Description
Dr. Alfred Lopez explains his method of bone grafting. This procedure spurs the growth of healthy bone tissue in a compromised jaw in preparation for dental implants. He also incorporates growth factors and cortex membranes for outstanding results that lead to long-lasting success with dental implants.
View transcript
00:00:07.882 --> 00:00:09.160
We utilize bone grafts
00:00:09.243 --> 00:00:11.120
in two different areas.
00:00:11.203 --> 00:00:15.440
One is in severe periodontal cases
where we flap the tissue back,
00:00:15.523 --> 00:00:19.099
clean it out really well,
remove all the granulation tissue,
00:00:19.183 --> 00:00:22.800
all the calculus,
and the periodontal membranes.
00:00:22.883 --> 00:00:28.040
Then we go in and put bone grafting,
a combination of freeze-dried bone,
00:00:28.123 --> 00:00:30.880
demineralized freeze-dried bone,
and growth factors,
00:00:30.963 --> 00:00:35.000
place it into the socket site,
then we put a titanium membrane over it.
00:00:35.083 --> 00:00:37.080
One month later, we take out the membrane.
00:00:37.163 --> 00:00:40.784
But two and a half months later,
that graft is solid
00:00:40.867 --> 00:00:43.760
and we can put an implant in.
That's if we extract a tooth.
00:00:43.843 --> 00:00:47.040
Now, if we're just doing periodontal
surgery, we flap the tissue back,
00:00:47.123 --> 00:00:49.480
we still use demineralized
freeze-dried bone.
00:00:49.563 --> 00:00:51.800
We still use the growth factors.
00:00:51.883 --> 00:00:55.280
We pack it in there and suture it up,
and that should take care
00:00:55.363 --> 00:00:56.760
of their bone defects.
00:00:56.843 --> 00:00:59.591
We use different types of bone
for different situations,
00:00:59.925 --> 00:01:02.927
but it's between 200
00:01:03.136 --> 00:01:07.320
and 715 angstroms in size.
00:01:07.403 --> 00:01:09.760
It comes to us in a little bottle.
00:01:09.843 --> 00:01:14.240
It looks like Cream of Wheat,
it's granules.
00:01:14.360 --> 00:01:19.400
But this bone graft material
is taken from donors under the age of 30.
00:01:19.483 --> 00:01:22.440
They crush it,
they test it for bacteria,
00:01:22.523 --> 00:01:26.920
and if it's clear,
then they hit it with gamma radiation,
00:01:27.003 --> 00:01:29.280
which would kill any virus
that would be lacking.
00:01:29.363 --> 00:01:33.800
Then they crush it to the proper size,
and they send it to us in a little bottle.
00:01:33.883 --> 00:01:38.320
But it still retains the inductive
qualities to form new bone,
00:01:38.403 --> 00:01:42.480
especially when mixed with growth
factors in one's own blood.
00:01:42.563 --> 00:01:47.160
In severe periodontal disease,
if they have severe bone loss,
00:01:47.243 --> 00:01:48.680
they're very good candidates.
00:01:48.763 --> 00:01:53.360
We've been doing it here
in Albuquerque since 1988.
00:01:53.600 --> 00:01:59.000
We were the first ones to use bone
grafting with cortex membranes,
00:01:59.083 --> 00:02:00.840
and we are still using that today.