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Start with intraoral situation; 84 jear old patient
0:27 crestal incision left side
1:00 Safe Harvesting of cortico-cancellous bone block from retromolar
2:31 Collecting blood
2:50 Splitting the block in three thin bone shells
4:35 Scraping the block for collecting small autogenous bone particles
5:13 Fixing the bone shells on distance
6:07 Filling the space with pure autogenous bone particles
6:50 Closure and no membrane, no decortication
7:11 Crestal incision in right mandible
7:37 Safe bone harvesting from right external oblique
8:39 Fixing the bone shells on distance
9:21 The fixed bone shells creating a container
9:47 Harvesting an additional bone block from external oblique
10:14 Using the bone crusher for particulating the block
10:51 Filling the space with pure autogenous bone particles
11:34 Dissection of periosteum and tension-free closure
12:08 Re-entry for placing implants with Kazanjian Vestibuloplasty
12:40 Preparation of split flap
13:09 Separating the muscle from the periosteum
13:30 Using template and drilling for implants
14:02 Placing the implants in the regenerated and good revascularized bone
14:57 Closure of the flap, starting with Periosteum to Periosteum
15:10 Suturing Mucosa to Periosteum
15:44 Kazanjian Vestibuloplasty on right mandible
16:12 Dissection of the periosteum and full flap
16:34 Removing the Osteosynthesis Screws
17:05 Placing the template for drilling
17:30 Collecting bone cylinders (Bone core techhnique according to Prof. Fouad
Khoury)
18:22 Placing the implants
19:03 Closure of the flap, starting with periosteum to Periosteum
19:21 Closure mucosa to periosteum