JIACD
The Journal of Implant & Advanced Clinical Dentistry
Hip Grafting for dental implant surgery is it really needed anymore?
Sat, 01/16/2010 - 19:49 — Dr. Barbie
I had a patient sent to me recently who saw her local oral surgeon where he did bilateral sinus lifts using hip grafts. I thought that was kind of invasive especially when the literature supports the use of Bio-oss. With all the advances in bone grafting is it really needed???
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Comments
Hip Grafting for Sinus Lifts??
I not only think you do not need hip graft bone for Sinus Lifts but it is actually contra-indicated. Autogenous bone from the hip has a high turnover rate and seems to resorb over time. I utilized this bone graft for Sinus Lifts back in the early to mid 1990's. Although we had success, over the following 10 years of follow up there appeared to be tremendous resorption of the grafted bone in the sinus not immediately next to the implant. My own theory is that autogenous bone not "loaded" by the implant was resorbed. This does not happen with cortical-cancellous allograft or Xenograft materials.
Hip grafts for other edentulous areas, not the sinus, may be effective when over corrected and mixed with a low turnover bone product.
Dr. S
Hip Graft for sinus augmentation
I totally agree with Dr Salama.From my own experience
there is unpredictable resorption which sometimes leads to almost total resorption in between implants.I think today with all the alternatives to autogenous using hip graft for sinuses is contraindicated.
Hip grafting for sinus is overkill and I am an oral surgeon
I cant believe there are people doing that. I use a xenograft works awesome without invasive surgery of taking a hip.
Hip Graft for a sinus lift: There is no need
Absolutely agree with the above comments, there is no need to perform an invasive hip surgery and take a patient to the OR for sinus augmentation. With the advent of infuse and the strong studies we have with xenografts and allografts why would anyone harvest a hip for sinus surgery.
Hip Graft for a sinus lift
I agree, it is overkill.
I have virtually elimintaed autogenous grafting from my practice
Regarding the hip graft, complete overkill for a sinus lift in my opinion. In fact, I personally think most autogenous grafts are overkill. Very bold statement, I know. However, with modern growth factors, allografts, xenografts, and specialized surgical techniques, there are really very few defects that truly require an autogenous graft.
Open sinus lifts...just about anything will grow bone.
Narrow ridges...ridge split, block allograft, tenting screws, Ti-Mesh, Ti backed ePTFE, various bone putties. All work well.
The lit is beginning to show that autogenous is not always the gold standard anymore.
autogenous grafts
Dr. Holtzclaw, I could not agree with you more! When you consider the cost, morbidity and outcome, you have to ask yourself............... Why?
Hip Grafts for Sinus lifts is silly but may be needed elsewhere.
Look I think there is a place for everything and in some cases where full mouth reconstruction is needed a hip graft may be needed. With so many materials to choose from with proven research it is not needed to harvest a patient hip to do a sinus lift.
I mayself favor bio-oss or FDBA. Works fine without the complications of a OR case.
Brooke
Hip Grafting: Limiting these days
I usually save this for extreme jaw recon's. I dont see the advantages of taking a hip anymore with so many products that can achieve similiar goals.
Reply on Hip Grafting for Sinus
Incase of Open sinus lifts...the chances of anything will grow bone. dentist pembroke pines
Hip graft for a sinus lift? Borders on malpractice IMHO.
With all of the lit on sinus lifts, there is absolutely no reason to go to the hip for bone. None! In my opinion, this borders on malpractice! When I bring this point up to "hipsters", they can never cite any lit to back up their position.
everyone wants to look good
everyone wants to look good these days even if it means going under the knife. When you are in the show biz or any work that requires you to have interaction with clients in business looks do matter and tough many people wonder why people go in for cosmetic surgery I think in today's world its a truth that we have created for ourselves.
Injectable Fillers