JIACD
The Journal of Implant & Advanced Clinical Dentistry
Techniques for Block Prep: Whats your protocol
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Block graft technique question
What is the best way to trim the block?
What fixation kit are you using?
Techniques for Block allograft prep.
My block graft technique is similar to what everyone else has posted. Only difference is I am using Pericardium membrane.
Block grafting technique: good comments
I agree with all the comments but would add that I do soak my membrane in the PPP from the PRP concentrate. I think PRP is helpful with the soft tissue healing and decreases flap opening in my hands.
Block Grafting technique shouldnt differ from any bone grafting
Block Grafting technique shouldnt really differ any from any bone grafting. The principles are the same for each in terms of blood supply and atraumatic handling of the tissue.
Block Grafting technique...Primary wound closure is critcal.
Here is what I do:
1) Prep site in an inlay fashion or flatten the area so block doesnt rock.
2)Remove sharp edges and lay it flat on the defect site to avoid rocking.
3) Decorticate the site to stimulate bleeding.
4) 2 point fixation and lag the screws.
5) fill in around block with particulate graft
6) Cover the block with either collagen membrane
7) Passive primary wound closure with horizontal and vertical sutures and evert the wound.
Block Graft technique......My protocol
First, I always prep my site in an inlay fashion. Next after I harvest the block I prepare the block so there is no sharp edges and it lays flat on the defect site with no rocking. I always use PRP and alway use 2 point fixation and lag the screws. I cover the block with either an ossix or biomend extend membrane and close with passive primary closure.