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Video Details
3D Reconstruction of an Atrophic Ridge

Description:
Following extraction of a compromised central incisor the remaining site is not amendable to implant placement. This “over the shoulder” procedure details the reconstruction utilizing an Allograft J-Block shaped to fit the defect on a stereolitho model derived from an I-Cat Scan and Materialise Software. The use of Plasma Rich Growth Factor (PRGF), and the unique fibrin membrane is similarly textured. The appropriate use of both mattress suture and interrupted ties to maintain soft tissue closure as well as post-op healing is critical to success.

Date Added:
6/29/2007

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Online Videos / Surgery / Bone Grafting / 3D Reconstruction of an Atrophic Ridge




Questions & Comments
Osama Abdel Qader - (6/15/2014 3:20 AM)

great presentation Dr Salama

Maurice Salama - (4/15/2013 10:30 AM)

Omid; They all work as you said. It really depends on preference and experience of the surgeon. As we continue to attempt to be LESS INVASIVE in our REGENERATIVE approaches, I seem to favor less Autologous blocks if possible and use more GBR and bioactive modifiers like PRGF, PRF and BMP-2. For these procedures where there is much bone to regenerate I prefer non-resorbable barriers. regards Dr. Salama

omid moghaddas - (4/15/2013 9:36 AM)

great presentation Dr Salama as always,in such cases what do you prefer to utilize ? particulate bones! blocks! resorbabale membranes !non resorbabales! all can work good . tnx again Dr Omid Moghaddas

Maurice Salama - (12/27/2012 9:34 PM)

David; The J-block used in this video is sold by Zimmer Dental and is a Tutogem product. Good luck Dr. Salama

David Chang - (12/27/2012 11:10 AM)

Very practical presentation Dr. Salama! Where can I buy the J-block allografts? Thanks! Dr. Chang

Maurice Salama - (6/6/2012 11:34 AM)

Rodolfo and Nicolas; Thank you. Yes, the allograft block is prepared on the sterile stereolithographic model the same day as the patient surgery and we hydrate the block in saline and then PRGF for an additional 10 minutes. As for the MGJ, yes that must be managed by additional CTG at time of Bone Block or at 2nd Stage with apical positioning of the outer flap.
thanks for the posts and interest
Dr. Salama

Rodolfo Piccolo - (6/6/2012 10:02 AM)

good morning. i want ask you if you prepare the block allograft before the surgery using a stereolitografic model o other?? thanks for all and i hope to know you to italy soon!

Nicolas Aronna - (4/4/2012 10:59 AM)

Amazing procedure and totally agree with everything. Initially right after the surgery I can see a displacement of the MGJ towards the crest and afterwards 11 days post op I can see the repositioning of the MGJ apically. Is that achieved thanks to the CTG that you placed under the flap? Thank you very much Dr Salama

Maurice Salama - (5/30/2010 4:50 PM)

Dr. Durrani; Perhaps the most important aspect of any regenerative procedure is stability of the graft and tension free closure. We achieved both on this case. It turned out very well and has been loaded in function for almost 2 years. I will post these images in the near future. thanks again for your interest
Dr. Salama

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