Autogenous bone gold standard in sinus grafts

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Autogenous bone gold standard in sinus grafts - Courtesy ROOTS

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From: William Cohen
To: osseou@rxdentistry.com
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

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