Traumatic avulsion #9, Part 2

Nicely done. How did the Contain membrane work out for you?
Don't you need to vent the membrane to allow for vascular effusion to BMP-2?
Sam

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Let us know does the Contain stay covered and how do you manage it if it becomes exposed?
Dr. S

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"Lucked" out. Membrane stayed closed and regeneration was fantastic. Had not done more than a handful of cases with Infuse at the time and was not prepared for the quality of bone upon reentry (D3-4).
@ Sam I asked the Stryker rep re: access by the blood supply to the graft under his membrane and he claimed it wasn't an issue. Dr. Pikos showed some cases without any "vent holes". Can't explain it.
My difficulty is now trying to reposition the gingival architecture to a esthetically pleasing appearance. I now have very thick tissue at the crest, but the frenum and mucosa make up the majority of the peri-implant area. I have a pseudo-uncovery with this case in December as I used the technique described by Dr. Salama (?) of coronally positioning the tissue over healing abutment and allowing ingrowth of tissue.

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Samuel,
I've been using Medpor in orbital reconstruction for many years. It's a fantastic material and in three or four times that i had to remove it, the bone ingrowth through the Medpor was incredible, both from the sinus and the orbital side of the graft. I think the potential of this material as cage to rhBMP-2 is just beginning.
Congrats for the very nice case presented.
Sormani.

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Samuel;
Fantastic discussions and open and honest reflection of your case.
Beautiful results and I have had similar issues as yourself.
2nd stage is going to be critical. Please continue to share your stuff.
Really love it. Hope to see you in Vegas in Feb. at the XP Global Symposium.
Dr. S

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