A big thank you to everyone who was part of the recent webinar with Dr Michael Tang discussing Advanced Implantology with EthOss Synthetic Bone Graft. It was wonderful to see so many clinicians with questions for Dr Tang both during and after the webinar.
We have brought together a summary of the questions for you below. If you have any additional questions to ask Dr Tang, please email us at marketing@w9.com.au
Can you please go through case selection and when and when not it is appropriate to use EthOss?
EthOss like conventional GBR techniques, only works predictably when the defect is within the bony envelope. Key points are:
Correct preparation of the defect site
Correct mixing technique
Correct handling of EthOss - the graft needs to set correctly and remain stable therefore a 3 walled defect will always be more predictable.
Any provisional for 2nd case maxilla?
Is the gauze you apply to set Ethoss wet or dry?
Do we need a membrane for alveolar ridge preservation after extraction when using EthOss?
Can Ethoss be used with Enamel Derived Matrix (EDM) in bone grafting procedures, and does it lead to improved outcomes? If so, do you mix the Ethoss with the EDM or PRP or are the gels applied first and Ethoss (saline mixed) then placed?
Once you clean the bone do you make small holes in the bone before placing the EthOss?
How do you achieve flap closure if you graft and widen the ridge without causing tension on the flap?
What temporary crown can we use other than the temporary abutment crown? Can we use a removable denture with loose contact to implant site or essix with tooth that can be removeable by patient?
Can you mix EthOss with PRF instead of saline?
You said EthOss has to be placed within the bony envelope for it to be successful. How about those with buccal bone defect? What happens to the gum to EthOss interfaces?