Tutoplast Graft: Any Advice for Using This Material?
Posted in advice Bone Grafting Surgical Placement of Dental Implants
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Dr. G. asks:
I have a patient with maxillary alveolar defect on upper left canine through upper left second molar region. I am planning to perform a bone augmentation procedure on this region before doing implant placement using a Tutoplast graft [RTI Biologics and Zimmer] covered by a membrane stabilized by tacks. I have never actually done this procedure before. After the graft has healed, I will place the dental implants. I am hoping to get some advice from veteran users of this material. Have you had complications? What should I look out for? Thanks.



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This defect appears to be a rather significant span.
Are you sure you want to try a new technique with a new material on this case? I would respectfully advise starting on a one tooth span defect and gain experience before tackling this type of case. Refer it to a clinician with more experience and learn how they do it. It is much harder to grow bone after an augmentation failure.
Good Luck
Dr. C
I couldnt agree more with Dr. C, and also in a big case like this I would maybe think of a block graft. Just an idea.
Your membrane better be reinforced or use mesh to maintain the matrix or you’ll lose the increase in volume you’re searching for. Block graft would be better if possible.
comment on my cases in the cases section. Upper anterior region grafted with Autologous corticao cancellous onlay graft.
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