Bone Graft - Elevating Recipient Site Flap and Periosteal Release

Comments: This shows the start of a ramus bone graft -- Prepping the recipient (anterior maxilla) by elevating a full mucoperiosteal flap and making a Periosteal Releasing Incision www.allthingsdentistry.com Disclaimer - I think it's important to point out that although the following posts relating to a ramus bone graft make the procedure appear to be simple - and - well - it isn't that hard, the true skill of a surgeon is the ability to manage post operative complications. I am not, by any means, providing these videos for you to go out and hammer out a ramus graft without proper instruction and facilities. I am also not responsible if you do attempt this procedure and run into problems. I am, providing you these videos, for you to understand what is involved when you refer a patient for ridge augmentation and the surgeon has indicated a ramus graft. Now you have an idea as to what is involved and can appear more educated when you consult a patient. Some of the complications that could occur during/after such a procedure: (Dr. Kris Hart formulated this list on his iPhone) Mandible fracture - which then leads to: malocclusion, non union, malunion, chronic facial pain, chronic limited range of motion, ICR, osteomyelitis, infection, bisphosphonate necrosis, nerve damage, bleeding, hematoma, airway compromise, MI Flap Necrosis Alveolar Necrosis Gingival Scarring Hardware failure - screw Dehiscence Remember - if any of the above occur - how are YOU going to manage it? Most likely, you'll refer to an OMS/ER and they'll ask why you were attempting such a procedure. Remember the above - I am not responsible.