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Video Details
Simplified Anterior Implant Placement with Soft Tissue Grafting

Description:
In this extremely detailed instructional clinical video, Dr. Michael Sonick, director of the Fairfield County Dental Club, an advanced continuing education organization, walks us through the step-by-step implant placement and soft tissue grafting in a somewhat deficient lateral incisor area. In addition, suturing and post-operative care are also described in detail.

Date Added:
10/23/2009

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 / Implant / Simplified Anterior Implant Placement with Soft Tissue Grafting




Questions & Comments
Faina Seagal - (3/26/2017 11:46 PM)

Hi, this video is not working anymore showing the system error

Alejandro James - (6/16/2011 6:36 AM)

REALLY NICE PROCEDURE! I WOULD LIKE TO KNOW PLEASE WHAT VIDEO SYSTEM DID YOU USED TO RECORD THE PROCEDURE! ALSO I WOULD LIKE TO KNOW WHT SUTURE DID YOU USED TO HOLD THE CONECTIVE TISSUE GRAFT THANK YOU

Mike Sonick - (11/21/2010 8:49 PM)

Hey Paolo and Henry

You both make good points. I augment over 80% of the implants that I place and this requires me to elevate a flap. I attempt to get at least 3-4 mm of bone labial to the impalnts placed in the esthetic zone.

Mike Sonick - (11/21/2010 8:46 PM)

Danny O'Keefe - (2/20/2010 5:26 AM)


Great technique keeping the outer layer of tissue for primary closure. What a wound we made in the past ! Releasing the base of graft looks a bit difficult. Would an angled blade make this easier ?



An angled blade makes it easier. I have one that has been made for me by Hu Friedy It is an angled scapel. 10-130-05MS #5

Paolo Giuliani - (4/7/2010 5:13 PM)

Thanks Henry. I think the proof is in the pudding. Esthetically long term any buccal cortical bone resorption has bad effects. I have read that 2 mm provides greater long term support as well. I have placed many implants in thin ridges no wider than 2-3 mm at the crest, never raising the buccal periosteum. I am sure that my first follow up with crestal buccal disharmony may change my attitude and begin raising full thickness flaps with added augmentation as well. So far there hasn't been a problem. (Boy, I hope I just didn't jinx myself). I'm sure the truth lies somewhere in between ... Keep up the good work.

henry salama - (4/7/2010 1:34 PM)

Hi Paolo! You make a good point about the vasculature and full thickness flaps. However, when treating a thin ridge, even with expansion, I find that usually I need to augment further to make sure I have approximately 2 mm thickness labial to the implant surface. This is needed, according to Grunder, Buser and others to create a more long-term stable environment. If that is the case, then a full thickness flap is the only way to access buccal augmentation appropriately. What do others think?

Paolo Giuliani - (4/7/2010 9:16 AM)

Great video. If the ridge was thin, and bone spreading was needed, raising the buccal periosteum is typically not advised so that you don't lose the 80% vasculature and about 0.5 mm of labial bone. Would you ever consider this procedure in a more fragile situation with thin ridge width?

Danny O'Keefe - (2/20/2010 5:26 AM)

Great technique keeping the outer layer of tissue for primary closure. What a wound we made in the past ! Releasing the base of graft looks a bit difficult. Would an angled blade make this easier ?

Danny O'Keefe - (2/20/2010 5:26 AM)

Great technique keeping the outer layer of tissue for primary closure. What a wound we made in the past ! Releasing the base of graft looks a bit difficult. Would an angled blade make this easier ?

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