VIDEO Khoury with palatal bone

151 Rating(s).


Posted on By andoni jones In Bone Grafting

I'm taking this opportunity to thank everyone in dentalXP, for creating this incredible environment for sharing and learning.
Of course, thanks to Howie Gluckman, who I learnt this from.
Hope you like it, happy weekend!!

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7 Comments

Nice work here Andoni. Well done. Was the buccal Plate damaged? I typically, remove block and reduce it with bone scraper "out of the mouth" to collect autogenous bone particles and thin the block to plate thickness of no more than 1mm. Do you feel more comfortable here with Plates vs. GBR? If so, why? thanks for sharing, I am sure Howie Gluckman will be proud. Dr. Salama


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Dear Maurice, thanks for your comments. Whenever possible I do prefer this procedure over any GBR. 1). Better bone quality. 2). Reentry at 3 months ( not possible with GBR). 3). Lower cost. 4). Less need to regraft. Buccal plate was destroyed, check ctscan pics. I also like to prepare thinner plates, but it can be difficult with palatal blocks. The palate has an ovate shape, blocks usually are not flat. Also, the cortical layer can be irregular, and of lower density than retromolar blocks. I removed most of the cancellous bone with scraper, but find it easier to fix the block first and reduce it intraorally, once it's fixed. Hope it makes sense! Regards


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Very nice. what screw system used( non lagging)


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Hi James, It's the Stoma microscrew kit. Best I've used. Regards


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Outstanding man. I feel so proud when I see this kind of stuff and to think I had something to do with it. Very cool. so well managed and great end result I think you should try and thin the bone more you want as little dead bone as possible and also place your bone from the adjacent root eminence to the same on the other side that way you will ge the maximum bulk in the area. but that being said great result. so cool


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I look forward to the follow ups
How was the patient discomfort from the harvest site


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Thanks Howie I will keep advice in mind, means a lot coming from the master! This patient in particular healed very well, with very little post op edema or pain. In 3 months I will be showing implant placement and bone healing, everything going well of course. Thanks again for your work and sharing with the rest. It's priceless.


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