Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Surgical Options and Solutions in Maxillary Ridge Augmentation: Advantages of Combined Therapy

Description:
This surgical video presentation will demonstrate the treatment of two advanced cases of maxillary deficiency. The emphasis of this presentation will be on combining several state-of-the-art surgical augmentation therapies to optimize dimensional increases in the deficient ridges in the maxilla in preparation of implant therapy. The two cases presented, of severe and moderate bone defects, in the Anterior Maxilla, the bone were reconstructed by using the anatomy (sub-nasal elevation), and several surgical techniques (bone augmentation, soft tissue manipulation and implant placement) in a systematic team oriented protocol (Surgeon, Restorative Dentist and Lab) to get the best esthetic results.

Date Added:
9/9/2013

Author(s):

Devorah Schwartz-Arad, DMD, PhD Devorah Schwartz-Arad, DMD, PhD

Devorah Schwartz-Arad, DMD, PhD

A specialist in Oral and Maxillofacial Surgery (OMS), Ph.D. degree in cancer research, anatomy and embryology...
[read more]






Online Videos / Surgery / Bone Grafting / Surgical Options and Solutions in Maxillary Ridge Augmentation: Advantages of Combined Therapy




Questions & Comments
Devorah Schwartz-Arad - (9/30/2013 5:47 AM)

Maurice
Sorry for the delay answer ,during the last decay I used the combination of p-PRP covered with p-PPP (platelets poor plasma) and my clinical experience with prp/ppp (yet not in vitro research), is very good and predictable. Nevertheless, in the search for the best "progenitor cells releaser" I've started lately to use concentrated Bone Marrow Aspirate (BMA) combined with PPP cover, with promising results. My clinical experience with BMP2 is limited (only few cases) but obviously, it does not imply excluding this option as part of the therapy.
Although there is evidence that the L-PRF membranes enable better sustained release of the growth factor and the matrix protein than the P-PRP gel membranes, the various platelets poor plasma (p-PRP and p-PPP) I am using, encompass very different biological characteristics. On top of that, an accurate definition and characterization of the different families of products is a key issue for a better understanding and comparison of the reported clinical effects of these surgical adjutants. (Dohan Ehrenfest DM, et al. Curr Pharm Biotechnol. 2012)
Dubi

Maurice Salama - (9/17/2013 9:56 AM)

Dr. Devorah Schwartz-Arad; Outstanding clinical presentation. Well described with CBCT and highlighted in your treatment options displayed. I have moved from PRP to PRGF/PRF in the last 12 years and have initiated my experience with BMP-2 in similar cases. Have you any experience with these biological agents? thanks Dr. Salama

Devorah Schwartz-Arad - (9/16/2013 1:30 PM)

Dear Alaa,
It is very important to improve the available bone and soft tissue -prior to implant placement, and only than fabricate the prosthesis, to rehabilitate the missing teeth and if still needed also the soft tissue. This allows better implant anchorage, better long-term success and easier oral-hygiene care. Yet, in cases when the available bone is suitable for implant placement, or in cases with high smile line, one might prefer the pink prosthetic border as superior as possible, for aesthetic outcome.

dinh bui - (9/14/2013 8:54 AM)

Thank you Dr. Shwartz for the great works. Just want to post few suggestions. PPP and PRP is an excellent way obtain regeneration result. However, we can use the much simpler BMPs technique with Infused Bone Graft from Metronics. That way we reduced the donor site healing and achieve similar or even better result. On the first case, We should restored with individual tooth. In the second case, connective tissue graft can be avoided with the lateral incisor cantilever with the cental incisor, contact point moved lower toward the bone crest, and canine restored by single crown. This will allow for the papilla to regenerate since the we lower the distance from interproximal contact to bone crest less than 6mm (according to Glickman). We have seen this so many times in the last 14 years of my practices. However, these are great cases with great result. Thank you for sharing with us.

Alaa YASSIN - (9/12/2013 11:57 PM)

Thank you Dr. Shwartz for these nice cases. About the first case, and as we get to the final point with a screw retained prosthesis with pink ceramic restoring the gingiva, was it a good alternative treatment plan to place implants at the available bone and then to fabricate a partial hybrid prosthesis, to rehabilitate the gingival missing tissue as well as the lip support? Thank you. Alaa

Dr. Janna Varfolomeyev - (9/12/2013 1:50 PM)

Greate work. .I saw this presentation in Puria hospital and today I enjoyed it twice

carlos cardenas - (9/12/2013 12:57 PM)

Excellent s case , and interesting procedure complexes cases.

Sam Busich - (9/12/2013 9:52 AM)

Great Presentation! Remarkable Technical Surgical Skill. Thanks Sam

Related Videos
Surgical Protocols for Socket Type 2 in the Aesthetic Zone Premium Member Content

Surgical Protocols for Socket Type 2 in the Aesthetic Zone
The topic of this presentation is an implant surgical procedures for a socket type 2 (socket missing buccal bone) in an aesthetic area, with emphasis on modified IVAN* technique for socket preservation. IVAN* stands for inter-positional vascularised augmentation neogenesis. Author`s guidelines for selection of appropriate surgical protocols for sockets missing buccal bone wall, protocols that are proved to be most effective, are presented. Early implant placement with GBR, prosthetic socket preservation and socket augmentation with socket sealing are shortly presented as alternatives for some cases. From author modified IVAN technique is shown step by step.

