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.

Multitier Technique for Bone Augmentation Using Intraoral Autogenous Bone Blocks
Brånemarket al1 originally described autologous bone grafts used with dental implants,and they are now a well-accepted procedure in oral and maxillofacial rehabilitation. Placement of an end osseous implant requires sufficient bone volume for complete bone coverage.Further-more,the patter no fridge resorption ,which contributes to a nun favorable maxillo mandibular relationship,requires angulation of the implant and/or angled abutment,and affects the proximity of adjacent facial concavities (maxillary sinus,nasal cavity)and vital structures(mandibular nerve).

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.

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.

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.

Bioengineering and Bone Grafting in Deficient Anterior Sites: A Case Presentation
Dr. Pikos shares a case presentation elucidating the need for bioengineering and osseous grafting to overcome severe deficiencies in anterior sites prior to implant placement. The case is that of a 19 year old caucasian female that presented with congenitally missing maxillary lateral incisors. Both sites were deficient in alveolar width. Subsequent treatment included a single ramus buccal shelf block bone graft that was utilized for bony augmentation along with mineralized allograft and PRGF with collagen membrane. This was followed 4 months later by two 3.8 mm diameter BioHorizons tapered internal Laser-Lok implants. Four year follow up is included.

Regenerative Procedures for Implant Site Optimization: Establishing the Perio-Implant Interface
Emerging concepts in implant dentistry have allowed bone preservation to become a reality, thus reducing the need for extensive augmentation procedures. Nevertheless, clinicians are still confronted with atrophic defects that require complex regenerative strategies for dental implant rehabilitation. This presentation will focus on some of the essential elements for a predictable regenerative protocol in implant site development. A discussion will include the use of defect topography as a guide in choosing a suitable augmentation technique. Several considerations that allow for tension free wound closure will be reviewed. Furthermore, an evidence based approach in graft material selection will be presented. Clinical cases will then be reviewed, to demonstrate how to integrate the presented principles into daily clinical practice.

Autogenous Bone Harvesting Today
This lecture focuses on autologous bone block harvesting techniques as described by Prof. Khoury: from the donor site identification and harvesting techniques, to an analysis on how computer-guided 3D technology can help the surgeon performing safe and effective mandible bone harvesting procedures.

Gaining Horizontal and Vertical Bone with Mineralized Bone Particulate, rh-BMP2 and Resorbable Ultrasonic-Applied Rigid Barriers
The use of titanium mesh has been well described, but so has the complications of removal and exposure. Bioresorbable barriers are now available which can be molded into any desired three-dimensional form, creating a rigid and resorbable construct that is secured to to the bone using ultrasonic energy. This unique solution has been successfully used to create the proper environment for both large lateral and vertical ridge augmentations for situations previously only treated with block grafting or distraction. Dr. Cummings will share his experience as well as the key soft tissue techniques that are critical for the success of any large augmentation.