Lateral augmentation - Dr. David Baranes D.M.D

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Posted on By Rotem Maller In Bone Grafting

Lateral augmentation can be a challenge procedure when the conventional bone grafts perform it and the conventional techniques. However, when it is done with bone cement in this case with Bond Apatite, it becomes a very simple and predictable procedure. As long as the protocol is respected .the clinician should change his granules state of mind and should work with the cement simple as instructed by three consecutive steps place press close.
Place the cement into the grafted site, Press with dry gauze for 3 seconds, and close the flap .graft placement and stabilization can be done in less than a minute. The flap should be primary close however not with tension free as we use to when working with membrane and granules


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What were the particles we see at 2nd stage implant placement? Also, why that flap design on mesial aspect?
Nice video. Thanks Dr. Salama


Thank you Dr Salama

The particles are the large HA particles within the Bond Apatite .Bond Apatite is composed of 66.6%biphasic calcium sulphate and 33.3% HA particles in a controlled
particles size distribution (from 90 micron to 1 mm)
the small and medium size resorb after 4-6 months while the large ones which are about less than 10% and will remain for longer period .

i defiantly agree with you about the flap cut .i would recommend that the flap vertical cuts will be in a distance from the augmentation site and not on the prominence of the bone .


So you have to do primary tension free closure to make space for
The new bone graft material like in conventional GBRs? I would love
To see more clinical cases and defects around implants being corrected or gbrs in general. Thanks


you should have primary closure but not tension free .here we prefer a moderate tension on the flap .
you can see additional cases in our web site
or in our Augma Biomaterials youtube channel


Henry Schein