Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Autogenous Bone Graft - Part 1: Flap Management

Description:
In part 1 of this series, Dr. Michael Pikos demonstrates the detailed treatment planning and flap management in preparation for the harvest of autogenous bone from the ramus buccal shelf as part of ridge augmentation for implant therapy.

Date Added:
1/14/2013

Author(s):

Michael A Pikos, DDS Michael A Pikos, DDS
Dr. Michael A. Pikos Dr. Pikos is originally from Campbell, Ohio. He attended The Ohio State University where he graduated Summa Cum Laude and Phi Beta Kappa....
[read more]






Online Videos / Surgery / Bone Grafting / Autogenous Bone Graft - Part 1: Flap Management




Questions & Comments
gholamreza escandary - (2/5/2013 3:07 AM)

hi
Sinus Lift Surgery Sinus 0 What if we did that?
thak you

louie harrison - (1/29/2013 12:13 PM)

I have recently seen some tunneling techniques for horizontal bone defects between mandibular bicuspids and molars. Are these techinques successful? Do they need to decorticate the buccal bone? Looks like a simple procedure , but I know simply is not always better

Jay Lutsky - (1/22/2013 8:08 PM)

Crown to implant ratio is indeed an ambiguous area in the literature. What we do know from the literature is that short implants 6-8 mm have had a very good success rate and often allow us to avoid sinus elevation or vertical augmentation. While there certainly can be a discussion on whether this case required vertical augmentation or not, the technique itself that is demonstrated is quite thorough and effective for managing to achieve full release of the flap for the critical "tension free" closure over the block graft which is a key element no matter what terms are utilized to describe it.

Robert Körner - (1/22/2013 10:46 AM)

Critical comments also welcome? Nobody asking - could (should) this case have been treated without augmentation?Or only a small augm. at the most medial implantsite. Three impl. of at least 10mm length and sufficent diameter should have been possible."crown-implant ratio"-what do we REALLY know about the apropriate length and diameter of implants?Flap "technique"-this a mere elevation of the floor of the mouth.There are comments already three years old- how old is this video?

khaled abdo - (1/21/2013 3:57 PM)

is that laminate veneer without making preparation in anterior teeth for ethatics

Maurice Salama - (2/15/2012 11:10 AM)

Mike Pikos is a master at this technique and very infromative on Flap mangement which is a key to success.
Dr. Salama

shelley godtfredsen - (12/4/2011 5:16 AM)

....when can I see part II of autogenous bone graft / flap management by Dr Pikos - Part I was excellent - very informative useful voice over. Thank you

Band Ditto64 - (11/22/2011 10:13 AM)

I love dentalxp! Great series on bone augmentation by Dr. Pikos. I will now take a hands-on course to add to my education. Band

e chan - (5/9/2010 8:00 AM)

When you plan to replace molars in a free end situation in the lower, do you usually ask the lab to waxup for premolar size and then do the vacuum form type of surgical guide instead of doing usual molar size wax up? I notice Dr. Pikos uses all 3 premolar sizes. Any problems with occlusion using premolar size? And what type of material do you usually ask the lab to do the waxup in since heat from vacuum form will melt the wax? Thanks.

Related Videos
Autogenous Bone Graft - Part 2: Site Preparation Premium Member Content

Autogenous Bone Graft - Part 2: Site Preparation
Demonstration of site preparation for autogenous bone harvesting.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 3: Contouring & Fixation Premium Member Content

Autogenous Bone Graft - Part 3: Contouring & Fixation
Contouring and fixation of a cortical autogenous graft.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 4: Suturing and Tension Free Closure Premium Member Content

Autogenous Bone Graft - Part 4: Suturing and Tension Free Closure
Suturing and tension free closure in bone augmentation.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 5: Case Review Premium Member Content

Autogenous Bone Graft - Part 5: Case Review
Detailed Case Review of a ridge augmentation case utilizing autogeneous bone harvested from the ramus buccal shelf.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Gaining Horizontal and Vertical Bone with Mineralized Bone Particulate, rh-BMP2 and Resorbable Ultrasonic-Applied Rigid Barriers Premium Member Content

Gaining Horizontal and Vertical Bone with Mineralized Bone Particulate, rh-BMP2 and Resorbable Ultrasonic-Applied Rigid Barriers
The use of titanium mesh has been well described, but so has the complications of removal and exposure. Bioresorbable barriers are now available which can be molded into any desired three-dimensional form, creating a rigid and resorbable construct that is secured to the bone using ultrasonic energy. This unique solution has been successfully used to create the proper environment for both large lateral and vertical ridge augmentations for situations previously only treated with block grafting or distraction. Dr. Cummings will share his experience as well as the key soft tissue techniques that are critical for the success of any large augmentation.

Presented By:: Lewis C. Cummings, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Ridge Splitting and/or GBR - Maxilla vs. Mandible - Part 1 of 2 Premium Member Content

Ridge Splitting and/or GBR - Maxilla vs. Mandible - Part 1 of 2
Mandibular ridge splitting has been a clinical challenge due to high density of cortical bone. Therefore, some clinicians recommends two stage approach to overcome this issue. We will also present an unique ridge splitting technique that is easy to do and predictable using one stage approach.

