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
The Palatal Bone Block - An Innovative Autogenous Harvest Site

Description:
Autogenous bone is the gold standard of guided bone regeneration. Autogenous bone blocks allow us to build more bone more predictably with less complications. Harvesting of bone blocks from the traditional sites like the ramus or symphysis has a high rate of morbidity and the need for second surgical entry often reduces the patients acceptance of treatment. The Maxillary Palate is an area which has excellent cortical bone which if harvested correctly can often produce substantial autogenous bone from same area and incision as the placement of the implant. It is also a site with very little morbidity due to the overlying thick mucoperiosteal flap as well as the lack of muscle pull in the area. It also provides a one site surgery which is a far more attractive treatment option for many patients. This lecture will take you through the step by step technique of harvesting and fixing the bone blocks harvested from the palate. Flap design and suturing techniques will also be covered.

Date Added:
8/9/2011

Author(s):

Howard Gluckman, BDS, MChD Howard Gluckman, BDS, MChD
Dr Gluckman completed his dental training at the university of Witwatersrand in Johannesburg in 1990. After spending a number of years in a general practice he complete...
[read more]




Online Videos / Surgery / Bone Grafting / The Palatal Bone Block - An Innovative Autogenous Harvest Site




Questions & Comments
Joseph Boone - (6/15/2016 12:30 AM)

Howard great video I have learned a lot. I always enjoy your teaching style. In this lecture you showed how this can be used at the time of placement. Can this technique be used on implants that have been placed and integrated but are missing the facial bone.

Howard Gluckman - (8/14/2014 10:36 AM)

Thank you Sok. You can fill the palatal area with whatever you want it is a closed defect so it generally fills without anything. I only place xenograft if I have a situation where the defect is deep or very large. But collagen is good and will do no harm. thanks for the question

Sok Chea - (8/12/2014 9:15 AM)

From Sok Chea, Cambodia Great presentation. I really love your presentation in Dentalxp, Florida. Question : Is it possible to use collagen sponge to fill the space at palatal donor site?

Howard Gluckman - (5/10/2014 1:03 PM)

Thank you Zaid I remember you well. Thank you for the kind words

zaid tayob - (3/30/2014 5:06 PM)

i know it's about 3 years later but your style of lecturing is superb and very refreshing!! thank you for the great presentation. I have attended your courses some years ago in cape town and I appreciate very much your contribution. Best regards zaid

Howard Gluckman - (11/13/2012 3:47 PM)

Hi Benedict we teach this protocol at our academy in south Africa. You can also get an article I wrote on it on the website just look for the articles under my name and you will find it and down load it. regards Howard

Benedict Lui - (9/11/2012 10:16 PM)

Hi, I am over a year late from the posted date of the video. I really really like the concept of one site surgery. Please if possible, let me know where else I can read up on this surgical protocol or any recommended course/lecture so I can learn more. Thank you very much

Howard Gluckman - (10/14/2011 4:40 AM)

Hi Omar you cannot use a trephine with a smaller internal diameter of 5mm as it will not fit around the implant. the ideal is a 6mm internal diameter or larger and it is ideal to have a few trephines as you need to remove the bone according to the defect on the buccal. I have trephines from internal 5 external diameter 6 right up to a 10mm external diameter which has a 9mm internal diameter. please remember that it is the internal diameter that will give you the size of the block.

omar mohamed - (10/8/2011 2:02 PM)

do you recommend diameter 8 trephine or diameter 6 could suffice? i mean if i am going to purchase one which is better?

Related Videos
Innovative Technique for Ridge Augmentation Using SonicWeld RX Rigid Resorbable Barrier System - Part 1 of 5 Premium Member Content

Innovative Technique for Ridge Augmentation Using SonicWeld RX Rigid Resorbable Barrier System - Part 1 of 5
Dr. Gerhard Iglhaut describes the science as well as the step-by-step techniques for incorporating hard and soft tissue augmentation in everyday clinical practice focused on esthetic implant therapy.

