Dentaltown February 2020 - 76

Fig. 17

Fig. 18

Fig. 19

76

FEBRUARY 2020 // dentaltown.com

significant facial osseous structure, expansion
cannot be achieved. Minor complications have
been reported to ridge splitting when adequate
initial ridge width was present that included
wound dehiscence and fracture of the facial plate
due to a bad split. But complications were at an
equal incidence to block grafted sites.6
The technique illustrated in the case presented
here is an alternate method that eliminates the need
for cortical bone from a donor site and decreases the
complications reported with use of titanium mesh to
contain the graft. Additionally, width of the residual ridge
does not determine if this technique may be used as is
the case with ridge splitting. Because cortical fragments
are taken from the patient with the bone scraper and
mixed with PRP derived from the patient's own blood,
potential for foreign body reactions is minimized. Stem
cells from the patient are able to "kick-start" the healing
and conversion to bone that has high enough quality to
accommodate implant placement after graft healing.
Ideally, implants should be placed into medullary
bone in contact with the majority of its surface because
this bone is dynamic and active. Cortical bone is denser
but lacks osteoblasts and other bone maintaining cells,
which may demonstrate radiographic dense bone on
contact with the implant but not be able to respond
to changes related to function on the implant as well.
Using a flexible bone plate (Flexo-Plate Plus) eliminates
the need for titanium mesh to contain the graft and it,
like a cortical block, becomes part of the healed graft.
The added benefit of this technique over cortical
blocks is the resulting bone for implant placement has
a medullary quality, and implant placement into it has
active bone progenator cells in contact with the implant's
surface. Risk of exposure of the bone plate, unlike
titanium mesh, is eliminated because the body does
not identify the bone plate as foreign. The overlaying
PRP membranes stimulate soft-tissue healing and the
stem cells within penetrate into the bone plate, using it
as a scaffold to convert it to host bone over time. The
"gummy bone" being sandwiched between the plate
and the recipient bed has the added advantage over
particulates in that it is moldable and does not displace
out of the site, as is often observed with particulates.


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Dentaltown February 2020

Table of Contents for the Digital Edition of Dentaltown February 2020

Dentaltown February 2020 - Intro
Dentaltown February 2020 - Cover1
Dentaltown February 2020 - Cover2
Dentaltown February 2020 - 1
Dentaltown February 2020 - 2
Dentaltown February 2020 - 3
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