Modified IVAN Technique: Long-Term Follow-Up of 20 Cases Over 2 to 11 Years
When natural teeth fail, frequently there is a loss of hard and soft tissue. This may complicate subsequent dental implant placement by creating insufficient bone to house the implant. This also occurs when the tooth has been missing for an extended period, especially in the premaxilla, where the bone is less dense and often lacks sufficient volume of facial bone. Site reconstruction to accommodate implant placement often requires both hard and soft tissue augmentation. The modified interpositional vascularized augmentation neogenesis (mIVAN) technique achieves the desired treatment goals in both delayed and immediate placement scenarios. The technique will be discussed as well as the long-term follow-up on 20 cases.

Reconstruction of a Horizontal and Vertical Bone defect using The Cortical Lamina Technique
For many years guided bone regeneration has been a challenge in oral and implant surgery. Many techniques and devices have been used in trying to regenerate and reconstruct resorbed edentulous ridges. The literature in the field is scarce due to the impossibility to perform RCT on such lesions, therefore the judgement of the international community is based on case reports and retrospective studies. In the last ten years a new device has proved to be quite successful and predictable on top of showing a very low morbidity, a membrane made of xenogeneic collagenated bone with features that are very different from any other material used in the past. This paper will show the application of the cortical lamina technique where a vertical and horizontal defect was corrected and successfully restored.

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.

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!

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.

Fresh Frozen Bone Bank & Bone Marrow Aspiration: An Alternative to Autogenous Bone
Bone loss in edentulous jaws negatively influences the functions of the stomatognathic system. Reconstructive prosthetic surgery was advocated to provide suitable prerequisites for implant placement and preserve the noble structures, which at the same time satisfies aesthetic demands. For this reason, bone regeneration procedures become mandatory to create the conditions for prosthetic-driven implant placement.

Combined Augmentation Therapies in the Esthetic Zone
The esthetic zone presents a far bigger challenge than any other area of the mouth. It is the one area that a patient has the ability to really scrutinize the work that has been done and anything that does not pass muster will quickly create problems in our practices. Uncompromising treatment planning is therefore essential to ensure the long term aesthetic stability of our esthetic cases. Treatment planning involves both bone and soft tissue therapy as both are critical for the stability. This lecture will highlife the importance of different treatment options as well as show numerous new techniques that are possible to achieve the results that both our patients and practitioners are proud of.

Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting
The loss of alveolar ridge contour in the esthetic zone compromises both esthetics and function. This clinical presentation will focus on the application of both hard and soft tissue grafting in the esthetic zone implementing state of the art interactive CT diagnosis and treatment planning for optimal esthetic implant reconstruction. Emphasis will be on indications, graft and harvest site assessment, timing, and use of bioactive modifiers including BMP, PRGF and PDGF. The surgical protocol utilizing allogeneic and autogenous grafts in conjunction with connective tissue grafts, acellular dermis matrix, and related soft tissue procedures to avoid functional and esthetic pitfalls will be featured. Pre and post-grafting prosthetic workup, interactive CT graft assessment and perio prosthetic driven implant planning, stent driven implant placement, and computer milled abutment fabrication including guided surgery will be included.

CadCam Customized 3D-Printed Subperiosteal Implant
When considering the future of implants, it appears justified to reconsider the old concepts in light of the availability of contemporary technologies, such as computer-aided design, softwares and programs design, virtual stress– strain testing, and 3D printing of titanium alloy. With the employment of these modern technologies, the concept of a “high-tech” subperiosteal implant has gradually emerged. Biological design of subperiosteal implant is mandatory for the success of the treatment, guidelines on architectural changes, topological optimization, and biofunctionalization will be explained. This new era of a “high-tech” customized 3D printed subperiosteal implant leads us to consider this technique s a valuable treatment option for atrophic jaws, avoiding more invasive procedures and giving the possibility of immediate loading, improving the patient’s quality of life.