We have been very successful with our bone grafting techniques over time, and with the addition of PRGF/L-PRF technology over the past 10 years we have seen a significant improvement in the “take” of grafts to the point that, along with the use of human bone granules, we can achieve stable and reproducible results. I call it a “slam dunk” procedure or a “high yield” procedure. Our results have been great! (Inside Dentistry, February 2018, Pages 28-30).

In the cited article, there are three practitioners from varied backgrounds who review their specific techniques for grafting. All of them are based on basic principles that are standard to oral and maxillofacial surgery. They use a graft material such as a human bone product, a cellular base such as PRGF, and a barrier material to confine the graft. Graft stabilization and proper soft tissue coverage are also noted as very important.

One of the authors mentioned a “pearl of wisdom” that I espose. That is the statement: “perform one miracle at a time”. By that he means that we should not try to do too many things in one procedure. In my opinion, every stage of healing is a miracle. The more of these that we lump on top of each other – such as extraction of a tooth, placement of bone grafting, implant placement, soft tissue revisions, barrier placement, tenting screws, etc. – the more variables we create and the greater the chance at failure. Patients often want us to perform miraculous treatments in record times. The problem is that none of my patients tolerate failure well. Because of this we perform high yield, responsible, surgical techniques in proper sequence. This gives great results and happy patients.