Presented By:: Samuel Lee, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
"The Great Debate" on Tooth Replacement Premium Member Content

"The Great Debate" on Tooth Replacement
Bucco-palatal collapse of the post-extraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in this session with some of the leading clinical research teams in the field. A conceptual debate format discussing the virtues of "Early Placement" at 6 weeks (Buser & Belser Team) vs. "Immediate Placement with Dual Zone Protocols" at time of extraction (Chu & Tarnow Team) vs. "Partial Extraction Therapy" PET (Gluckman & Salama) also at the time of extraction is led by Professor Homa Zadeh of USC. This interactive session explores the current status and poses questions for the future use and indications of each proposed therapy.

Presented By:: Prof. Dr. Urs C. Belser;Daniel Buser, DDS;Howard Gluckman, BDS, MChD;Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Dennis P. Tarnow, DDS;Homa Zadeh, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Ridge Expansion, GBR & Meshes: Decision Making in Clinical Practice Premium Member Content

Ridge Expansion, GBR & Meshes: Decision Making in Clinical Practice
A variety of bone augmentation procedures are currently available at use to the clinician. Techniques of variable complexity can essentially yield favorable results. The choice of technique to utilize however, is often based on defect site presentation and operator comfort level. This presentation will focus on the use of ridge expansion, guided bone regeneration (GBR), and titanium mesh. Merits and indications of each technique will be discussed, and clinical cases will be presented that showcase the decision making process involved in treatment planning.

Presented By:: Ehab Moussa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation Premium Member Content

The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation
The last thirty years have given Clinicians the opportunity to be witness of the wonderful Bone Regeneration Story. The amazing function of the Periodontal Ligament Fibroblast in the wound healing, the first steps of Guided Tissue Regeneration and later the evolution to Guided Bone Regeneration and Implant Therapy, have been Revolutions in our daily practice and becomes landmarks for a whole generation of dentists

Presented By:: Bernard Dahan, DDS, DCD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy Premium Member Content

Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy
When considering implant therapy in the esthetic zone, replicating the natural soft tissue frame may present challenges for the treating clinician. A harmonious gingival form and architecture are not only fundamental for achieving adequate peri-implant pink esthetics, but also for simulating a natural emergence for the future restoration. This presentation will highlight different clinical scenarios in which the lack of hard and soft tissue volume may pose difficulties in achieving ideal peri-implant esthetics, in addition to available clinical strategies on how to manage and minimize hard and soft tissue deficiencies when dealing with implant therapy in the esthetic zone.

Presented By:: Sherif Yousri Said, BDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up

Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.

Author(s): José Carlos Martins da Rosa, DDS, MS;Ariadene Cristina Pertile de Oliveira Rosa, DDS, MSc; Carlos Eduardo Francishone, DDS, MSc, PhD; Mauricio de Almeida Cardoso, DDS, MSc, PhD; Ana Carolina Alonso, DDS; Leopoldino Capelozza Filho, DDS, MSc, PhD
View Article>>
Reconstruction of a Horizontal and Vertical Bone defect using The Cortical Lamina Technique

Reconstruction of a Horizontal and Vertical Bone defect using The Cortical Lamina Technique
For many years guided bone regeneration has been a challenge in oral and implant surgery. Many techniques and devices have been used in trying to regenerate and reconstruct resorbed edentulous ridges. The literature in the field is scarce due to the impossibility to perform RCT on such lesions, therefore the judgement of the international community is based on case reports and retrospective studies. In the last ten years a new device has proved to be quite successful and predictable on top of showing a very low morbidity, a membrane made of xenogeneic collagenated bone with features that are very different from any other material used in the past. This paper will show the application of the cortical lamina technique where a vertical and horizontal defect was corrected and successfully restored.

Author(s): Roberto Rossi, DDS;Edoardo Foce MD, DDS
View Article>>
Retrospective Evaluation of Crestal Bone Changes Around Implants With Reduced Abutment Diameter Placed Non-Submerged and at Subcrestal Positions: The Effect of Bone Grafting at Implant Placement

Retrospective Evaluation of Crestal Bone Changes Around Implants With Reduced Abutment Diameter Placed Non-Submerged and at Subcrestal Positions: The Effect of Bone Grafting at Implant Placement
One method to measure the success of dental implant treatment is to evaluate marginal peri-implant bone-level changes and stability over time. The location of the fixture–abutment interface (FAI) can be of major importance when the goal is to construct esthetic restorations. In these situations the FAI is often placed in a more apical position to create an ideal emergence profile for the prosthetic construction. However, several animal studies have reported that placement of the FAI in a subcrestal position may result in peri-implant marginal bone loss. The aim of the present study is to evaluate the effect of bone grafting of the defect between the bone crest and the coronal aspect of the implant for implants with reduced abutment diameters placed non-submerged and in subcrestal positions.

Author(s): Alan Fetner, DMD;Theofilos Koutouzis, DDS; Michael Fetner, DMD; Tord Lundgren, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login ·