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
Implant Placement in the Posterior Mandible in Combination with Titanium Mesh and PRGF for Horizontal Bone Augmentation

Description:
In this video, Dr. Salama highlights a combination case where implant placement is performed simultaneously with a pre-fit titanium mesh, FT Wing to secure spacing needed for ridge augmentation. PRGF and fibrin membrane further highlight this regenerative protocol. Incision and tension free closure are also featured.

Date Added:
6/5/2009

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...
[read more]

Recognized Institutes

Featured Products
NeoBiotech
CTi Membrane
B.T.I. Biotechnology Institute
PRGF Endoret


Online Videos / Surgery / Bone Grafting / Implant Placement in the Posterior Mandible in Combination with Titanium Mesh and PRGF for Horizontal Bone Augmentation




Questions & Comments
Maurice Salama - (8/27/2014 4:28 AM)

Ed; My goal was 2mm labial to the implant. I now use a mixture of 50:50% Cortical-Cancellous Mineralized Bone or I collect autogenous bone with the ACM (Auto Chip Maker) drills. Dr. Salama

edward shapiro - (8/26/2014 10:54 PM)

dr. salama. what was your goal in mm in regeneration of the buccal bone. i use only mineross for my GBR procedures; should i be using straight cortical bone on the outer aspect; a layering technique? sounds like more bone regeneration that way. thanks.

Maurice Salama - (12/10/2013 10:57 AM)

Kevin; The best way is to purchase a Neo-GBR kit from Neobiotech and then purchase the CTi-mesh separately. Secure screws on both buccal and lingual and a tenting screw below the mesh to maintain the space. You can purchase these items directly on the Products page and click on Neobiotech. Good luck Dr. S

kevin potocsky - (12/10/2013 8:35 AM)

I want to use the cti mesh from neobiotech to get some vertical height regenerated. but i want to stage it. what size screws would you recomend to secure it to the buccal and lingual? or would i just need to secure it to one side?

Maurice Salama - (10/17/2013 9:26 AM)

Mark; I have not utilized Cytoplast Ti reinforced for this procedure. I would be reluctant to as it does not allow for the same space maintaining as does Titanium mesh only. I too think Cytoplast membranes are good options for buccal dehiscence of an extraction site but I also like the Socket repair membrane of Zimmer for this indication. regards Dr. Salama

Mark Zwickey - (10/16/2013 11:00 AM)

Dr. Salama - Have you ever or do you know of any techniques similar to this but using titanium reinforced cytoplast? I have thought about this in the past. Using the cover screw or low profile healing abutment to secure the cytoplast. That way if there is some breakdown over the cover screw, which is more of a problem in the lower, the exposure may be tolerated better. I have had good success using that membrane for buccal dehiscence after ant extraction and not getting primary closure, but have not had great success around implants. Would securing with the screw help with stability and better results? I am thinking about using primarily when you have a small buccal exposure of the implant on the lower but good primary stability otherwise. thanks.

Maurice Salama - (7/18/2012 6:47 PM)

Dr. Eldardir; Thank you. It is best to extend the envelope flap full thickness in the area until you can see the exit of the nerve from the foramen reaching out into the flap. An depression in the labial wall typically extends beyond the nerve. Due this with blunt dissection only. This is dispalyed beautifully on Dr. Pikos video on XP for mandibular block graft. Take a look. Good luck Dr. Salama

Islam Eldardir - (7/18/2012 10:16 AM)

hi doc maurice could you show us how u visualize the mental nerve and keep it away i always have the fair of going near this area and try to be superfacial as much as i can plz. thank alot

Simon Milbauer - (10/22/2011 3:00 PM)

Maurice,thank you for your answer and this another fantastic case presentation.No,I haven't tried the PRGF techniques as yet.I see it is a routine practice for most of the experts on Dental XP and the results are excellent.

Related Videos
Bone Graft Planning Using Stereolithographic Models Premium Member Content

Bone Graft Planning Using Stereolithographic Models
3D Planning of bone deficiencies is highlighted using titanium mesh and model simulation.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
3D Tx Planning Using Materialise Simplant Simulation Software Premium Member Content

3D Tx Planning Using Materialise Simplant Simulation Software
The role of software 3D planning is highlighted and how best to use this expanding technology.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
rhBMP-2 Infuse and Titanium Mesh Utilized for Regeneration of the Posterior Mandible Premium Member Content

rhBMP-2 Infuse and Titanium Mesh Utilized for Regeneration of the Posterior Mandible
BMP-2, bone morphogenic protein and the concepts of GBR are featured in this case report.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
rhBMP-2 Infuse and Titanium Mesh Utilization for Horizontal Augmentation in the Maxillary Lateral Incisior Region Premium Member Content

rhBMP-2 Infuse and Titanium Mesh Utilization for Horizontal Augmentation in the Maxillary Lateral Incisior Region
BMP-2, bone morphogenic protein and the concepts of GBR are featured in this case report.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Osteotome Technique & Piezosurgery Utilized for Internal Sinus Lift with PRGF Protocol Premium Member Content

Osteotome Technique & Piezosurgery Utilized for Internal Sinus Lift with PRGF Protocol
The placement of an implant in the posterior maxilla with internal sinus lift and buccal plate augmentation.

