The Modified IVAN Technique: Hard and Soft Tissue Augmentation at Extraction for Delayed Implant Placement
Failure of a natural tooth may not permit placement of an implant at the time of extraction due to insufficiency in available bone to house the implant. Reconstruction of the extraction socket frequently involves both hard and soft tissue augmentation to provide a site that can house the implant and ridge contours that mimic the adjacent natural anatomy. This situation becomes more problematic in the maxillary anterior due to the anatomy and the lower density of the bone of the premaxilla. The solution is the interpositional vascularized augmentation neogenesis (IVAN), which consists of hard tissue grafts, various barrier membranes, and closure with the pediculated connective tissue graft (PCTG). The modified IVAN (mIVAN) technique achieves the necessary goals and may be used in both delayed and immediate placement situations.

A Novel Combined Surgical Approach to Vertical Alveolar Ridge Augmentation with Titanium Mesh, Resorbable Membrane, and rhPDGF-BB: A Retrospective Consecutive Case Series
This report demonstrates the remarkable efficacy of guided bone regeneration using a combination of titanium mesh, resorbable collagen membrane, and rhPDGF for vertical ridge augmentation, thus expanding the indications for implant therapy and allowing recovery of the three-dimensional esthetic architecture in a severely absorbed alveolar ridge.

The Mandibular Retromolar Area as a Donor Site in Maxillofacial Bone Grafting - Surgical Notes
The objective of this article is to review pertinent surgical notes related to the safe harvesting of corticocancellous bone blocks from the retromolar area using a trephine bur technique.

The Utilization of Advanced Flap Management & GBR to Large Alveolar Ridge Defects
Proper flap management is critical and key to obtain tension-free flap closure at large 3D ridge augmentation sites. The objective of this presentation is to highlight the most relevant clinical aspects to reduce tension during wound closure, therefore reducing associated complications, namely flap dehiscences that predispose our patients to post operative infection and reduced bone formation. Several clinical tips will be highlighted via multimedia and video to help the clinician increase their own predictability with these kind of procedures. Clinical cases will be presented to demonstrate the steps discussed in detail.

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.

Horizontal Ridge Augmentation with Ti Mesh and Simultaneous Implant Placement - Part 1 of 2
In this surgical video, Dr Moghaddas will demonstrate an implant placement in a ridge with large concavity at the buccal aspect and reconstruction of the deficient area with freeze dried bone allograft, Neobiotech Ti-membrane, and thickening the soft tissue with dermal graft.

Modern Flap Management in Bone Augmentation
What does it mean “Modern”? Less traumatic? More predictable? More biology? Less incisions? Let’s see what modern means from a biological and from a surgical standpoint. How can we achieve a full passive closure from the flaps without damaging the blood supply? Can we take care of the oxidative stress? Can PRF help us in these matters? Surgically, the management of anatomical elements such as the mylo-hyoid muscle and the mental foramen will be discussed and a simplification protocol will also be presented. No doubt, “modern” flap management raises a lot of questions!

Alveolar Ridge Regenerative Strategies: Autogenous Bone vs BMP-2
This clinical based presentation will compare the use of autogenous bone vs BMP-2 for alveolar ridge reconstruction. The science, indications, advantages and disadvantages of each approach will be featured. Single tooth to full arch reconstruction cases will also be shown along with understanding the application of non-resorbable vs resorbable mesh barriers for alveolar ridge reconstruction.

Creative Next Generation Surgical Tools and Solutions for the Implant Practice
Modern Bone Grafting has become more predictable than ever before. Recent developments in CBCT 3D Diagnosis and the utilization of bioactive modifiers such as PRGF, PRF and BMP-2 have stimulated further advances in surgical techniques as well as a New Age Surgical Armamentarium to maximize the efficiencies and success of these sophisticated procedures.