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Video Details
Vertical Bone Augmentation Using a Tunnel Approach Step by Step - Part 2 of 2

Description:
Bone atrophies are one of the most challenging situations in modern implantology. Several techniques have been proposed to be able to place implants in those atrophic situations. This first presentation will show step by step the Split Bone block technique as described by Dr. Khoury to perform horizontal bone augmentation procedures. Bone biology is also explain in order to understand why this technique offer us some great advantages. The second presentation will focus of vertical bone augmentation procedures using this same technique but through a tunnel approach. The advantages of this approach will also be described in this presentation.

Date Added:
3/14/2018

Author(s):

Jose L. Dominuez-Mompell, DDS, MsC Jose L. Dominuez-Mompell, DDS, MsC

Jose L. Mompell

- Clinical Professor in Oral Surgery and Implantology at URJC Master

- Clinical Professor Periodontics, Implantology and Prosthodontic...
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Juan Lara Chao, DDS, MsC Juan Lara Chao, DDS, MsC

Juan L. Chao

- Clinical Professor in Oral Surgery and Implantology at URJC Master

- Clinical Professor Periodontics, Implantology and Prosthodontics a...
[read more]






Online Videos / Surgery / Bone Grafting / Vertical Bone Augmentation Using a Tunnel Approach Step by Step - Part 2 of 2




Questions & Comments
omar mohamed - (4/12/2021 2:27 AM)

Thanks for sharing this Amazing and Predictable Technique I have 2 questions here: 1- Do we need to make periosteal scoring during first surgery to accomodate increased ridge volume? 2-How would you guarantee that no bone particles will go into submandibular space?

Omid Moghaddas - (7/10/2020 8:32 AM)

Wonderful. Really enjoyed this presentation. Do you screw the plates without perforating them ? Or you make the screw holes prior to fixation? Also in cases that we have very limited space to the inf alv nerve, how we can fix the plates ? Cause screw may put pressure on the canal! All the bests Omid

Omid Moghaddas - (7/10/2020 8:32 AM)

Wonderful. Really enjoyed this presentation. Do you screw the plates without perforating them ? Or you make the screw holes prior to fixation? Also in cases that we have very limited space to the inf alv nerve, how we can fix the plates ? Cause screw may put pressure on the canal! All the bests Omid

Jose Luis Dominguez Mompell - (5/16/2018 3:22 AM)

Hi Miguel! No, no membranes are used. We always keep in mind the concept of Revascularizable membranes” We place no obstacles between the periostium and the thin bone block. Neither horizontal or vertical. In vertical augmentation if we have at least 4-5 mm of KT we perform a Kazanjians Vestibuloplasty to achieve fond of vestibule and attached mucosa (Not KT) if the band of KT is less that 3-4 mm we perform a FGG no be able to have some quality tissue around implants. Hope to have Answer your questions!

Jose Luis Dominguez Mompell - (5/16/2018 3:17 AM)

Hi Achille! No experience with Xenoblocks, sorry! Could they be used? I really think so, but we have to bear in mind the concept “biological revascularizable membranes”. will they act as so? That would be an interesting topic!

Miguel Martinez - (4/1/2018 6:22 AM)

Edit: cover with a reaorbable collagen membrane if no vertical height needed. Thank you

Miguel Martinez - (4/1/2018 6:19 AM)

Thank you very much for sharing! Beautiful work. 2 questions if I may: -Is a free or CTG more than likely always recommended as a result of this technique. -please explain reentry soft tissue incision. Is it preparing future bed for mentioned graft procedure? Would you cover the occlusal aspect of a horizontal graft if no occlusal block used/needed? That was three my bad Congrats again!!

Achille Peivandi - (3/27/2018 11:51 AM)

any experience with xeno blocs ?

Jose Luis Dominguez Mompell - (3/5/2018 11:58 AM)

Hi David! Piezo devices can also be used for harvesting the bone block without any doubt. Microsaw is faster, but if you feel more comfortable with piezo go for it! Be sure you have some very thin inserts to split the bone block. Thanks for watching the presentation. Jose Mompell

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