, with you doing such good membrane graft and prgf?
i have always found the bone soft after only use of graft materials without use of autologus bone mixed with it.

Basil Fletcher - (10/1/2010 7:59 PM)

I am a periodontist from Australia and am trying to obtain the full protocol for Dr. Salama,s use of PRGF.The BTI co in Spain will not supply me with the protocol or equipment due to import concerns. I am willing to pay any costs to obtain the full step by step protocols and equipment necessary to follow Dr. Salama.s procedure using PRGF. I would very much appreciate any advise and help. Thank you for some great learning videos. Basil

Tarek Aly Alashmouny - (5/13/2010 7:56 AM)

Dear Dr.Salama, for such a case i am using Legacy3 3.2mm dia from Implant Direct LLC it is tapered implant innovated By Dr.Gerald Niznick it is such a wonderful Product,also it utilize plateform switching

richard martin - (5/9/2010 11:09 AM)

Great video- in response to Dr Aly Alashmouny- Dental XP recently posted an article I wrote on the Astra 3.0 diameter true tapered 2 piece that is very functional for maxillary laterals and mandibular anterior teeth.

Maurice Salama - (5/9/2010 7:50 AM)

Tarek Aly;
Yes, you are correct. There is no Taper for the 3.3mm diameter implant in this system. It is a straight wall product.
What small diameter 2 piece implants are you utilizing for small space areas?
Dr. Salama

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