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Video Details
Guided Bone Regeneration – A graphic technique video

Description:
Dr. Nicolas Elian utilizes graphic representation to outlines the step-by-step techniques to successful guided bone regeneration, including incision design, site preparation, membrane handling, periosteal release and suturing techniques.

Date Added:
8/26/2008

Author(s):

Nicolas Elian, DDS Nicolas Elian, DDS
Nicolas Elian, DDS, Co-Founder, President, and CEO of VIZSTARA Director of Clinical Care and Education

Dr. Elian is a former assistant professor and h...
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Other Author(s):
Nicolas Elian, DDS







Online Videos / Surgery / Bone Grafting / Guided Bone Regeneration – A graphic technique video




Questions & Comments
Carl Choi - (7/27/2012 9:36 PM)

What kind of membrane is being used here?

dentimp huang - (12/26/2010 11:47 AM)

To use stablizing tacks is necessary ? Manytimes I felt difficult to tack the membrane ,so I stabilized with sutures only ,and the results still are good .In my humble opinion the key is tension free closure and no pressure on it .

Maurice Salama - (5/12/2009 9:13 AM)

Decortication seems to still be popular although still contraversial. I do it as well.
As for vertical incisions, I like to include the papilla and do it distal to the canines to avoid scarring in the esthetic zone.
I stabilize my membranes with titanium tacks. Tension free closure is the key to a successful outcome along with membrane stabilization and containment of your bone graft.

Umar Haque - (5/10/2009 6:14 PM)

Hi Dr. Salama. I have had better results decorticating with my grafts. I don't decorticate as deeply as is apparent on the video, though. I love the mattress suturing technique before placing the bone graft... it can be very difficult suturing a large graft site after placing the bone even when I use PRP. Couple of questions: Do you normally vertical releases in the middle of the papillae? What are you using to stabilize the membrane?

Maurice Salama - (12/4/2008 10:14 AM)

Decortication is performed only on the side facing the bone graft. In this video, decortication could have been performed buccal as displayed as well on the palatal side. Excellent comment. There is a controversy about whether or not decortication/intra-marrow penetration is necessary? What are the thoughts from other members?

Andrea Dr.Botar - (9/5/2008 6:13 AM)

was there decortication done on the palatal as well?

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