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Wednesday, November 30, 2011

Personalized Message from Santa

Click on the link below to create a personalized video from Santa for free

Sunday, November 20, 2011

Bone Grafting 101



This is a run down of some basic bone grafting information, terminology,codes, etc....

TYPES OF GRAFTING MATERIAL

-Autogenous: patients own bone, usually taken from chin,ramus,tuberoristy,shavings of hip -used 3% of the time (best with membrane)
-Allograft: human cadaver bone- used 44% of the time (Zimmer) with membrane (Biohorizons)
-Alloplast: synthetic,ceramic,polymer, titianium... 33% (Kerr) no membrane- doesn't shrink but not good for implants
-Xenograft: cow bone 20% (Osteohealth)


ADA CODES
-7953 Bone Replacement graft at time of extraction
-4266 or 4267, Membranes
-Plus extraction code and fee
-Some insurance companies pay for grafting and many do not


Bone requirements for conventional diameter implants with out grafting
-6mm in a facial- lingual dimension
-10 mm in a crestal-apical dimension
-1-2 mm or more from vital structures (sinus, IA canal, mental foramen)

Monday, November 14, 2011

How often are you updating health histories for your patients?

Health histories should be updated at every appointment for patients. New health histories are a good idea every 2-3 years, patients tend to forget about important medical happenings if you don't specifically ask- did you have heart surgery or a joint replacement since I saw you last?
One hygienist recommends gearing the small talk before the cleaning around what has happened to them medically since their last visit rather then asking about the family vacation.

Here are a few sample health histories- click on the picture to view the full documents


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