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 Protocols for Socket Type 2 in the Aesthetic Zone

Description:
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.

Date Added:
9/3/2015

Author(s):

Snježana Pohl, MD, DMD Snježana Pohl, MD, DMD
Zagreb Faculty of medicine, Munich Faculty of Dental Medicine. Work experience at the General surgery and Orthopedics in Munich. Oral Surgery residency in Munich. Doctorate in...
[read more]






Online Videos / Surgery / Bone Grafting / Surgical Protocols for Socket Type 2 in the Aesthetic Zone




Questions & Comments
Aliasger Tunkiwala - (3/29/2021 10:53 AM)

Lovely presentation and overview of the various techniques for type.2 socket management!

Tarek Assi - (10/27/2017 3:21 AM)

Thank you! Very nice presentation.

Vedran Šebečić - (6/27/2017 5:07 PM)

Very nice presentation and explanation of the procedure and cases. It was a joy to watch it. Thanks for sharing such a good technique. Good luck with the future work in oral surgery Snjezana. :)

snjezana pohl - (2/11/2016 8:30 AM)

I am delighted to discuss this subject. This is the best way to revisit and to learn. Buccal bone missing socket has four bone walls: palatal, medial, distal and apical. There is a buccal periosteum too. It is a great potential for regeneration, if handled properly. The socket inside I fill with autogenous bone gained with bone scraper. This autogenous material is not milled, it has a great bone regeneration potential too. There are few presented cases and a lot of discussion in dentalxp forum about Khoury technique for bone augmentation - autogenous bone gained with bone scraper plus cortical plates make this technique so predictably successful. Slow resorbable bone substitute granola (xenograft) has just about 1,5 mm thickness and it is in place to prevent autogenous bone resorption and to build a future cortical bone plate. Would I add BMP? If I had BMP I would. In Croatia we don`t have yet : BMP, allografts, Densah burs :)

Michael Corsello - (2/10/2016 7:07 PM)

With a barrier membrane containing the graft within the socket and the facial covered with the CT, what signals bone to grow on the facial? I would presume, in the end, the bulk (convexity) of the facial tissue is primarily CT and not bone. This is very good, but wouldn't you rather regenerate bone out there? Simply as a point for discussion, would you consider modifying this excellent procedure by placing additional autograft (or BMP or other osteoinductive material) on the facial side of the defect and complete the CT reposition over that for enhanced vascular closure. Of course you may have to do the frenectomy and loosen up additional tissue for a low tension closure. Thank you!

snjezana pohl - (2/10/2016 4:16 AM)

Thank you, Michael. If there is infection I would extract the tooth and perform prosthetic socket preservation. Three months after extraction implant placement with CTG. If the patient can not come for pontic shortening in 3 weeks intervalls I would perform an early implant placement with GBR and VIP CT. After taking out a tooth with a missing buccal bone wall there will be an advanced ridge collapse. In the most cases it is advisable to do a frenectomy at the same time as tooth extraction.

Michael Corsello - (2/9/2016 1:27 PM)

Excellent presentation!
Presuming there exists infection throughout the area from the diseased root. Would you proceed with this procedure or extract then delay for several weeks? What would you perceive to be a consequence of such a delay?

mia buljan - (11/24/2015 7:12 AM)

Such an inspirational lecture and a very clear explanation of the technique. I will for sure follow this protocol.

snjezana pohl - (10/10/2015 2:28 AM)

Thank you for your question. PCTG is kind of transposed, like a classical transposed flaps known in plastic surgery. Attention should be given not to rotate and strangulate it. And, very good observed, you are right, in animation you can`t see it clearly.

Related Videos
"The Robin Hood Approach" Managing Defects by Utilization of Organic Graft Materials - Part 1 Premium Member Content

"The Robin Hood Approach" Managing Defects by Utilization of Organic Graft Materials - Part 1
This 2 part presentation will cover the management of alveolar volume deficiencies utilizing autologous sources for bone and soft tissue grafting. The use of various soft tissue grafts and pedicle grafts as well as the grinding of extracted teeth to create localized dentin bone grafting substitutes aided by PRF will be described. These techniques describe an approach to maximize the patient's own tissues locally delivered to the defect site to maximize the healing potential.

Presented By:: Snježana Pohl, MD, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Bone Augmentation to Reconstruct a Complex Anterior Defect Premium Member Content

Bone Augmentation to Reconstruct a Complex Anterior Defect
Dr. Bassam Rabie shares with the DentalXP community his management of a severe anterior osseous defect in a complex periodontally compromised patient.

Presented By:: Bassam F. Rabie, BDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization Premium Member Content

Simultaneously Autologous Bone Grafting, Sinus Augmentation Procedure, Implant Placement & Immediate Provisionalization
A unique presentation of a combined surgical techniques and implants provisionalization, simultaneously performed, in the anterior maxilla. With the aid of computerized assisted guides, a surgical template and a temporary bridge for immediate temporization was prepared.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery Premium Member Content

BMP, PRP, PRGF and PRF; At the Edge of Regenerative Surgery
Biological modifiers and growth factors are substances that the body produces naturally in response to injury or disease. The use of these substances in regenerative procedures has made hard and soft tissue regeneration more predictable while accelerating healing and decreasing patient morbidity. This webinar will review the wound healing process and the role that growth factors play in regeneration. BMP, PRP, PRF and PRGF will be reviewed and their clinical applications will be demonstrated. At the end of this webinar the participant will have a good understanding of the differences between these biological modifiers and their benefits.

Presented By:: Avi Schetritt, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2 Premium Member Content

Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2
By scientific studies produced in recent years has been confirmed, in selected cases, the validity of the post-extraction implants. The use of this method implies a lower emotional impact, a single surgery and a healing often better for the patient. We will be discussed traumatic extraction methods, perfect insertion of the implants with or without bone regeneration with bone substitutes and membranes and the opportunity to combine an advanced method as immediate implant with the execution of an immediate loading to restore aesthetics in more complex cases.

Presented By:: Alfonso Coscarella, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 1 of 2 Premium Member Content

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 1 of 2
This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Presented By:: Ramon Gomez Meda, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects

Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects
Immediate implant therapy involving implants placed into intact Type 1 extraction sockets has become a consistent clinical technique. The classification of Type 2 extraction sockets, where the mucosal tissues are present but there is a midfacial osseous dehiscence defect, has been described according to the extent of the buccal bone plate absence. The literature has offered different techniques in the treatment of Type 2 sockets; however, the extent of the defect has never been defined or delineated.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Mark N. Hochman, DDS
View Article>>
Multitier Technique for Bone Augmentation Using Intraoral Autogenous Bone Blocks

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).

Author(s): Devorah Schwartz-Arad, DMD, PhD;Liran Levin, DMD
View Article>>
Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study

Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study
The use of guided tissue regeneration (GTR) procedures for the treatment of gingival recession has shown encouraging results and is gaining clinical acceptance. However, attaining space maintenance beneath the membrane remains a problem for clinicians. Hence, the purpose of this pilot case study was to evaluate the effect of adjunctive demineralized freeze-dried bone allograft (DFDBA) placement during collagen membrane GTR-based root coverage procedures. Five patients with Miller Class I or II defects…

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Kenneth Kimble, DDS, MS, Robert Eber, DDS, MS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2023

Preferred Language: English Flag
Contact Us · Login · Register