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.
Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites
Evealuation of regenerated bone density.
Quantitative Evaluation of Extraction Socket Healing Following the Use of Autologous Platelet-Rich Fibrin Matrix in Humans
Advantages of PRFM alone include less surgical time, elimination of techniques and potential healing difficulties associated with membranes, and less resorption during healing, as compared to guided bone regeneration procedures.
Alloplastic Bone Substitutes Around Dental Implants
The repair of osseous defects has been a goal in dentistry for many decades. Subsequently, within the last several years, there has been an emergence of a new class of materials in dentistry referred to as synthetic bone. Finding the ideal bone substitute material has been the goal of researchers for many years. In attempting to achieve this ideal material, dental practitioners have tried with varying degrees of success: autogenous and demineralized freeze-dried bone, allografts of plastic, carbon…
Innovative Technique for Ridge Augmentation Using SonicWeld RX Rigid Resorbable Barrier System - Part 2 of 5
Dr. Gerhard Iglhaut further describes a classification of bony and soft tissue types, 3D implant spacing instruments and an continues describing the evolution of bone augmentation technique including titanium reinforced gortex membranes, block fixation, ridge splitting, distraction osteogenesis, and the cortical shell and particulate technique.
Severe Atrophic Anterior Maxilla: Advantages of Combined Therapy - Part 1 of 2
Anterior maxillary alveolar bone deficiency, can prevent implant placement for fixed rehabilitation and jeopardize the esthetic outcome. Clinical case of severe atrophy of anterior maxilla, due to loss of implants, is described: A combination of sub-nasal procedure and intra-oral autologous onlay bone graft were used for ridge augmentation and dental implant placement in steps procedure, combined with Bio-Oss saturated in Platelets Rich Plasma (PRP) and covered with platelets-poor-plasma (PPP) as a "biological membrane".
Cobi Landsberg on Regenerative Dentistry
An update on what’s new on regenerative dentistry.
SGFBR (Screw Guided Fast Bone Regeneration) Horizontal & Vertical Bone Augmentation of the Atrophic Mandible
This presentation will highlight a less invasive surgical option to autogenous block transplantation and has displayed a very high success rate.
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.
A Defined Algorithm for Regenerative Success Part 2
These presentations will focus open the above concepts but prioritize the diagnostic phase and surgical common denominators required for a successful regenerative outcome. Flap design, space maintenance, bone and membrane selections and tension free closure provides the template for all the new age materials and technologies to be successful in clinical practice.
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