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11 years follow up of a Cortical plate and sinus lift for posterior maxillary atrophy
Posted on 09.04.2021 02:13 PM
By oscar maldonado
In Bone Grafting
Female, no medical conditions, upper bicuspids missing, narrow ridge, need for sinus elevation.
tx plan: sinus lift lateral window for vertical augmentation, cortical plate from ramus with autogenous bonegraft for horizontal augmentation.
initial xray
cortical plate x-ray
re-entry
11 years follow up
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3 Comments
Maurice Salama says on 09.08.2021 02:15 PM
Nice work. Why did you choose Ramus Block over GBR here? Regards Dr. Salama
oscar maldonado says on 09.08.2021 04:59 PM
From experience, I prefer to use Khoury's technique over GBR, if patient accepts donor site surgery. Had few complications and exposures are easy to treat, just trim the bone exposed (no need to raise a flap) with a bur and problem solved. with GBR if a PTFE membrane got exposed I have to remove the whole membrane and bonegraft is compromise. So I can tell is just based on my personal preference. Both techniques are excellent options, but in my hands I will go for the donor site and get some autogenous bone. Besides the defect was mainly horizontal, favors a cortical plate from ramus with autogenous bone. most of the vertical gain is from sinus lift.
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