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- Aug 9, 2013
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So excited to report my first GB/TR surgery! (LOL, while I'm writing this a commercial for a implantology practice came on!)
We drew blood and sent it off to be spun into L-PRF. Then we took our patient to the operatory, and sedated her with IV propofol, and placed EKG and pulse ox. A D2 monitored the patient while me, my consultant,and our dental assistant performed the surgery.
I raised a Widman flap from the 29-30 papilla to the 28-29 papilla, which gave us a good view of the defect. Meanwhile, my consultant exposed the contralateral ramus.
He then removed a small block of bone using the handpiece, which he handed to me to decorticate and shape so it'll fit the defect. He also told me to keep the shavings to fill any gaps. He then closed the donor site.
After I was done sculpting the graft, he then placed it into the defect and screwed it in with titanium screws. There was a tight fit, so we didn't need the shavings.
By then, the L-PRF came in, so I placed it over the graft, and then I covered it with Bio-Gide. My consultant placed some more titanium screws to tack it down (he's had problems with dead space when he's done this without tacks).
He then left me to close the recepient site while he went out to tell the patient's son that the surgery was a success and explain the post-op instructions (Periogard rinses every morning and night, no NSAIDs for pain, eat only soft foods until the sutures are removed next week)
The patient recovered uneventfully, and we sent her home with a week's worth of Vicodin and Periogard.
Let's hope there's no post-op complications and the graft works!
We drew blood and sent it off to be spun into L-PRF. Then we took our patient to the operatory, and sedated her with IV propofol, and placed EKG and pulse ox. A D2 monitored the patient while me, my consultant,and our dental assistant performed the surgery.
I raised a Widman flap from the 29-30 papilla to the 28-29 papilla, which gave us a good view of the defect. Meanwhile, my consultant exposed the contralateral ramus.
He then removed a small block of bone using the handpiece, which he handed to me to decorticate and shape so it'll fit the defect. He also told me to keep the shavings to fill any gaps. He then closed the donor site.
After I was done sculpting the graft, he then placed it into the defect and screwed it in with titanium screws. There was a tight fit, so we didn't need the shavings.
By then, the L-PRF came in, so I placed it over the graft, and then I covered it with Bio-Gide. My consultant placed some more titanium screws to tack it down (he's had problems with dead space when he's done this without tacks).
He then left me to close the recepient site while he went out to tell the patient's son that the surgery was a success and explain the post-op instructions (Periogard rinses every morning and night, no NSAIDs for pain, eat only soft foods until the sutures are removed next week)
The patient recovered uneventfully, and we sent her home with a week's worth of Vicodin and Periogard.
Let's hope there's no post-op complications and the graft works!
