Autogenous bone gold standard in sinus grafts - Courtesy ROOTS
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From: William Cohen
Sent: Wednesday, September 22, 2010 9:52 PM
Subject: Fwd: Autogenous bone gold standard in sinus grafts
RE: Sinus grafts.
I always try to harvest autogenous bone when doing any type of sinus graft
(internal sinus lift) or lateral wall. Turn over rate for xenograft, and
allograft very slow especially xenograft.
Autogenous is and always will be the gold standard. I must have viable bone
when grafting and that goes for most types of graft. This enables higher
turnover rate and ensures viable bone around your implants. All studies point
this out that autogenous is your gold standard.
I always use PRP with grafting. You do not know about micro-tears and/or
small bleeds. Platelet rich plasma insures coagulation and helps in the seal
of your membrane. Those of you who have not contemplated a lateral wall graft---
I suggest you learn because it is a matter of time before you get a perforation
--and the lateral wall approach will enable you to get to the tear--fix in a
direct visual approach so you do not have to abort the procedure.
I hope this helps.
This case I am showintg is total autogenous bone. Harvested from tori--and
max tuberosity. I particulate with a particulator. Check out my approach
on youtube. - Bill Cohen