Clinical Videos

Vertical Ridge Augmentation in the Posterior Mandible using rh-BMP-2, Autograft, Xenograft and Titanium Mesh - Part 1

Catalog Number:CV-049

Authors: Dr. Sascha A. Jovanovic

CE Credits: N/A

Running Time: 21 min

Language:

Description:

This high-quality clinical video demonstrates the vertical ridge augmentation technique using a bone graft combination with rhBMP-2, Autograft, Xenograft and Ti-mesh in a 71-year old healthy female treated for severe posterior left mandibular vertical ridge resorption.

The patient had received 2 implants in the same area 9 years prior which failed and resulted in vertical and horizontal ridge resorption. One implant in position 19 and tooth # 21 were still in place but presented with advanced bone loss and were planed for extraction/removal 2 months prior to the vertical augmentation technique as a step 1 treatment. The patient had further a stable periodontium and remaining dentition.

This video demonstrates in detail the surgical steps with micro- and macro surgical techniques of step 2: a staged vertical ridge augmentation technique and the placement of a bone graft combination with rhBMP-2, Autograft, Xenograft and Ti-mesh. The following details are discussed and demonstrated in this video: the diagnostics and treatment planing, the flap design, and -elevation, the bone graft protocol with 2.8 cc rhBMP-2 and a 1:1 ratio of autogenous and xenograft, the trimming, placement and fixation of the Ti-mesh, the periosteal flap release and coronal repositioning and the primary closure with PTFE sutures.

As a follow-up the clinical photo is shown of the 4-week uneventful healing outcome. The patient is presented from initial start of treatment to the follow-up appointment during healing and narrated before and after treatment by Dr Sascha Jovanovic. A part 2 of this video will follow and demonstrate the result of the vertical BMP graft and the placement of implants.

For further information on rhBMP-2 science and clinic view the LOD 054 by Dr Wikesjo and the CV-37/38/39 by Dr Jovanovic in the gIDE library.

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