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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...
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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.

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