Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Surgical Protocols for Socket Type 2 in the Aesthetic Zone

Description:
The topic of this presentation is an implant surgical procedures for a socket type 2 (socket missing buccal bone) in an aesthetic area, with emphasis on modified IVAN* technique for socket preservation. IVAN* stands for inter-positional vascularised augmentation neogenesis. Author`s guidelines for selection of appropriate surgical protocols for sockets missing buccal bone wall, protocols that are proved to be most effective, are presented. Early implant placement with GBR, prosthetic socket preservation and socket augmentation with socket sealing are shortly presented as alternatives for some cases. From author modified IVAN technique is shown step by step.

Date Added:
9/3/2015

Author(s):

Snježana Pohl, MD, DMD Snježana Pohl, MD, DMD
Zagreb Faculty of medicine, Munich Faculty of Dental Medicine. Work experience at the General surgery and Orthopedics in Munich. Oral Surgery residency in Munich. Doctorate in...
[read more]






Online Videos / Surgery / Bone Grafting / Surgical Protocols for Socket Type 2 in the Aesthetic Zone




Questions & Comments
Tarek Assi - (10/27/2017 3:21 AM)

Thank you! Very nice presentation.

Vedran Šebečić - (6/27/2017 5:07 PM)

Very nice presentation and explanation of the procedure and cases. It was a joy to watch it. Thanks for sharing such a good technique. Good luck with the future work in oral surgery Snjezana. :)

snjezana pohl - (2/11/2016 8:30 AM)

I am delighted to discuss this subject. This is the best way to revisit and to learn. Buccal bone missing socket has four bone walls: palatal, medial, distal and apical. There is a buccal periosteum too. It is a great potential for regeneration, if handled properly. The socket inside I fill with autogenous bone gained with bone scraper. This autogenous material is not milled, it has a great bone regeneration potential too. There are few presented cases and a lot of discussion in dentalxp forum about Khoury technique for bone augmentation - autogenous bone gained with bone scraper plus cortical plates make this technique so predictably successful. Slow resorbable bone substitute granola (xenograft) has just about 1,5 mm thickness and it is in place to prevent autogenous bone resorption and to build a future cortical bone plate. Would I add BMP? If I had BMP I would. In Croatia we don`t have yet : BMP, allografts, Densah burs :)

Michael Corsello - (2/10/2016 7:07 PM)

With a barrier membrane containing the graft within the socket and the facial covered with the CT, what signals bone to grow on the facial? I would presume, in the end, the bulk (convexity) of the facial tissue is primarily CT and not bone. This is very good, but wouldn't you rather regenerate bone out there? Simply as a point for discussion, would you consider modifying this excellent procedure by placing additional autograft (or BMP or other osteoinductive material) on the facial side of the defect and complete the CT reposition over that for enhanced vascular closure. Of course you may have to do the frenectomy and loosen up additional tissue for a low tension closure. Thank you!

snjezana pohl - (2/10/2016 4:16 AM)

Thank you, Michael. If there is infection I would extract the tooth and perform prosthetic socket preservation. Three months after extraction implant placement with CTG. If the patient can not come for pontic shortening in 3 weeks intervalls I would perform an early implant placement with GBR and VIP CT. After taking out a tooth with a missing buccal bone wall there will be an advanced ridge collapse. In the most cases it is advisable to do a frenectomy at the same time as tooth extraction.

Michael Corsello - (2/9/2016 1:27 PM)

Excellent presentation!
Presuming there exists infection throughout the area from the diseased root. Would you proceed with this procedure or extract then delay for several weeks? What would you perceive to be a consequence of such a delay?

mia buljan - (11/24/2015 7:12 AM)

Such an inspirational lecture and a very clear explanation of the technique. I will for sure follow this protocol.

snjezana pohl - (10/10/2015 2:28 AM)

Thank you for your question. PCTG is kind of transposed, like a classical transposed flaps known in plastic surgery. Attention should be given not to rotate and strangulate it. And, very good observed, you are right, in animation you can`t see it clearly.

yosef kowalsky - (10/7/2015 2:29 AM)

Could you please explain "CTG is not rotated but overlaid. " In video it seemed it was rotated? Thank you . I really enjoyed the presentation.

