Management of an iatrogenic case following traumatic tooth extraction, bone graft and implant failure
A 30-year-old female patient who lost tooth #13 FDI (#6 US). She reported the traumatic extraction of the canine, which resulted in a significant vertical bone loss of 3 mm and an advanced horizontal lingual defect.
Guided Bone Regeneration next to mucogingival deformities: a minimally invasive surgical approach.
A 55-year-old female patient with missing maxillary premolars, class IV recession on the adjacent tooth, pneumatized sinus. She was treated with simultaneous sinus elevation, implant placement, guided bone regeneration, and soft tissue grafting.
Immediate Implant Placement and Provisionalization of the central incisors
A 26-year-old female patient is treated following the "MeteenDoor"- protocol. This Dutch protocol includes the placement of a bone substitute simultaneously with Immediate Implant Placement and Provisionalization (IIPP) reducing the horizontal buccal bone changes.
Multiple implant placement followed by orthodontic treatment to intrude the over-erupted teeth
A 33-year-old female patient came to the clinic with the desire to replace her missing teeth. The opposing teeth had moved into the gaps. The implants were placed by using a surgical guide. After completion of the orthodontic treatment, the final restorations were fabricated.
Horizontal and vertical ridge augmentation of a knife-edge ridge
A 54-year-old man presented with missing right lower teeth and ridge deficiency. Horizontal and vertical augmentation by GBR (Guided Bone Regeneration) was carried out using the “Tenting Screw Technique”. Two implants and a free gingival graft were placed.
The fourth dimension of surgical reconstruction with implants involves development of an adjusted surgical protocol, which is time dependent and accounts for normal physiological changes of the skull and face. Previous treatment in 3-D did not address the possibilities of these dyn...
Patrick Palacci: Scientific support and protocol in the posterior region
In this presentation different ways to treat severe cases will be presented. The presentation will focus on the rationale and long term results for sinus elevation and implant placement in the extremely resorbed maxillae.
Grafting options in the edentulous maxilla include autografts, allografts and heterografts. Complications for sinus grafting include membrane perforations, sinusitis and graft resorption. Onlay/ inter-positional bone grafts and GBR have resorption rates ranging from 10%-50%, graft...
Istvan Urban: Vertical ridge augmentation. Established treatment techniques and materials.
Vertical augmentation presents one of the greatest challenges of bone regeneration in implant dentistry. Patient selection, patient preparation for surgery, precise surgical techniques and postoperative management are the key factors in reducing the rate of bone graft complications...
Cristiano Susin: Insights into future developments on bone biomaterials and growth factors
Reconstruction of the alveolar ridge has become essential for oral rehabilitation with dental implants. Biomaterials of allogeneic, xenogeneic and synthetic origin have long been used in support of alveolar bone augmentation with mixed results. In the last decade, growth factors...
Robert Marx: Stem cell leased regenerative medicine
Regenerating viable bone capable of gaining implant primary stability is paramount in dental rehabilitation today. This can be achieved without additional morbity by the effective use of autologous adult stem cells in combination with allogenic bone and recombinant human bone...
Werner Zechner & Bastian Wessing: Simultaneous GBR and implant placement in horizontal ridge augmentations
Guided bone regeneration (GBR) is a well established technique for horizontal alveolar ridge augmentation. Since the first publications in the early 1980’s extensive research was carried out focusing on different membranes, grafting materials, and timing of implant placement, as...
Blackie Swart: Tissue preparation prior to replacement of a failing implant, how to graft a site for the new implant to be installed, and implant installation and follow up
Replacement of failed implants (functional or esthetic) can be a daunting task and often achieves unsatisfactory results. A decision on implant removal, according to set guidelines, should be made as soon as possible to avoid unnecessary tissue loss. Normal bone physiology should...
David Garcia Baeza: The art of individualized prosthetics in the aesthetic zone and the way to the optimum result
Reaching for an aesthetic end-result involves optimized soft tissue protocols. The use of provisional restorations gives advantages and makes the final prosthetic steps easier to achieve an excellent esthetic result. The handling of the soft tissue and its manipulation at the right...
Jay Malmquist: Surgical augmentation prior to implant placement. An outdated strategy?
“In spite of refinements of the surgical techniques and increased sophistication of prosthetic reconstructions, there are limits to what can be achieved with a prosthesis anchored in limited basal jawbone.” PI Branemark.
This presentation will address the following questions: What...