I totally agree. I think the overarching idea for me in this video is more of the concept of utilizing more than just one X suture to attempt holding in a membrane. As well, perhaps even just seeing how an X suture is thrown may help others.
Thank you for watching. I wanted to let you know that the webinar has expired unfortunately. However, you can check out Dr. Ziv @ www.surgicalmaster.com. I receive nothing from Dr. Ziv, nor does he even know I watched his webinar. He is just a great periodontist mentor! I wanted to say that the 3x's can be anywhere along the socket - just make sure to place the knots on the buccal to decrease irritation to the tongue.
Thanks Ash I watched Dr Zivs webinar on the x sutures You’re spot on; he’s a great Perio mentor and clinician Learnt so much from him Keep up the good work
Great work Ash, sharing the knowlege. Love ur videos. If you can make some videos on socket grafting with different situations/ defects. Everyday dentistry after exos.
Helpful indeed. I am doing one ‘X’ suture and another interrupted, so will try more x’s. Even been using some Coe Pak material overtop to try and get three to four days worth of coverage. I am always amazed at how people can clear out an extraction socket full of graft, collagen and membrane🙄
Side question here: how would you bill something like this? Talking about the bone graft after an extraction I mean. I did countless extractions without placing bone graft, if I would would you include it in the cost of the surgery or separate and explain the patient it is recommendable in his case? On the same matter, is it recommendable placing bone graft after every extraction? Will it make a significant difference in cortical walls collapsing over time?
If you use it all the time of course its better (on every patient). Less bone loss is good for any patient. Plus you take payment for the extraction AND the alveolar “closure” with bone graft material. after that the area can be also ready to go for an implant, so its a win-win situation. No doubt!
There's risk of the collagen plug and graft likely to get infected in this technique .I would raise a free buccal flap and cover the graft collagen plug with it and suture it to the palatal mucosa.
As mentioned, yours in one school of thought but many Periodontists see it as changing the muco gingival line more coronally. By placing the collagen plug , we are simply waiting for the KG to grow. Ofcourse, if plug comes out, there is a good chance of fibrous infiltration into the graft.
![[Master Course - SURGERY] Socket preservation](/img/1.gif)
What’s the reason for using a rubber dam for this procedure?
Overkill with the sutures.
the entering points are too close? The tissue between them is not gonna be happy about this :/
I totally agree. I think the overarching idea for me in this video is more of the concept of utilizing more than just one X suture to attempt holding in a membrane. As well, perhaps even just seeing how an X suture is thrown may help others.
Use easy graft classic and no need to do all that work.
Thank you for watching. I wanted to let you know that the webinar has expired unfortunately. However, you can check out Dr. Ziv @ www.surgicalmaster.com. I receive nothing from Dr. Ziv, nor does he even know I watched his webinar. He is just a great periodontist mentor! I wanted to say that the 3x's can be anywhere along the socket - just make sure to place the knots on the buccal to decrease irritation to the tongue.
Thanks Ash
I watched Dr Zivs webinar on the x sutures
You’re spot on; he’s a great Perio mentor and clinician
Learnt so much from him
Keep up the good work
Great work Ash, sharing the knowlege. Love ur videos.
If you can make some videos on socket grafting with different situations/ defects. Everyday dentistry after exos.
Helpful indeed. I am doing one ‘X’ suture and another interrupted, so will try more x’s. Even been using some Coe Pak material overtop to try and get three to four days worth of coverage. I am always amazed at how people can clear out an extraction socket full of graft, collagen and membrane🙄
So much overkill for no clinically proven value…
Side question here: how would you bill something like this? Talking about the bone graft after an extraction I mean.
I did countless extractions without placing bone graft, if I would would you include it in the cost of the surgery or separate and explain the patient it is recommendable in his case? On the same matter, is it recommendable placing bone graft after every extraction? Will it make a significant difference in cortical walls collapsing over time?
Follow, same questions for me
I believe it slows down cortical wall degeneration and you can bill out code D7953.
Thank you for asking this question. 😩
If you use it all the time of course its better (on every patient). Less bone loss is good for any patient. Plus you take payment for the extraction AND the alveolar “closure” with bone graft material. after that the area can be also ready to go for an implant, so its a win-win situation. No doubt!
You Rock Maj Mark. Thanks for another great video!
Thank you for sharing your knowledge with us. D4 from california here, graduating in less than a month :) Love your content.
this is great. thank you
, Thanks
overkill
There's risk of the collagen plug and graft likely to get infected in this technique .I would raise a free buccal flap and cover the graft collagen plug with it and suture it to the palatal mucosa.
As mentioned, yours in one school of thought but many Periodontists see it as changing the muco gingival line more coronally.
By placing the collagen plug , we are simply waiting for the KG to grow. Ofcourse, if plug comes out, there is a good chance of fibrous infiltration into the graft.