Presented By:: Maurice Salama, DMD
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>>
Allograftic Bone Block in a Complex Augmentation Case in the Maxilla Premium Member Content

Allograftic Bone Block in a Complex Augmentation Case in the Maxilla
Dr. Sivan Kars outlines his approach to utilizing an allograft bone block to reconstruct a severely resorbed area around a maxillary first premolar extraction site.

Presented By:: Sivan Kars, DMD, MPA
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization Premium Member Content

Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization
A unique presentation of a combined surgical techniques and implants provisionalization, simultaneously performed, in the anterior maxilla. With the aid of computerized assisted guides, a surgical template and a temporary bridge for immediate temporization was prepared.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Increase Surgical Implant and Regenerative Success by Going 3D and Using Innovative Products Premium Member Content

Increase Surgical Implant and Regenerative Success by Going 3D and Using Innovative Products
Detailed videos using 3D planning software as well as innovative products by a speaker with an extensive background in implant and regenerative surgical procedures.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Bone Reconstruction: A New Algorithm for the Implantologist Premium Member Content

Bone Reconstruction: A New Algorithm for the Implantologist
Bone augmentation is often required to place an adequate number of dental implants in ideal positions for prosthetic support. In addition to biomechanical demands bone augmentation can also provide proper ridge contour for improved esthetic outcomes. Disadvantages of bone augmentation techniques include increase morbidity, surgical time, costs and treatment length. As such a trend has develop towards treatment approaches that avoid bone grafting including shorter and narrower implants, angled implants and/or fewer implants for prosthetic support. This presentation will look at various bone augmentation techniques, methods to minimize the morbidity of bone grafting and guide clinicians on implant rehabilitation with grafting versus non-grafting approaches.

Presented By:: Craig M Misch, DDS, MDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry Premium Member Content

Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry
Knowledge of bone biology and physiology are crucial for successful dento-alveolar reconstruction. The presentation will review the natural healing process of the bone and the sequence of events needed for proper regeneration. This process will then be discussed and compare with the present materials and technologies available in the market including alloplastics and allogenic materials. The role of the Stem Cells and rh-BMP2 will be exposed as part of these new trends in alveolar reconstruction for modern implant dentistry. Multiple cases will be presented demonstrating the versatility and outcomes in different clinical situations based on biological, bio-mechanics, and implant aesthetic needs.

Presented By:: Alejandro Vivas-Rojo, DDS, MS;Jesus A. Gomez, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy Premium Member Content

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1
Watch Now>>
Related Articles
Human Histologic Evaluation of Anorganic Bovine Bone Mineral Combined with Recombinant Human Platelet-Derived Growth Factor BB in Maxillary Sinus Augmentation: Case Series Study

Human Histologic Evaluation of Anorganic Bovine Bone Mineral Combined with Recombinant Human Platelet-Derived Growth Factor BB in Maxillary Sinus Augmentation: Case Series Study
The objective of this study was to examine the potential for improved bone regenerative outcomes in maxillary sinus augmentation procedures using platelet-derived growth factor BB and anorganic bovine bone mineral.

Author(s): David Garber, DMD;Maurice Salama, DMD;Steven S. Wallace, DDS;Myron Nevins, DDS;James J. Hanratty, DDS; Bradley S. McAllister, DDS; Marc L. Nevins, DMD, MMSc; Peter Schupbach, PhD; Simon M. Bernstein, DDS, MS; David M. Kim, DDS, DMSc
View Article>>
A Fixed Whole-Mouth Rehabilitation Utilizing Natural Abutments and Implants: Treatment Concepts and Clinical Realization

A Fixed Whole-Mouth Rehabilitation Utilizing Natural Abutments and Implants: Treatment Concepts and Clinical Realization
A 45-year-old female patient presented to the clinic with a request to treat her deteriorating dentition that had been reconstructed 15 years ago with fixed restorations. Clinical examination revealed fixed partial dentures cemented to natural abutments in the maxilla, whereas telescopic restorations were cemented to natural abutments bilaterally in the mandible. The treatment plan included a whole-mouth rehabilitation utilizing natural teeth and implants. As the patient declined any surgical augmentation…

Author(s): Nitzan Bichacho, DMD;Rafi Lahav, MDT, Cobi J. Landsberg, DMD
View Article>>
Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study

Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study
The use of guided tissue regeneration (GTR) procedures for the treatment of gingival recession has shown encouraging results and is gaining clinical acceptance. However, attaining space maintenance beneath the membrane remains a problem for clinicians. Hence, the purpose of this pilot case study was to evaluate the effect of adjunctive demineralized freeze-dried bone allograft (DFDBA) placement during collagen membrane GTR-based root coverage procedures. Five patients with Miller Class I or II defects…

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Kenneth Kimble, DDS, MS, Robert Eber, DDS, MS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login ·