One-Time Cortical Lamina by F.I.R.S.T. without Re-entry

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Posted on 07.06.2019 12:50 PM By Vincenzo Foti In Bone Grafting

The hermetic closure of soft-tissue is crucial for a predictable horizontal bone augmentation. I introduce a case report of a novel minimally invasive approach in presence of adequate amount of keratinized tissue, not published from no one in the literature at this time.
It's the "One-Time Lamina" Concept where the bone graft and the cortical lamina are glued with homologous fibrin sealant to facial bone defects without pins. This is a significant and exclusive application of F.I.R.S.T. - Fibrinogen-Induced Regeneration Sealing Technique. Advantages: Only one surgery. No flap passivation. No periosteum incision. Prosthetic restoration at second step. Patient satisfaction and compliance. Outcomes at 51 days: Soft-tissue hermetic closure around immediate healing abutments. Excellent volume achieved. I will show you the final results in 3 months at prosthetic restoration.

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10 Comments

Great surgical video. How best to implement fibrin glue into a regenerative practice? warm regards Dr. Salama


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Hi Maurice
thank you so much for the appreciation and the question. I think that this technique is real easy and is a value added for all the known techniques that provide collagen membranes and flexible cortical bone laminae in the horizontal bone augmentation. It would be nice and important if all countries allowed the use of fibrin glue in dental practice, as in Italy.
I would happy to explain this technique in US.
The Paradigm of "One-Time Lamina" is available in the picture.
A hug
Enzo

The Paradigm of "One-Time Lamina"


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agree with Dr. Salama. Cool technique, flawlessly executed. Would love to know how to integrate this into practice


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Dear Brian,
thanks for your appreciation. This is an easy approach that improve all regenerative techniques with collagen membranes and flexible cortical laminae.
The problem is that not all countries allow the use of the fibrin glue.
I hope that in the future it can be accepted by the competent health offices.
The Paradigm of "One-Time Lamina" is available in the picture.
Best regards
Enzo

The Paradigm of "One-Time Lamina"


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so this is currently unavailable in the US?


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I think, but you can call Baxter Company for information
Best Regards
EF
http://www.tisseel.com/us/index.html


Reply

Very interesting Vincenzo. How long does the glue last for? When does it degrade? Regards


Reply

Hi Andoni,
thanks for your appreciation.
The Tisseel, after defrost, must be kept always at room temperature. It degrades after one month, contrary to what (3 days) Baxter declares.
Best regards
Enzo


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It is amazing that such an easy and predictable technique is not used in the US What are the complications to FIRST ? WHY CANT WE use it? My question is to the stars and experts of DENTALXP


Reply

Dear Vick Kargodorian,
as Xpert of dentalxp and author of the post, I think that in US the fibrin sealant is not admitted in the dental surgery by health office. About the complications of F.I.R.S.T., like infection (very rare), they are independent of the fibrin sealant. Furthermore, no intolerance to this drug in my experience of 20 years.
Best regards
Enzo


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