Presented By:: Snježana Pohl, MD, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
 “The Transition Zone”: The Critical Esthetic Triad of Bone, Tissue & Restoration Premium Member Content

“The Transition Zone”: The Critical Esthetic Triad of Bone, Tissue & Restoration
The achievement of an aesthetic implant-supported restoration is a constant challenge to the restorative dentist. Due to the circular shape of the implant and its smaller diameter, when compared to the root of a natural tooth, a dilemma inevitably occurs of how to construct an artificial crown that will imitate the natural tooth crown form. The appearance of the surrounding soft tissue “the transition zone” is of major importance, and various techniques have been developed to guide its topography. The lecture will show key factors and parameters through clinical procedures in order to achieve a sound aesthetic outcome in different treatment scenarios.

Presented By:: Konstantinos D Valavanis, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Selection of Biomaterials, Bone Grafts and Growth Factors in Implant Therapy Premium Member Content

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.

Presented By:: Daniel Buser, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Achieving Stable Esthetic Results with Implant Supported Restorations Premium Member Content

Achieving Stable Esthetic Results with Implant Supported Restorations
We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.

Presented By:: Gianluca Paniz, DDS, MS, FACP;Luca Gobbato, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry Premium Member Content

Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry
This course will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy. Extraction site management, labial bone enhancement as well as current gingival augmentation techniques will be featured. These highly acclaimed clinicians and educators will team up to provide a glimpse of their upcoming LIVE Synergy VI conference June 11th - 14th, 2015 in Orlando, Florida.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Gaining Horizontal and Vertical Bone with Mineralized Bone Particulate, rh-BMP2 and Resorbable Ultrasonic-Applied Rigid Barriers Premium Member Content

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.

Presented By:: Lewis C. Cummings, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Intraoral Autogenous Block Onlay Bone Grafting for ExtensiveReconstruction of Atrophic Maxillary Alveolar Ridges

Intraoral Autogenous Block Onlay Bone Grafting for ExtensiveReconstruction of Atrophic Maxillary Alveolar Ridges
Autologous bone grafting used with dental implants was originally described by Bränemarketal in 1975, and is now a well-accepted procedure in oral and maxillofacial rehabilitation.Placement of an endosseous implant requires sufficient bone volume for complete bone coverage. Furthermore, the pattern of ridge resorption contributes to an unfavorable maxillomandibular relationship, requires angulations of the implants and/or angled abutments, and affects the proximity of adjacent facial concavities(maxillary sinus, nasal cavity) and vital structures(mandibular nerve).

Author(s): Devorah Schwartz-Arad, DMD, PhD;Liran Levin
View Article>>
Bone Augmentation in Infected Sites with Bovine-Derived Xenograft Mixed with Platelet-Rich Plasma Covered by Platelet-Poor Plasma

Bone Augmentation in Infected Sites with Bovine-Derived Xenograft Mixed with Platelet-Rich Plasma Covered by Platelet-Poor Plasma
The aim of this study was to assess the success of bone regeneration in infected and non-infected human dental defects, with respect to biological properties of bone remodeling. Histomorphometric analysis of bone biopsies was used to evaluate new bone formation, soft tissue, and residual biomaterial in infected and noninfected sites. In all samples, the biomaterial particles were surrounded by newly generated bone. Among factors that were analyzed, gender, medical state, and smoking had no significant effect on bone regeneration. Variables including tooth location, platelet concentrate, and protective membrane addition were also analyzed for their effects on bone regeneration.

Author(s): Devorah Schwartz-Arad, DMD, PhD
View Article>>
Retrospective Evaluation of Crestal Bone Changes Around Implants With Reduced Abutment Diameter Placed Non-Submerged and at Subcrestal Positions: The Effect of Bone Grafting at Implant Placement

Retrospective Evaluation of Crestal Bone Changes Around Implants With Reduced Abutment Diameter Placed Non-Submerged and at Subcrestal Positions: The Effect of Bone Grafting at Implant Placement
One method to measure the success of dental implant treatment is to evaluate marginal peri-implant bone-level changes and stability over time. The location of the fixture–abutment interface (FAI) can be of major importance when the goal is to construct esthetic restorations. In these situations the FAI is often placed in a more apical position to create an ideal emergence profile for the prosthetic construction. However, several animal studies have reported that placement of the FAI in a subcrestal position may result in peri-implant marginal bone loss. The aim of the present study is to evaluate the effect of bone grafting of the defect between the bone crest and the coronal aspect of the implant for implants with reduced abutment diameters placed non-submerged and in subcrestal positions.

Author(s): Alan Fetner, DMD;Theofilos Koutouzis, DDS; Michael Fetner, DMD; Tord Lundgren, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2022

Preferred Language: English Flag
Contact Us · Login · Register