VIP CT Graft

Fri, 11/28/2008 - 07:57 — Perioplasticsurgeon

Looking for opinions on the VIP CT graft. Does it give you an advantage by leaving the CT graft connected to the blood supply? In my opinion you can build up a ridge just as effective using a langer, allen, or orth technique. It those techniques the CT graft is removed and placed within the defect. You can also build it up nicely with dermis. Looking for opinions.

Periodontal Plastic surgery

Wed, 11/11/2009 - 07:42 — Logan MD DMD

VIP CT graft: Lots of advantages of Sclars technique

I cant stress Sclars technique enough. The blood supply is maintained to the graft so you get minimal to know shrinkage. Works well for under a pontic or implant soft tissue build up.

I agree its very technique sensitive.

Sat, 11/29/2008 - 17:12 — Ti Doc

Blood supply is good, but...

VIP flap is very technique sensitive. VIP flap is nice because it maintains active blood supply at base of flap, but I don't think it is entirely necessary. If you are simply ridge-plumping, using some autogenous CTG or FGG or allograft such as alloderm will work fine. IMO, much faster to simply do the CTG/FGG/Allograft approach versus the VIP. JMHO.

On that note, I do use variations of the VIP in certain situations, but it is not usually my first option of choice.