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Video Details
Advances in Bone Augmentation and Related Armamentarium

Description:
Bone augmentation is one of the most important and most difficult steps in implantology. Also the standard techniques used are very sensitive, bound to a certain experience from a large number of surgeries and have a high learning curve. Despite these facts augmentation procedures are often the least planned part of the therapy and based on poor diagnostics. Due to a lack of standardized protocols these procedures are often performed by the surgeons favorite method instead of the most indicated one. It is astonishing , that for the implant placement most advanced techniques are used - cone beam, navigation templates etc. - whereas augmentation procedures are often based on a high percentage of improvisation.

Date Added:
4/23/2015

Author(s):

Dr. Jan Kielhorn Dr. Jan Kielhorn
Jan Kielhorn ist Facharzt für Oralchirurgie. Seine Schwerpunkte liegen in der Implantologie und Parodontologie. Zu seinen spezialisierten Methoden zählen u.a. computernavigier...
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Online Videos / Surgery / Bone Grafting / Advances in Bone Augmentation and Related Armamentarium




Questions & Comments
Nicolas Aronna - (5/10/2015 4:29 PM)

Great presentation Dr Kielhorn: Can you tell me which software do you use to diagnose and virtualize the future regeneration? Thanks

Jan Kielhorn - (4/29/2015 1:45 AM)

Dear Jerome, they will be selling the struts as they are distribution partners of Botiss...hopefully next year.. please contact Botiss for exact information and if ordering it in Europe is according to the official regulations in the US.

jerome bistritz - (4/28/2015 6:38 PM)

I called Straumann US they do not sell Botiss Bone Plates here in USA according to customer service.Can ine order from Europe?

yildiray yemenicioglu - (4/27/2015 2:18 AM)

Dear Kielhorn; these are perfect augmentation cases. I hope to find an use Cortical Struts as soon as possible . the easiest method ; I have ever seen... the easiest means the best. Thanks...

Jan Kielhorn - (4/26/2015 8:04 AM)

Dear Carl, yes indeed either i will reposition the flap at the stage of reentry with thickening it at the same time using a free gingival graft or using a collagen matrix such as mucoderm...also of course you could use vestibulum plasty such as kazajan...

Carl Choi - (4/25/2015 12:17 AM)

Thank you Dr. Kielhorn. Another question: I notice that you use a flap design that uses releasing incisions positioned over the teeth adjacent to the grafted area. With coronal advancement of the flap that occurs with periosteal release and primary flap closure, the alveolar mucosa will now be positioned at the margins of the adjacent teeth due to coronal displacement of the mucogingival junction. How do you address this? With later apical flap repositioning?

Jan Kielhorn - (4/24/2015 2:42 AM)

Dear Henry, thank you very much... when the denture is sufficiently supported on the palate we will take it out of contact in the augmented areas and recommend the patient to use denture glueing gel only on the palate .If this is not possible, we recommend to use one piece mini implants 1, 8 or 2,1 mm diameter with ball attachments to be worked in the temporary or old denture. The implants will be placed at the same time as the augmentation...

Jan Kielhorn - (4/24/2015 2:37 AM)

Dear Carl, Thank you! The plates are provided by Botiss which is distributed in the US by Straumann. If you are not situated in the US check the Botiss website for distribution. The best method in the posterior mandible is to use the groove technique shown in the presentation, other places where you are not able to perform this i would use a ateria clamp which has an adequate thickness and is better to handle than a forceps... The kit is sold by Ustomed company, check the website...you could also order online i think... Hope this answers you question...

Carl Choi - (4/22/2015 7:56 PM)

Thank you Dr. Kielhorn for your fantastic presentation. Where can one obtain the bone plates and the bone plate kit? What is the best method to position the plates in a "floating position" while placing the screws? Thank you.

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