Related Videos
Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6 Premium Member Content

Implant Therapy and Esthetic Considerations - Extraction and Guided Bone and Soft Tissue Augmentation - Part 1 of 6
Dr. Maurice Salama describes the step-by-step surgical techniques required to ensure successful Guided bone as well as soft tissue enhancement of a deficient extraction site.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Making Successful Clinical Decisions in Esthetic Implant Therapy - Part 3 of 3 Premium Member Content

Making Successful Clinical Decisions in Esthetic Implant Therapy - Part 3 of 3
This presentation will outline a systematic diagnostic and treatment design protocol for anterior implant supported restorations as well as how implant design, components and regenerative techniques influence the process.

Presented By:: Henry Salama, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Bone Reconstruction: A New Algorithm for the Implantologist Premium Member Content

Bone Reconstruction: A New Algorithm for the Implantologist
Bone Reconstruction: A New Algorithm for the Implantologist

Presented By:: Craig M Misch, DDS, MDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 2 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Eduication Credit)
Watch Now>>
Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success Premium Member Content

Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success
This presentation will focus on the application of PET techniques and immediate loading in daily practice. A brief introduction will be presented outlining the concepts, and the benefits in combining both techniques. This will be followed with a review of clinical cases ranging from single unit to full arch implant rehabilitations. Lastly, recommendations will be presented to the viewer in order to facilitate incorporation of these techniques into clinical practice.

Presented By:: Ehab Moussa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Growth Factors; The Next Step in Achieving Ideal Regeneration Premium Member Content

Growth Factors; The Next Step in Achieving Ideal Regeneration
The aim of dentistry is to provide esthetics and function for our patients. Using hard and soft tissue regeneration techniques we have the ability to rebuild what has been lost to disease or trauma. Whether we are regenerating lost tissue around teeth or developing an ideal implant site, growth factors are a powerful asset that help make regenerative procedures more predictable while reducing patient morbidity. This webinar review regeneration techniques and will discuss the popular growth factors available today and demonstrate their clinical use.

Presented By:: Avi Schetritt, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Retrospective Evaluation of Crestal Bone Changes Around Implants With Reduced Abutment Diameter Placed Non-Submerged and at Subcrestal Positions: The Effect of Bone Grafting at Implant Placement

Retrospective Evaluation of Crestal Bone Changes Around Implants With Reduced Abutment Diameter Placed Non-Submerged and at Subcrestal Positions: The Effect of Bone Grafting at Implant Placement
One method to measure the success of dental implant treatment is to evaluate marginal peri-implant bone-level changes and stability over time. The location of the fixture–abutment interface (FAI) can be of major importance when the goal is to construct esthetic restorations. In these situations the FAI is often placed in a more apical position to create an ideal emergence profile for the prosthetic construction. However, several animal studies have reported that placement of the FAI in a subcrestal position may result in peri-implant marginal bone loss. The aim of the present study is to evaluate the effect of bone grafting of the defect between the bone crest and the coronal aspect of the implant for implants with reduced abutment diameters placed non-submerged and in subcrestal positions.

Author(s): Alan Fetner, DMD;Theofilos Koutouzis, DDS; Michael Fetner, DMD; Tord Lundgren, DDS
View Article>>
"Sandwich" Bone Augmentation Technique - Rationale and Report of Pilot Cases

"Sandwich" Bone Augmentation Technique - Rationale and Report of Pilot Cases
The aim of this article is to present a new technique for augmentation of deficient alveolar ridges and/or correction of osseous defects around dental implants.

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Carl Misch, DDS, MDS; Rodrigo F. Neiva, DDS, MS
View Article>>
Long Term Follow-Up of Dental Implants Placed in Autologous Onlay Bone Graft

Long Term Follow-Up of Dental Implants Placed in Autologous Onlay Bone Graft
The aim of this study was to evaluate the efficacy of autologous intraoral onlay bone grafting (OBG) in correlation with long-term survival rates of dental implants placed in the augmented bone. A retrospective study was conducted on 214 patients who received a total of 633 dental implants placed in 224 autologous intraoral block OBG augmentations, combined with Bio-Oss – mixed with platelet-rich plasma (PRP) and covered by platelet-poor plasma (PPP) – as scaffold, with a follow-up time up to 137 months. We suggest that augmentation of severely atrophied jaw bone through the placement of horizontal and/or vertical intraoral OBGs in combination with Bio-Oss saturated with PRP and covered by PPP should be considered a reliable, safe, and very effective surgical technique for obtaining high bone graft survival rate and high long-term implant survival rate.

Author(s): Devorah Schwartz-Arad, DMD, PhD;Ronen Ofec, DMD, MSc; Galit Eliyahu, PhD; Angela Ruban, PhD; Nir Sterer, DMD, PhD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login · Register