Presented By:: Gerhard Michael Iglhaut, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery Premium Member Content

BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery
Biological modifiers and growth factors are substances that the body produces naturally in response to injury or disease. The use of these substances in regenerative procedures has made hard and soft tissue regeneration more predictable while accelerating healing and decreasing patient morbidity. This webinar will review the wound healing process and the role that growth factors play in regeneration. BMP, PRP, PRF and PRGF will be reviewed and their clinical applications will be demonstrated. At the end of this webinar the participant will have a good understanding of the differences between these biological modifiers and their benefits.

Presented By:: Avi Schetritt, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Interdisciplinary Strategies For The Esthetic Reconstruction of Complex Cases Premium Member Content

Interdisciplinary Strategies For The Esthetic Reconstruction of Complex Cases
Predictable esthetic management of the compromised anterior dentition with dental implants constitutes one of the most difficult challenges in contemporary dentistry, especially in scenarios where soft and hard tissue defects are present. Traditional surgical approaches will often result in peri-implant soft tissue disfigurement. Although the use of pink restorative materials has been proposed to disguise soft tissue deficits, maintenance issues and esthetic limitations remain a concern, particularly as it pertains to high smile cases. This presentation will focus on the predictable esthetic management of high-risk and compromised sites, demonstrating the use of contemporary interdisciplinary strategies for the treatment of peri-implant esthetic dilemmas and complications.

Presented By:: Ernesto A. Lee, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Negative Factors for Soft & Hard Tissue Maintenance Premium Member Content

Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Regenerative Procedures for Implant Site Optimization: Establishing the Perio-Implant Interface Premium Member Content

Regenerative Procedures for Implant Site Optimization: Establishing the Perio-Implant Interface
Emerging concepts in implant dentistry have allowed bone preservation to become a reality, thus reducing the need for extensive augmentation procedures. Nevertheless, clinicians are still confronted with atrophic defects that require complex regenerative strategies for dental implant rehabilitation. This presentation will focus on some of the essential elements for a predictable regenerative protocol in implant site development. A discussion will include the use of defect topography as a guide in choosing a suitable augmentation technique. Several considerations that allow for tension free wound closure will be reviewed. Furthermore, an evidence based approach in graft material selection will be presented. Clinical cases will then be reviewed, to demonstrate how to integrate the presented principles into daily clinical practice.

Presented By:: Ehab Moussa, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool Premium Member Content

CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
This presentation will discuss and demonstrate the utilization of CBCT imaging from the perspective and scope of a periodontist and an oral and maxillofacial surgeon. Treatment planning, critical thinking skills and surgical execution of cases demonstrating complex dentoalveolar bone reconstruction and craniofacial deformities will be presented demonstrating how this paradigm shift has expanded capabilities and predictability to treat demanding cases.

Presented By:: Daniel B. Spagnoli, DDS, PhD;George A. Mandelaris, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
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>>
Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change

Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.

Author(s): Dennis P. Tarnow, DDS;Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Christian F.J. Stappert, DDS, MS, PhD, Priv-Doz;Henry Salama, DMD;David Garber, DMD;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS; Hanae Saito, DDS, MS
View Article>>
Multitier Technique for Bone Augmentation Using Intraoral Autogenous Bone Blocks

Multitier Technique for Bone Augmentation Using Intraoral Autogenous Bone Blocks
Brånemarket al1 originally described autologous bone grafts used with dental implants,and they are now a well-accepted procedure in oral and maxillofacial rehabilitation. Placement of an end osseous implant requires sufficient bone volume for complete bone coverage.Further-more,the patter no fridge resorption ,which contributes to a nun favorable maxillo mandibular relationship,requires angulation of the implant and/or angled abutment,and affects the proximity of adjacent facial concavities (maxillary sinus,nasal cavity)and vital structures(mandibular nerve).

Author(s): Devorah Schwartz-Arad, DMD, PhD;Liran Levin, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2017

Preferred Language: English Flag
Contact Us · Login ·