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Video Details
SGFBR (Screw Guided Fast Bone Regeneration) Horizontal & Vertical Bone Augmentation of the Atrophic Mandible

Description:
The region which often presents the greatest challenge for augmentation is the molar and premolar region of the Mandible. This is due to naturally occurring anatomical considerations. This presentation will highlight a less invasive surgical option to autogenous block transplantation and has displayed a very high success rate. The speed of bone regeneration with this technique provides for re-entry and implant placement after only 4 months.

Date Added:
2/14/2012

Author(s):

Roland Török, DMD Roland Török, DMD
Dr. Roland Török is the founder of "Implant Institute Török" which was developed in 2008 to provide quality continuing education on the subject of dental implants. Since 2003 ...
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Online Videos / Surgery / Bone Grafting / SGFBR (Screw Guided Fast Bone Regeneration) Horizontal & Vertical Bone Augmentation of the Atrophic Mandible




Questions & Comments
Carlos Ramirez - (5/7/2014 12:16 AM)

Dr. Roland, I find this technique amazing, I really do. I saw the final prothetic picture and the 4 year after and I think I saw some resorption that perhaps compromised the papilla and tissue surrounding the prosthesis, maybe causing food impaction and difficult hygiene. So I would like to know, why do you prefer to go with the SF-GBR instead of doing S-GBR , wait 4 months instead of 2, and avoid the resorption in time? Thanks.

Roland Toeroek Toeroek - (2/22/2012 9:48 AM)

@ Mario Marcone, if i can insert 1/3 of the implant in own bone and i have a wall wich goes to the coronal part of the implant i will make the technique what i show, if i have not enough own bone to have a good primar stability or at least one bone wall wich is in contact with my implant i will make first the SGFBR and after 4 moth insert the implant.

Roland Toeroek Toeroek - (2/22/2012 9:43 AM)

@ Paul Scholl, thank you too

Roland Toeroek Toeroek - (2/22/2012 9:43 AM)

@ Mark Evans, we used in every block augmentation case collagene membranes, my opinion is that the problem with the resorbtion is that we have a tension on the flap and we have a bad blood supply on the surface of the block witch is not in contact with the own bone

Roland Toeroek Toeroek - (2/22/2012 9:40 AM)

@ yasin demircan,we give the patients Amoxicilin 1000, 3 per day, one day before surgery, and 2 days after, after this for 5 more days 2 per day. We also give the patients Ibuprofen 1000, they should take it if they have pain.

Mario Marcone - (2/19/2012 1:45 PM)

Roland, You showed a case whereby you augmented a mandibular ridge using screws and implants as tenting devices at the same surgery. In which situations do you prefer to go with a staged technique using only screws on a first surgery ? In which situations do you elect to do a combined technique using both screws and implants simultaneously? Is it a matter of the amount of bone volume required ?

Paul Scholl - (2/19/2012 11:39 AM)

Beautiful cases and nice technique. Thanks for the information.

Mark Evans - (2/15/2012 1:27 PM)

DR Torok Did these bone block examples include a covering membrane? My brief peruse of the literature suggests that substantial resorption rates are experienced if block are not covered by membrane. Thanks you Mark Evans

yasin demircan - (2/15/2012 5:46 AM)

excellent presentation.seems easy according to block grafts.my question is what is your medication to deal with infection,pain and mostly eudema?thank you?

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