Doug Smail I was Mentoring Level 6 this past weekend, and Farhad usually shows a Sonic Weld case.
I have been using Sonic Weld for a couple of years now, and I have found it to be very predictable with very few complications.
I have had variable results with cortical bone grafting (resorption), and membrane exposure and soft tissue retraction issues with titanium mesh, so I really wanted something more predictable and easy.
This is a case I did yesterday. This is a typical thin ridge free end distal extension edentulous area in the mandible. She wants at least 2 implants in the #19 and 21 areas.
The sequence is as follows:
1. Full thickness flap, multiple small perforations in the cortical bone.
2. Drill the holes for the pins and Sonic Weld them into place.
3. I usually weld the membrane onto the inferior pins first, pack the space with allograft/PRF, then bring the membrane over and weld to the superior pins.
4. PRF cover over the Sonic Weld membrane, loosen up the flap so it can cover, then Vicryl sutures for closure.
Here are some pictures:
