Negative Factors for Soft & Hard Tissue Maintenance

Continuing Education Credits:
1 CEU (Continuing Education Credit)

Course Presenter(s):
Joseph Choukroun, MD


Date Added:
05/11/2017

Course Description:

Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough.. After the bone formation, the tissue has to maintain the blood supply throughout its life. If the blood supply is not maintained, the tissue will resorb. Definitively. We can consider that all the failures in bone management (implants or grafts) are only a failure in blood supply: at the installation or in the maintenance. The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture. We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.

Learning Objectives:

• A. To understand the critical role of blood supply and maintenance of bone regeneration
• B. The role of periosteal flap design and release on stability of the blood supply and flap closure
• C. To understand the "soft brushing technique" on blood supply and tension free closure