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Anterior Maxillary Reconstruction with Titanium Mesh
Posted on 10.09.2012 12:37 AM
By Sormani Queiroz
In Bone Grafting
Reconstruction with titanium mesh and a mix of autogenous bone and Bio Oss in a severe buccal bone defect in the anterior maxilla.
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9 Comments
Sam Busich says on 10.09.2012 10:44 AM
Sormani Queiroz, outstanding video and presentation. You are obviously very talented and experienced! please post more in the future. My question is do you prefer Titanium Mesh and particulate autogenous bone for these defects over autologous block? And have you nay experience with BMP-2 and ACS?
many thanks Sam
Sormani Queiroz says on 10.09.2012 02:08 PM
Dear Sam, thank you for the kind words. I've been using block bone grafts for many years with good and predictable results. I started using a titanium mesh plus particulate bone for about a year and am having amazing results, especially with regard to the three-dimensional shape of the reconstructed bone. The disadvantages are the necessity of a very wide exposure area to place and to remove the mesh, as well as the high percentage of exposure of the mesh. Regarding the use of rhBMP-2, the price is still too expensive in my country but we are beginning to use it in the maxillary sinus or with titanium mesh. I hope to publish some cases here soon. Best regards.
Sormani.
Shane Claiborne says on 10.09.2012 11:26 AM
You said your trephine harvests and crushs the bone simaltenoulsy...who makes this trephine?
Dr. C
Sam Busich says on 10.09.2012 12:53 PM
I think that is Meisenger Trephines?
Sam
Sormani Queiroz says on 10.09.2012 02:12 PM
Shane,
This trephine is made by a Brazilian implant supplier called INP, but i think that this is a copy of some international company.
Thank you for watching the video.
Sormani
ali momen says on 10.09.2012 04:32 PM
good job dear dr.why did you used 2 pieces of mesh not one?
thanks
Sormani Queiroz says on 10.09.2012 08:58 PM
Thank you Ali. In fact, is just one ti-mesh, I just divided it to avoid the anterior nasal spine in the apical area of the maxillary midline.
SANDRO VALENTE says on 10.20.2012 07:48 AM
Parabéns Sormani,
Ótima apresentação e qualidade do seu trabalho e muito bom. Nós realmente aqui no Brasil temos grande dificuldades com os preços do BMP e as malhas tem realmente um excelente resultado.
Parabéns.
Sandro Valente
CD Rio de Janeiro
Charles Schwimer says on 11.17.2012 07:29 AM
Sormani,
Nicely done. Going forward, do you have plans to modify or augment soft tissue? I find muscle pulls and lack of KT to be problematic and often result in relapse. Chuck