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Autogenous bone gold standard in sinus grafts - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
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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