The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 2 of 2
This 2 part lecture demonstrates the piezoelectric hinge assisted ridge split (PHARS) technique for reconstruction of ridge deficiencies to facilitate the placement of dental implants. A review of multiple ridge augmentation techniques is provided along with advantages and unique challenges of the PHARS technique.

Management of The Critical Size Defect; New Age Tools and Techniques
This presentation highlights the placement of 2 implants in a large 3D Vertical & Horizontal defect in the anterior maxilla. The defect is treated by utilizing a mix of autogenous bone harvested using Auto-bone collector and cortical-cancellous particulate Allograft. The mix is then secured by a customized 3D pre-formed titanium membrane followed by "labial contour" augmentation of the defect which is then secured by a rigid absorbable collagen membrane to create and maintain space. This will protect the graft and help stabilize the blood clot during the critical healing time. This membrane is fixed by bone tacks for stability. The final results showing good healing of the soft and hard tissues is displayed.

Extraction Site Management
The biological rational for making clinical decisions relative to the requirement for grafting or the benefits of flapless implant protocols.

Ridge Expansion in the Treatment of Narrow Ridges
Dr. Eduardo Anitua describes the detailed utilization of ridge expansion drills in achieving adequate dimensions for implant placement in narrow ridges.

Bone Augmentation & Vascular Enhancement Concepts: It’s Time to Make it Simple!
Growing bone is fascinating, and clinicians have developed many techniques in that matter, most of them restricted to an elite. Yes, it does take a lot of skills to harvest bone blocks, to stabilize them with screws etc, and without forgetting the soft tissue handling as it can be a real challenge to cover the bone graft especially for a vertical augmentation. The purpose of this presentation is to make the participant think biology first and not mechanic first. A biological thinking will dramatically simplify vertical and/or horizontal bone augmentation procedures. We will also be introducing a new approach for the simplification of soft tissue handling: the Soft Brushing Technique, that will allow the coronal advancement of both buccal and lingual flaps, but also the palatal flap without the need for periosteal releasing incisions.

Autologous Bone vs. Bioactive Modifiers/BMP-2: A Clinical Update in Bone Regeneration - Part 1 of 2
There are several techniques and materials available for implant site development. The choice may depend on a number of factors including size of the defect, osseous morphology, costs and surgeon or patient preferences. Autogenous bone has long been considered the gold standard of graft materials. The trend today is to reduce patient morbidity but still provide predictable outcomes. This lecture will discuss the use of autogenous bone versus using bioactive modifiers such as platelet concentrates, rhPDGF and rhBMP-2 as replacement for the need to harvest bone.

Alternative & New Tendencies for Alveolar Reconstruction in Modern Implant Dentistry
Knowledge of bone biology and physiology are crucial for successful dento-alveolar reconstruction. The presentation will review the natural healing process of the bone and the sequence of events needed for proper regeneration. This process will then be discussed and compare with the present materials and technologies available in the market including alloplastics and allogenic materials. The role of the Stem Cells and rh-BMP2 will be exposed as part of these new trends in alveolar reconstruction for modern implant dentistry. Multiple cases will be presented demonstrating the versatility and outcomes in different clinical situations based on biological, bio-mechanics, and implant aesthetic needs.

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.

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).

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.