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VIDEO Khoury with palatal bone
Posted on 01.25.2019 02:13 PM 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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Maurice Salama says on 02.04.2019 11:35 AM
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
andoni jones says on 02.05.2019 04:01 AM
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
James Albani says on 02.05.2019 10:54 AM
Very nice. what screw system used( non lagging)
andoni jones says on 02.05.2019 03:57 PM
Hi James, It's the Stoma microscrew kit. Best I've used. Regards
Howard Gluckman says on 02.07.2019 07:12 AM
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
Howard Gluckman says on 02.07.2019 07:15 AM
I look forward to the follow ups
How was the patient discomfort from the harvest site
andoni jones says on 02.07.2019 08:41 AM
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.