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
Simultaneous Autogenous Block Grafting & Implant Placement

Description:
Autogenous bone is the gold standard of bone augmentation. Studies have also shown that bone blocks achieve far more predictable bone volume while reducing the need for further grafting at the time of implant placement. The simultaneous placement of a bone block at the time of implant placement minimizes the need for a second surgery and reduces the amount of bone that a clinician has to harvest as the implant itself takes up much of the volume. This approach reduces the number of surgical interventions required and will achieve excellent stable buccal bone that will ensure long term aesthetic stability. This lecture will give you all the necessary guidelines and surgical pearls associated with simultaneous bone block and immediate implant placement as well as deal with any complications should they arise.

Date Added:
12/14/2012

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 / Simultaneous Autogenous Block Grafting & Implant Placement




Questions & Comments
Howard Gluckman - (11/8/2013 3:40 PM)

Hi Ciprian. Yes I do use PRF you can see some of the later cases we have published in the bone grafting section check them out. I do not use CT graft in the lower jaw at all. I feel that if you do it will undermine the already poor blood supply and the thin gingiva. IN the lower jaw if I am to do vertical grafting or any major grafting I will do it with a tunnel technique. You can only grow bone as far as the normal limit of the existing contours and no further the bone will just resorb. I hope this helps. thanks for the questions. Regards Howard

Ciprian Lupu - (9/21/2013 9:10 AM)

Great presentation. Q: Do you use the bone with the aid of PRF? In mandibular areas do you use also the connective tissue graft under the flap in the same intervention? What is the facial(vestibular) limit to grow bone or to place bone plate harvested? For example in convex cusp area? Thank you very much

Howard Gluckman - (6/30/2013 4:36 PM)

thank you Farhan

FARHAN DURRANI492 - (6/29/2013 3:39 PM)

dr gluckman ,very nice presentation ,autogenous bone is definitely gold standard for bone growth

Howard Gluckman - (12/19/2012 10:56 AM)

Thank you Yiannis. I will answer your questions one by one. We do not perforate the ridge or decorticate it. there is a common misconception that one needs to decorticate but in essence blood cells and revascularisation cells do not need large holes to grow out of rather they exit the haversion systems. there are many article that show little help to perforation of the cortex. go to our academy Facebook page and you will see many different bone plate techniques with zero perforation of the cortex. I used to place xenograft but now I do not use xenograft at all. I would rather use autogenous bone. I use hemut Zepf screws they are 1,2mm of different lengths. I seldom if ever see a problem with the screw at all. There are very few contraindications at all for this technique other than those mentioned in the lecture or the patient will not allow us to harvest autogenous bone. thanks for the questions

yiannis vergoullis - (12/17/2012 5:46 PM)

Great presentation Dr.Gluckman, A few questions 1. When you augment an atrophic ridge and you use the plate technique do you remove the cortical plate that exists facially? Or do you just do perfs? 2. Do you need to place xenograft facially to your plate graft to prevent resorption or not? 3. What type of screws do you use?(company) Do you see infections associated with the screws? 4. What do you consider contraindications for the technique? Thank you for a wonderful lecture. Ioannis

Howard Gluckman - (12/16/2012 3:34 PM)

THank You Hussein and Alper for your kind comments

HUSSEIN ABDEL-HAK281 - (12/16/2012 3:26 PM)

beatiful technique glad to see the video , definitely has a great use in practice on a daily basis. especially with established track record. thank you Dr. Gluckman

alper gultekin - (12/16/2012 1:14 PM)

Nice presentation. Thank u.

Related Videos
Bone Putties for GBR and Ridge Augmentation: A review for the general practitioner - Part 2 of 2 Premium Member Content

Bone Putties for GBR and Ridge Augmentation: A review for the general practitioner - Part 2 of 2
Dr. Michael Tischler reviews the utilization of bone allografts in putty form for guided bone regeneration, GBR, and ridge augmentation.

Presented By:: Michael Tischler, DDS, FAGD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Management of Extremely Compromised Bone Grafting Cases: Part 2  Premium Member Content

Management of Extremely Compromised Bone Grafting Cases: Part 2
Dr. Deshpande discusses advanced grafting for the severely atrophied jaw.

