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Bone Grafting Videos
Esthetic Management for Compromised Extraction Sites - Part 1 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 1 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Video
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Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique Premium Member Content

Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique
This lecture is focused on an effective regenerative approach, but at low knowledge. The goal is to provide a new skill in favor of well-established techniques. The Fibrin Sealant (FS) is an additional clot of human origin. It has adhesive, sealant and inductive action stimulating hard and soft-tissue regeneration. The FS, mixed with bone chips and biomaterials, allows a better handling of the graft that, becoming plastic and moldable, adapts perfectly to bony defects without dispersion of granules. It’s effective also on wound protection achieving a faster healing of soft-tissue. This approach is excellent in the socket preservation and in the peri-implant regeneration on "closed" sites where the implants are inside the defects.

Presented By:: Vincenzo Foti, MD, DDS
Presentation Style: Video
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Maximizing Aesthetics on Adjacent Implants and Full Arch Reconstructions - Part 1 of 2 Premium Member Content

Maximizing Aesthetics on Adjacent Implants and Full Arch Reconstructions - Part 1 of 2
The beauty in implant dentistry is that every case is an individual challenge. An ideal implant treatment uses procedures , techniques, materials and technologies that leads fast and on the shortest way to a maximally aesthetic result. This is our goal, in every clinical case, from single tooth replacement to full arch reconstructions.

Presented By:: Henriette Lerner, DMD
Presentation Style: Video
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Digital Full Arch Implant Dentistry: Do We Really Need to Make Hybrid Restorations? Premium Member Content

Digital Full Arch Implant Dentistry: Do We Really Need to Make Hybrid Restorations?
I will highlight the benefits achievable through the use of guided planning, guided laboratory procedures and guided surgeries, while maintaining the fundamental principles of osseointegration. My ten years of scientifically proven experience and clinical follow-up in guided surgery and CAD/CAM biomimetic restorations will be shared with the audience to support clinical protocols as well as practical tips and tricks with case studies demonstrating each clinical scenario. New surgical and prosthetic improvements and novel proof-of-concept techniques to enhance the natural soft tissue integration will be presented. Viewers will also broaden their knowledge of hard and soft tissue surgical management through the guided surgery, discovering the latest implant designs and prosthetic interfaces designed to achieve an ideal soft tissue seal and bone level over time.

Presented By:: Prof. Dr. Alessandro Pozzi
Presentation Style: Video
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Bone Grafting Articles
Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft

Reconstruction of a Single-Tooth Traumatic Defect in the Anterior Maxilla Using the Khoury Bone Plate Graft
Trauma to teeth and the dentoalveolar process may result in a ridge defect that precludes straightforward implant therapy of the patient. Typically bone and soft tissue augmentation of the area would first be needed to adequately prepare the tissues for the implant and its restoration..Grafting of the site is substantially more difficult in cases where the ridge also lacks adequate height, and techniques to recreate a bony envelope to apply guided bone regeneration may be required. Moreover, defects in the anterior aesthetic zone that require both bone and soft tissue grafting and a restoration that harmonizes the adjacent pink and white aesthetics may be an even more significant challenge to the restorative team. Hereafter a case of trauma to an anterior maxillary tooth that saw destruction of the ridge is presented, with the defect reconstructed to accommodate a functional and aesthetically pleasing implant supported restoration.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit, BChD
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Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series
To measure the buccal plate reconstruction of extraction sockets with labial plate dehiscence defects using a bone allograft in combination with an absorbable collagen membrane and a custom-healing abutment at the time of tooth removal. Implants placed into sockets with labial plate dehiscence defects demonstrated radiographic reformation of the labial plate dehiscence defect at 6 to 9 months post-treatment. The net gain in labial plate on CBCT in L1 and L2 was 3.0 mm, where 0 mm existed at pre-treatment. The minimum amount of labial plate thickness of 2.0 mm was achieved in all treated sites, evaluated radiographically at 6-9 months post-operatively, in a single procedure, without flap elevation and maintaining the gingival architecture and satisfactory esthetics.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
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Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects

Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects
Immediate implant therapy involving implants placed into intact Type 1 extraction sockets has become a consistent clinical technique. The classification of Type 2 extraction sockets, where the mucosal tissues are present but there is a midfacial osseous dehiscence defect, has been described according to the extent of the buccal bone plate absence. The literature has offered different techniques in the treatment of Type 2 sockets; however, the extent of the defect has never been defined or delineated.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Mark N. Hochman, DDS
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Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico

Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico
En nuestra clinica observamos un aumento de pacientes adultos con problemas esqueletales, compromiso periodontal y necesidades protesicas. Debemos recurrir a la interconsulta con el periodoncista, protesista y cirujano maxilofacial, para la correccion del caso, prestando especial atencion al componente dentario, esqueletal y los tejidos blandos faciales del paciente. La cirugia ortognatica, que generalmente la realizamos luego de una preparacion ortodoncica, permite corregir discrepancias en el adulto y restaurar la funcion y estetica en los tres planos del espacio. Realizada la correccion oclusal, procedemos a sustituir dientes ausentes, mediante implantes y protesis fijas. El Periodoncista, mantiene un control constante de la salud de los tejidos de soporte, durante todas las fases de la terapia multidisciplinaria.

Author(s): Miguel Hirschhaut, DDS;Jorge Ravelo, DDS
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Bone Grafting Courses
Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique Premium Member Content

Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique
This lecture is focused on an effective regenerative approach, but at low knowledge. The goal is to provide a new skill in favor of well-established techniques. The Fibrin Sealant (FS) is an additional clot of human origin. It has adhesive, sealant and inductive action stimulating hard and soft-tissue regeneration. The FS, mixed with bone chips and biomaterials, allows a better handling of the graft that, becoming plastic and moldable, adapts perfectly to bony defects without dispersion of granules. It’s effective also on wound protection achieving a faster healing of soft-tissue. This approach is excellent in the socket preservation and in the peri-implant regeneration on "closed" sites where the implants are inside the defects.

Presented By:: Vincenzo Foti, MD, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Site Preparation & Osseodensification in Bone Management Premium Member Content

Site Preparation & Osseodensification in Bone Management
Today's implant arena involves not only the understanding of procedures but also the science behind wound healing. Often new technologies and instrumentation evolves that have a significant impact on what we are able to do clinically. Piezosurgical devices, periotomes, osteotomes, hydraulic sinus devices, neurosurgical drills, and the "PET" (Partial Extraction Therapies) system are just a short list of those that have made surgery more efficient and less traumatic for our patients. Osseodensification is another concept that can be added to this long list. This lecture will speak about new age bone management concepts and how these technologies may be able to assist us. Potential issues and focus on use will be touched upon as well.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Interpositional Bone Grafts to Treat the Posterior Atrophic Mandible Premium Member Content

Interpositional Bone Grafts to Treat the Posterior Atrophic Mandible
This presentation analyzes the interpositional bone graft or inlay technique, discussing the reconstructive surgical approach. Horizontal osteotomy with the interposition of bone in the form of a “sandwich” involves raising a coronal osteotomized segment of the mandible, which is still attached to the lingual periosteum, and interpositioning a block bone graft. This technique guarantees a dual vascular supply to the inlay graft from the lingual periosteum and from the residual bone; it also allows optimum use of the native basal bone, which should be less prone to resorption. The advantages and disadvantages of the inlay technique are compared with other commonly used augmentation techniques in the management of posterior mandibular atrophies.

Presented By:: Pietro Felice, MD, PhD, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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Combination Therapies in the Esthetic Zone: Steps for Success Premium Member Content

Combination Therapies in the Esthetic Zone: Steps for Success
This presentation will cover the critical aspects to consider for deciding the sequence and implementation of combination therapies. Successful esthetic zone treatment must begin with a well thought-out space management plan. This plan involves a three dimensional adjustment of the periodontal attachment, with a possibility of root submergence and partial extraction technique. Following this, a decision is made concerning the timing and position of implant placement, and an adequate hard tissue foundation can be restored using GBR with titanium mesh and collagen membrane. On top of this base a more efficient soft tissue augmentation and adjustment completes the requirements for success in the esthetic zone.

Presented By:: Tomohiro Ishikawa, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
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