UNCUT! Vertical Ridge Augmentation | Dr Sascha A. Jovanovic | Resorbed Posterior Mandible TR PTFE скачать в хорошем качестве

UNCUT! Vertical Ridge Augmentation | Dr Sascha A. Jovanovic | Resorbed Posterior Mandible TR PTFE

Key Points forVertical & Horizontal Augmentation of a Severely Resorbed Posterior Mandible Using a TR-PTFE Membrane In this video a pre implant surgical tissue regeneration procedure is performed by Dr Sascha A. Jovanovic. These are the key points of the procedure 1. Preoperative Planning • Patient Evaluation: Assess bone volume using CBCT to determine the extent of resorption and plan augmentation. establish healthy periodontist and soft tissues • Surgical Plan: Decide on the amount of vertical and horizontal augmentation needed for future implant placement. 2. Surgical Approach • Anesthesia & Incision: Administer local anesthesia with sedation if necessary. Make a full-thickness crestal incision with releasing incisions for adequate flap mobilization. • Flap Elevation: Carefully elevate the mucoperiosteal flap to expose the atrophic ridge while preserving blood supply and minimizing trauma. 3. Site Preparation & Bone Grafting • Cortical Perforations: Create small perforations in the cortical bone to enhance vascularization and graft integration. • Bone Graft Placement: harvest and Pack particulate autogenous bone mixed with xenograft to provide stability and osteoconductive properties. And maximizing regeneration. 4. TR-PTFE Membrane Placement • Membrane Selection: Use a non-resorbable TR-PTFE membrane to create space and prevent soft tissue ingrowth. • Fixation: Secure the membrane using titanium pins and screws to maintain stability over the grafted site. • Tension-Free Closure: Mobilize the flap through periosteal release to achieve primary closure without tension. 5. Postoperative Care & Healing • Antibiotics & Pain Management: Prescribe antibiotics (e.g., amoxicillin or Zpack) and NSAIDs for pain control. • Suture Removal: Typically done after 2–3 weeks, ensuring primary closure is maintained. • Membrane Removal: Since TR-PTFE is non-resorbable, it must be removed after 9+ months, allowing full graft maturation before implant placement. 6. Implant Placement (Second Stage) • CBCT Evaluation: Assess the augmented ridge volume after 9 months. • Flap Reopening: Remove the TR-PTFE membrane and evaluate new bone formation. • Implant Insertion: Carefully place implants with proper angulation and stability for long-term success. This approach ensures predictable bone regeneration, creating the necessary vertical and horizontal volume for successful implant placement. Catch the LIVE Surgery Wed, Mar 5 at 2pm (Los Angeles Time):    / @gidedental   Check out the gIDE Streaming Library: https://courses.gidedental.com/gide-m... ------ Gain unlimited access to 600+ expert-led clinical videos available anytime, anywhere on our web and app platforms! 🎥✨⁣ ⁣ As a member, enjoy:⁣ ✅ New dental videos added weekly⁣ ✅ In-depth topics in Implants, Periodontics, Esthetics, and Digital⁣ ✅ Tailored content for General Dentists and Specialists⁣ ✅ Exclusive discounts on classroom training!⁣ ⁣ Clink link to subscribe today! 🔥⁣: https://courses.gidedental.com/gide-m... Visit our website for list of all in person courses and programs here: https://gidedental.com/