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Video Details
Managing the Extraction Site - Optimal Preservation and Enhancement Techniques

Description:
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Date Added:
9/22/2011

Author(s):

Michael Sonick, DMD Michael Sonick, DMD
Dr. Michael Sonick is a full time practicing periodontist and implant surgeon in Fairfield, Connecticut. He is also an active teacher, clinical researcher and author. ...
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Online Videos / Surgery / Bone Grafting / Managing the Extraction Site - Optimal Preservation and Enhancement Techniques




Questions & Comments
Joel Leon - (8/20/2012 10:24 AM)

What is your experience with PPP, the BTI graft?

Joel Leon - (8/20/2012 9:40 AM)

Why don't you use saline to hydrate the graft?

Mike Sonick - (9/25/2011 8:22 PM)

kevin potocsky - (9/21/2011 12:41 PM)


can you tell me the indications of guided gingival growth and when you can use that over subep ct grafting? and the indications for both. thanks

Guided gingival growth is used to augment the amount of tissue at the time of second stage surgery. it allows you develop additional tissue without harvesting a CT graft. Of course you could always use a CT graft in addition or instead of Guided Gingival Growth(ggg). I used ggg when I need 1-2 mm of additional tissue and I do not want to submsect the patient to an additional procedure.

Mike Sonick - (9/25/2011 8:20 PM)

marc nacar - (9/18/2011 12:48 PM)


Dear Michael, could you explain the rational behind which you mix your Demineralized dried bone with still water and not sterile saline?

I use sterile water not saline, because I mix the Gem 21 with the hydrated graft material and the saline may affect the efficacy of the Gem 21.

kevin potocsky - (9/21/2011 12:41 PM)

can you tell me the indications of guided gingival growth and when you can use that over subep ct grafting? and the indications for both. thanks

binh tran - (9/20/2011 2:33 AM)

Marc nacar: because the saline will alter the effect of Gem 21 but sterile water will not.

marc nacar - (9/18/2011 12:49 PM)

And of course thanks for this great presentation!

marc nacar - (9/18/2011 12:48 PM)

Dear Michael, could you explain the rational behind which you mix your Demineralized dried bone with still water and not sterile saline?

Sam Busich - (9/18/2011 8:59 AM)

vijailakshmi acharya; It is a non-autologous recombinant rhPRGF sold by Osteohealth in the USA. It is by definition a bioactive protein (highly purified recombinant human platelet-derived growth factor, rhPDGF-BB) then mixed with an osteoconductive matrix carrier (beta tricalcium phosphate, β-TCP). I am NOT a big fan of this product. Sam

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