JIACD
The Journal of Implant & Advanced Clinical Dentistry
JIACD
© 2008 Journal of Implant and Advanced Clinical Dentistry. Privacy Policy | Terms & Conditions
Don't most block grafts fail
Don't most block grafts fail due to lack of blood supply?Try Regenaform and tenting screws in place of a block graft. You can mix it with blood and it hardens once it sets up.
tenting screws
Where do you order the tenting screws, and are they the same as the bone fixation screws?. What size do you normally use?. Thanks
hdinh: Tenting screws same as fixation screws
hdinh, there are no special screws for tenting, they are same screws you use for fixating a block graft. I use either the salvin screw set or kls.
Salvin you can get online.
No, most block grafts do not fail
Most block grafts do not fail. Not if you do them correctly, anyway. The problem with block grafts is the secondary morbidity of the donor site.
Tenting screws and Regeneform is nice, but it has limits. It is definitely not a cure-all.
As they say, there are many ways to skin a cat. In some instances a block is best. Other times a ridge split. Sometimes it is tenting screws.
Let me give you an example. On my morning patient today, I placed 6 implants at 2 sites that I augmented by ridge splitting. This same person has 2 block allografts that will be healed in another month and he will get 4 implants there. One of my implant patients next week was augmented with tenting screws/bone allograft. One of my other implant patients next week was treated with allograft and a Ti-reinforced ePTFE membrane.
Each situation called for a different treatment approach. The more stuff you have in your bag of tricks, the better off you will be.
Block Allografts: Zimmer, Lifenet, Alloss all work
I have used all types of block allografts from different companys, they all work and I agree with the above comment that its more of the technique then the material.
Block allografts work well from premolar forward and tend to work better in the maxillary vs mandibular in my practice.
They are very technique sensitive and if they become exposed they are done. So passive wound closure is critical.
Block Allografts
I have quite a lot of experience with the Zimmer JBlocks.Having the right technique they work beautifully for lateral augmentations and maxillary verticals.As for posterior mandible-there comes the problem with less success rate.For verticals in post mandible I prefer doing the sandwich technique combined with Regenaform.
Block allografts: Zimmer vs lifenet vs alloss
I have not use alloss, but I am eager to try. I have used both Zimmer and lifenet blocks I find no difference between the two. I agree with Dr. Timberlake that the material is less important when compared to the technique when you are talking about block allografts. Hip allograft is Hip allograft is you know what I mean ;)
Block allografts: Zimmer vs lifenet vs alloss
I dont have a tremendous amount of experience. But in my opinion is probably more the technique then the material.