Overcoming Communicating Jaw Defects
The patient with significant bone deficiencies can now be overcome with unique surgical approaches. This presentation will highlight the anatomical, biological and surgical approaches available to rehabilitate these patients. Flap design, bone harvest, growth factors, closure and follow up will be addressed.

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Selection of Biomaterials, Bone Grafts and Growth Factors in Implant Therapy
In this highly evidence based and detailed technique presentation, Dr. Daniel Buser discusses decision making and surgical protocols in the placement of implants in compromised anterior sites. A focus is also placed on selection of biomaterials, bone grafts and growth factors.

Biologic Strategies to Enhance Clinical and Aesthetic Success in Oral Implantology
This webinar will discuss clinical strategies for treatment of the complex implant site involving bone grafting and implant placement. Our understanding of cellular pathways, and our ability to control the wound response, expands our capacity to effect better aesthetic outcomes and compress treatment time. The reduction of the inflammatory phase of tissue regeneration speeds up osseointegration, prevents crestal bone loss, maintains papillary form, increases the density of peri-implant bone and increases tissue biotype. This enhanced tissue response allows us to predictably treat even the most complex surgical cases, compress time to final reconstruction, and to maintain these favorable tissue outcomes over an extended period of time. The use of dental implants with advanced biologic features and the incorporation autologous growth factors will be demonstrated.

Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations
Titanium mesh has been used in reconstructive surgery and ridge augmentation for several years. The traditional technique involves using cancellous autogenous bone under the mesh scaffold. More recently growth factors and bone substitutes have been utilized as autograft replacements. There are several advantages to using titanium mesh for space maintenance including strength, ease of use, low cost and biocompatibility. However, the difficulty in removing the mesh has led to a search for other space maintenance scaffolds including tenting screws, dense preshaped collagen and porous high-density polyethylene. This webinar will discuss the use of rhBMP-2 for managing horizontal and vertical bone deficiencies with various scaffolds.

Simultaneous Autogenous Block Grafting and Implant Placement: A Predictable and More Efficient Method to Augment the Buccal Bone
This lecture will give you all the necessary guidelines and surgical pearls associated with simultaneous bone block and immediate implant placement as well as deal with any complications should they arise.

Maximizing Aesthetics in the Deficient Alveolar Ridge
This article will present a predictable method for replacing the lost bone prior to implant placement through the ramus block graft technique.

Alloplastic Bone Substitutes Around Dental Implants
The repair of osseous defects has been a goal in dentistry for many decades. Subsequently, within the last several years, there has been an emergence of a new class of materials in dentistry referred to as synthetic bone. Finding the ideal bone substitute material has been the goal of researchers for many years. In attempting to achieve this ideal material, dental practitioners have tried with varying degrees of success: autogenous and demineralized freeze-dried bone, allografts of plastic, carbon…

Atrophic Posterior Maxillan and Mandible: Alveolar Ridge Reconstruction with Mandibular Block Autografts
Autogenous bone grafts have been used for many years for alveolar ridge augmentation and are still considered to be the gold standard for jaw reconstruction. The use of these grafts with osseointegrated implants was originally discussed by Brånemark et al., who used the iliac crest as the donor site. For repair of most localized alveolar defects, however, bone grafts from the mandible offer advantages over iliac crest grafts. These include the proximity of donor and recipient sites, convenient surgical access, decreased donor site morbidity and decreased cost. This article focuses on posterior maxillary and mandibular osseous augmentation in a staged approach for implant placement. Both horizontal and vertical deficiencies are addressed with the use of symphysis and ramus buccal shelf donor block bone via case presentations.