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.
Buccal Plate Regeneration with Immediate Postextraction Implant Placement and Restoration: Case Reports
In these reports, buccal bone plate regeneration was obtained
through a flapless approach and immediate postextraction implant
placement with a cancellous bone and collagen graft in the buccal gap.
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.
A Fixed Whole-Mouth Rehabilitation Utilizing Natural Abutments and Implants: Treatment Concepts and Clinical Realization
A 45-year-old female patient presented to the clinic with a request to treat her deteriorating dentition that had been reconstructed 15 years ago with fixed restorations. Clinical examination revealed fixed partial dentures cemented to natural abutments in the maxilla, whereas telescopic restorations were cemented to natural abutments bilaterally in the mandible. The treatment plan included a whole-mouth rehabilitation utilizing natural teeth and implants. As the patient declined any surgical augmentation…
Implant Therapy and Esthetic Considerations - Staged Implant Placement with Additional GBR - Part 2 of 6
Dr. Maurice Salama follows-up on a case of staged implant placement and describes the step-by-step surgical techniques required to ensure successful implant placement.
Partners in Synergy - The Webinar Event Augmentation Strategies in Implant Dentistry - Part 2
This lecture will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy.
Contemporary and Future Trends in Advanced Bone Augmentation
Synopsis; Modern grafting technologies are changing at a rapid pace. To stay current we must engage new technologies and research to better face the challenges of our diverse patient population. This presentation will focus on new strategies and technologies to manage both Vertical and Horizontal Deficiencies in the partially edentulous patient. New membrane technologies, bioactive modifiers and materials will be a focus.
Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations
There are several advantages to using titanium mesh for space maintenance including strength, ease of use, low cost and biocompatibility. This webinar will discuss the use of rhBMP-2 for managing horizontal and vertical bone deficiencies with various scaffolds.
Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic posterior mandibular alveolar ridge. This will include a discussion of the various options to this form of grafting, such as Short implants, Lingual positioning, nerve re-positioning, distraction osteogenesis, and GBR. The Mutli-Tier onlay Bone Graft Technique will be highlighted in this presentation. Additionally, a review of a recently submitted research paper of long term follow up of implants placed into autologous bone blocks harvested from the mandibular ramus, retromolar and sympheseal areas will be discussed.
A description of surgical donor harvest sites in the mandible will also be performed as well as post op healing of these sites. Additional time will be spent reviewing causes of failure with bone blocks and implants placed into these sites.
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.
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