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Bone Grafting Videos
Horizontal Bone Augmentation Using the “SPLIT BONE BLOCK TECHNIQUE” Step by Step - Part 1 of 2 Premium Member Content

Horizontal Bone Augmentation Using the “SPLIT BONE BLOCK TECHNIQUE” Step by Step - Part 1 of 2
Bone atrophies are one of the most challenging situations in modern implantology. Several techniques have been proposed to be able to place implants in those atrophic situations. This first presentation will show step by step the Split Bone block technique as described by Dr. Khoury to perform horizontal bone augmentation procedures. Bone biology is also explain in order to understand why this technique offer us some great advantages. The second presentation will focus of vertical bone augmentation procedures using this same technique but through a tunnel approach. The advantages of this approach will also be described in this presentation.

Presented By:: Jose L Dominuez Mompell, DDS, MsC, Juan Lara Chao, DDS, MsC
Presentation Style: Video
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Modern Approach of Full Arch Immediate Loading Premium Member Content

Modern Approach of Full Arch Immediate Loading
In Immediate loading, the survival rate is often based on the follow-up of the osseointegration, but without aesthetic appreciation... The main goal is to achieve osseointegration and aesthetics in order to get long term stability. For this goal we need to obtain both, bone formation and gum thickness, as any failure in one of the 2 factors, will induce the loss of the second factor. This presentation will show my statistics about more than 1100 full arch loaded immediately since 14 years (> 7700 implants)

Presented By:: Alain Simonpieri, DDS
Presentation Style: Video
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The Reconstruction of a "Critical Size" 3D Bone Defect Utilizing the Khoury Bone Plate Technique Premium Member Content

The Reconstruction of a "Critical Size" 3D Bone Defect Utilizing the Khoury Bone Plate Technique
Bone defects and bone resorption are a common finding for the clinicians in cases where dental implant therapy is needed. These situations dictates that the defect must be first reconstructed prior to or simultaneously with placing the implants This presentation will focus on a case of a bone resorption in the mandible that will be reconstructed, using only autogenous bone to accommodate a future functional implant supported restoration.

Presented By:: Cristian Rotaru, DDS
Presentation Style: Video
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Surgical Management of Posterior Maxilla Premium Member Content

Surgical Management of Posterior Maxilla
Replacement of missing teeth with dental Implants in the posterior maxilla presents unique challenges due to maxillary sinus, less quality of bone, and increased occlusal load. The surgical objectives to meet functional and aesthetic goals include enhancement of both quantity and quality of bone as well as ideal placement of dental implants for restorations that mimic nature. In this presentation, Dr. H. Ryan Kazemi discusses current surgical techniques in implant site development in the posterior maxilla including extraction site grafting, sinus lift, bi-directional bone graft, and osseodensification for bone management.

Presented By:: H. Ryan Kazemi, DMD
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
Surgical Management of Posterior Maxilla Premium Member Content

Surgical Management of Posterior Maxilla
Replacement of missing teeth with dental Implants in the posterior maxilla presents unique challenges due to maxillary sinus, less quality of bone, and increased occlusal load. The surgical objectives to meet functional and aesthetic goals include enhancement of both quantity and quality of bone as well as ideal placement of dental implants for restorations that mimic nature. In this presentation, Dr. H. Ryan Kazemi discusses current surgical techniques in implant site development in the posterior maxilla including extraction site grafting, sinus lift, bi-directional bone graft, and osseodensification for bone management.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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Bone Graft Cements: A New Advance to Augmentation Solutions Premium Member Content

Bone Graft Cements: A New Advance to Augmentation Solutions
The purpose of this lecture is to shed light on the evolution of raw materials in order to find the ultimate bone graft cement, exploring the potential and the new opportunities of using cement-based augmentation materials in the maxillofacial and dental fields, and emphasizing the advantages, disadvantages and methods of use from the scientific and clinical points of view.

Presented By:: Amos Yahav, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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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: Online Self-Study 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 Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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