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下顎枝からのブロック採取-テクニックとガイドライン

解説:
An in depth review of the clinical management of the Ramus Bone Block is described in great detail. This important autogenous donor site is reviewed from an anatomical and clinical technique perspective. Key anatomical landmarks, incision design, block outline and bone harvest are clearly defined for the harvest of the buccal shelf block. Post op meds, possible complications and follow up is discussed as well.

追加された日:
2011/06/06

著者:

H. Ryan Kazemi, DMD H. Ryan Kazemi, DMD
Dr. H. Ryan Kazemi is a board-certified oral and maxillofacial surgeon and diplomat of the American Board of Oral and Maxillofacial Surgeons. He received his dental de...
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オンラインビデオ / Surgery / Bone Grafting / 下顎枝からのブロック採取-テクニックとガイドライン


コンテントディスカッション
Laurent Rosemblaum - (2012/03/27 6:02)

outstanding presentation,thank you

Mark Safari - (2011/11/22 23:24)

very well presented.thank you Dr Kazemi. dr safari

Hamid Kazemi - (2011/09/12 13:19)

In response to Sasd's question, autogenous bone graft is clearly superior to bovine blocks as we have advantages of its osteogenic features. I have not used inorganic bonvin bone grafts. Growth factors (PRP or PRGF) offers more advantage with autogenous bone as it only influences lives cells. It does however improve soft tissue healing and maturation, no matter what type of bone graft is used.

ron golan - (2011/09/03 3:13)

very good and clear and practicaly

Maurice Salama - (2011/08/07 18:54)

Excellent educational video. Thank you. Dr. Salama

terry abel - (2011/07/12 11:52)

Loved this video.

sasd sda - (2011/06/13 16:34)

Dear Dr. Kazemi, Thank you for your wonderful presentation. What's your opinion about using of inorganic bovine bone blocks as an inlay bone grafting in the posterior mandible ?Would you please give us information according to your wide experience : 1- the best xenogenous blocks available in the market 2- the need for adding PRF or PRGF with these blocks 3- the outcome of this technique comparing to Onlay or DO 4- which is better for this technique Autograft,Allograft or Xenograft blocks. Thanks a lot.

Paul Scholl - (2011/05/23 20:08)

That was a wonderful, concise and complete presentation. Very well organised and highly appreciated

Hamid Kazemi - (2011/05/23 7:38)

Thank you everyone for your feedback and questions. I use ramus almost 100% of time, providing the size of the defect can be adequately reconstructed with the available bone. If ramus bone is too thin, then chin bone becomes my second choice. And when there is more more needed, iliac crest becomes my site of choice. Depending on the jaw size and thickness, I can obtain up to 3 cm of length fairly predictably. The perforations are very helpful for vascularization and I have not had any problems with bone fracture or soft tissue ingrowth. I do use a barrier membrane and make sure the perforations are far enough from each other and the screws and only placed in relatively thicker part of the graft.

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