Implant Seminars

Live Surgery

Dr. Arun Garg – June 27, 2009

Ramus (Autogenous… not autologous) Block Graft Exposure

After 5 months expose

Vertical releases, midcrestal incisions

Remove screws from bloc

Osteotomy for implant placement

Place implants

Horizontal mattress sutures

Square knot

3 knots, the last one, switch your hands’ directions

Marcaine at the end ½ carpule each site

5 minutes of pressure

Scrubbing In

Sterile technique

Salvin: offers scrub packs and JBlocks

Scrub in up to elbows

Chlorhexidine pre-op rinse and irrigation

Sterile gloves

J-block with BMP

Infiltration with lido w/1:100,000

Midcrestal incision with vertical releases 1 tooth over

Release all muscle apically

Use Piezo to clean off soft tissue from bone

To Decorticate

And to create inlay site

Try-in J-Block

Modify shape of J-Block to fit inlay site

BMP Mixed up

Place JBlock in BMP

Screw has to engage 5mm of natural bone for retention

Screw in J-Block, place bone and BMP collatape pieces

Suture with horizontal mattress

No Peridex 1^st week

Use Augmentin 875 or Clindamycin 300

Grafts are JUST SCAFFOLDS

If infxn: Augmentin 500 tid 10 days start day before sx, Flagyl 375 tid 10 days

FEES

Unilateral 1 tooth 3200

Bilateral 1 tooth 3800

Unilateral 2-3 teeth 4200

Bilateral 2-3 teeth 4800

Unilateral Edentulous 5800

Bilateral Edentulous 7800

I’m in the process of getting my table ordered!