Mandibular Block Autografts for Alveolar Ridge Augmentation
Michael A Pikos, DDS
This article reviews indications, limitations, presurgical evaluation, surgical protocol, and complications associated with mandibular block autografts harvested from the symphysis and ramus buccal shelf for alveolar ridge augmentation. The author draws from 14 years of experience with more than 500 mandibular block autografts.
The safety of bone allografts used in dentistry
Recent media reports concerning “stolen body parts”
have shaken the public’s trust in the safety of and the use of ethical practices involving human allografts. The authors provide a comprehensive review of the safety aspects of human bone allografts.
Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study
The use of guided tissue regeneration (GTR) procedures for the treatment of gingival recession has shown encouraging results and is gaining clinical acceptance. However, attaining space maintenance beneath the membrane remains a problem for clinicians. Hence, the purpose of this pilot case study was to evaluate the effect of adjunctive demineralized freeze-dried bone allograft (DFDBA) placement during collagen membrane GTR-based root coverage procedures. Five patients with Miller Class I or II defects…
Histologic Effect of Pure-Phase Beta-Tricalcium Phosphate on Bone Regeneration in Human Artificial Jawbone Defects
The effect of the pure-phase beta-tricalcium phosphate (beta-TCP) Cerasorb on
bone regeneration was evaluated in hollow titanium cylinders implanted in the
posterior jaws of five volunteers.
Synergy of Bone and Gingival Augmentation in Tooth Replacement - Part 2 of 4
This lecture will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy.
New Age Esthetics: Integration of Tissue Reconstruction, Tooth Replacement and Ceramics
Dr. Miguel Stanley exhibits detailed clinical cases that represent his "No Half Smiles" philosophy integrating site development, tooth replacement and esthetic composition.
Immediate Dentoalveolar Restoration
The IDR (Immediate Dentoalveolar Restoration) technique has been used for over 6 years. With it, we can reconstruct socket tissue losses in the same surgical session of dental extraction, implant placement and provisional crown installation, minimizing the treatment time and morbidity of the procedures.
In this presentation we discuss the hard and soft tissues stability when the IDR technique is applied in different types of periodontal biotypes and in sites with different defect levels.
The clinical, radiographic and tomographic follow-up of some cases is shown, allowing us to evaluate the maintenance of gingival architecture and peri-implant bone stability around the implants.
Creative Ridge Expansion Solutions Utilizing Ultrasonic Technologies
Management of the narrow ridge is a common challenge in modern prosthetically-driven implant dentistry. Treatment using a simple and highly predictable procedure for alveolar ridge expansion can be employed using new techniques and technologies which will be introduced on this presentation.
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.
Regenerative Procedures for Implant Site Optimization: Establishing the Perio-Implant Interface
Emerging concepts in implant dentistry have allowed bone preservation to become a reality, thus reducing the need for extensive augmentation procedures. Nevertheless, clinicians are still confronted with atrophic defects that require complex regenerative strategies for dental implant rehabilitation. This presentation will focus on some of the essential elements for a predictable regenerative protocol in implant site development.
A discussion will include the use of defect topography as a guide in choosing a suitable augmentation technique. Several considerations that allow for tension free wound closure will be reviewed. Furthermore, an evidence based approach in graft material selection will be presented.
Clinical cases will then be reviewed, to demonstrate how to integrate the presented principles into daily clinical practice.
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