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Video Details
Managing the Extraction Site - Optimal Preservation and Enhancement Techniques

Description:
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Date Added:
5/13/2013

Author(s):

Michael Sonick, DMD Michael Sonick, DMD
Dr. Michael Sonick is a full time practicing periodontist and implant surgeon in Fairfield, Connecticut. He is also an active teacher, clinical researcher and author. ...
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Online Videos / Surgery / Bone Grafting / Managing the Extraction Site - Optimal Preservation and Enhancement Techniques




Questions & Comments
Joon Kim554 - (7/24/2017 2:20 AM)

Around 33min, you were able to grow bone vertically. I thought we can't really do it without using titanium mash. How do you think you could generate the bone vertically just by using a resorbable membrane? Also, I know you like to go one tooth mesial and distal with vertical incision but how does it compare to 2 teeth mesial and distal without vertical incision? What's pros and cons of each flap design?

henry salama - (11/9/2015 1:28 PM)

Dr. Mota, the key is always stabilization of the graft and membrane, i.e. minimize movement during the healing phase. Towards that end, if one can do that by suturing the membrane to the flap then so be it. However, from a technical and surgical standpoint, it is easier to suture/stabilize the membrane separately from the flap.

Dr Ankita Mota - (11/7/2015 5:51 AM)

Very well explained and illustrated presentation. Sir what is your opinion regarding engaging the membrane with the flap while suturing it..like should it be done ?

Maurice Salama - (2/5/2014 2:16 PM)

Well done Michael. Do you prefer rh-PRGF to autologous PRGF from the patient's own blood? I know they claim much greater concentration of PDGF in Gem21 but I would like to know your opinion and preferences on growth factors. Thanks Maurice

Eric Pena - (2/4/2014 10:48 AM)

Thanks for sharing

george hebeka - (1/19/2014 4:26 PM)

Great presentation. Very easy to follow his logic.

bill huang - (7/16/2013 12:52 PM)

Dear Dr. Sonick: How do you think Gem 21 will work with Bio-oss?
thanks.

bill huang - (7/16/2013 12:49 PM)

thank you. love it.

Mike Sonick - (6/2/2013 1:08 PM)

Hi All, Many of you have been asking about the types of bone grafts and materials I use today. Most times I hydrate a bone allograft in sterile water. Once hydrated, the graft is dried with sterile gauze. I will then place a growth factor, usually 5 drops of rh-PRGF (Gem-21) per 1/2 gram of bone. When a membrane is indicated, I most frequently use a bovine membrane. Hope that clarifies things a little more.

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