Palatal bone missing - tuberosity bone block

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Posted on 06.04.2020 02:07 PM By snjezana pohl In Bone Grafting

Ben Lashley posted a case with missing palatal bone in the anterior maxilla.
I have solved some of these cases simply with cortico-cancellous tuberosity bone block, wedged into the defect. Apically tuberosity bone chips were grafted.




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7 Comments

Very nicely done! Thank you for posting and reminding me of this option! Ben


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You are welcome, Ben! May be you can apply it for your patient!
Snjezana


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This is beautifully performed by an Xpert Master. Great use of Bone from Tuberosity and Palatal Pedicle Graft. How do you stabilize the BG? Just wedge it to surrounding walls? Thanks for sharing. regards Maurice


Reply

Thank you, Maurice! In majority of cases it is enough to wedge the tuberosity bone block. Sometimes one or two screws are necessary to stabilize the graft: if the graft is smaller than defect or not shaped properly. But mostly it is nicely wedged simply with a finger pressure. In this case, the palatal granulation tissue is left pediculated and utilized for the wound closure.
Best regards
Snjezana


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Henry Schein
Salvin