Presented By:: Dr. Dilip Deshpande
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Esthetic Management for Compromised Extraction Sites - Part 2 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 2 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Simultaneous Autogenous Block Grafting and Implant Placement: A Predictable and More Efficient Method to Augment the Buccal Bone Premium Member Content

Simultaneous Autogenous Block Grafting and Implant Placement: A Predictable and More Efficient Method to Augment the Buccal Bone
This lecture will give you all the necessary guidelines and surgical pearls associated with simultaneous bone block and immediate implant placement as well as deal with any complications should they arise.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Contemporary and Future Trends in Advanced Bone Augmentation Premium Member Content

Contemporary and Future Trends in Advanced Bone Augmentation
Modern grafting technologies are changing at a rapid pace. To stay current we must engage new technologies and research to better face the challenges of our diverse patient population. This presentation will focus on new strategies and technologies to manage both Vertical and Horizontal Deficiencies in the partially edentulous patient. New membrane technologies, bioactive modifiers and materials will be a focus.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Surgical Bioengineering in the Management of the Atrophic Jaw Premium Member Content

Surgical Bioengineering in the Management of the Atrophic Jaw
This lecture presentation will describe the behavior and utilization of of fresh frozen allograft vs. autogenous bone in major bone augmentation cases. The advantages and disadvantages as well as the potential of adding bone marrow aspirate to fresh frozen bone will be further highlighted. In depth review of how to manage and use this new technique in clinical practice will be clearly explained.

Presented By:: Dr. Juan Alberto Fernandez Ruiz
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Managing Esthetic Implant Complications Premium Member Content

Managing Esthetic Implant Complications
Dental implant success today is judged not only by osseointegration but also by bone, tissue stability and of course long term esthetic results. Cosmetic predictability can often be difficult to attain, and esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of case reports, surgical considerations are provided, including cases of facial asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papillary deficiencies. Restorative considerations for correcting failures are also discussed.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Atrophic Posterior Maxillan and Mandible: Alveolar Ridge Reconstruction with Mandibular Block Autografts

Atrophic Posterior Maxillan and Mandible: Alveolar Ridge Reconstruction with Mandibular Block Autografts
Autogenous bone grafts have been used for many years for alveolar ridge augmentation and are still considered to be the gold standard for jaw reconstruction. The use of these grafts with osseointegrated implants was originally discussed by Brånemark et al., who used the iliac crest as the donor site. For repair of most localized alveolar defects, however, bone grafts from the mandible offer advantages over iliac crest grafts. These include the proximity of donor and recipient sites, convenient surgical access, decreased donor site morbidity and decreased cost. This article focuses on posterior maxillary and mandibular osseous augmentation in a staged approach for implant placement. Both horizontal and vertical deficiencies are addressed with the use of symphysis and ramus buccal shelf donor block bone via case presentations.

Author(s): Michael A Pikos, DDS
View Article>>
Screw "Tent-Pole" Grafting Technique for Reconstruction of Large Vertical Alveolar Ridge Defects Using Human Mineralized Allograft for Implant Site Preparation

Screw "Tent-Pole" Grafting Technique for Reconstruction of Large Vertical Alveolar Ridge Defects Using Human Mineralized Allograft for Implant Site Preparation
The purpose of this study was to evaluate the effectiveness of using titanium screws in combination with particulate human mineralized allograft, in a “tenting” fashion, to augment large vertical alveolar ridge defects for implant placement.

Author(s): Bach Le, DDS, MD, FICD;Michael D. Rohrer, DDS, MS; Hari S. Prassad, BS, MDT
View Article>>
Immediate Implant Placement with GBR Using Alloplast

Immediate Implant Placement with GBR Using Alloplast
Presented here is a case report wherein guided bone regeneration was done simultaneously at the time of immediate implant placement to achieve a desirable outcome.

Author(s): Lanka Mahesh, BDS, MBA;Dr. Sagrika Shukla; Dr. Prashant Nanda; Dr. Manoj Eapen
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·