Course description
This course introduces beginning-level guided bone regeneration
principles via a step-by-step case presentation and specific strategies
that will aid in surgical, restorative and aesthetic success. This
particular protocol is a streamlined process for the solo general
practitioner of moderate implant experience who is responsible for
the surgical and restorative phases.
Abstract
In a world of increasing life spans and an ever-growing popularity
of dental implants, dentists increasingly encounter patients with
edentulous sites and deficient bone who are seeking implant therapy.
At some point in our career as implantologists, we go beyond the
straightforward implant in the already-developed site, as well as
the standard socket-preservation bone graft. Many of our patients
have teeth extracted when a graft is cost-prohibitive or in settings
where future implant placement is not a consideration. When this
is the case, bone preservation or guided regeneration is not offered.
They may then present with edentulous sites that are deficient not
only potentially from the extraction process but also from shrinkage
because of the time that has passed.
This course demonstrates, via case presentation, some basic
concepts in performing a single-site “onlay” graft to augment a
deficient site. The generally accepted pillars of bone grafting are
primary wound closure, angiogenesis, space maintenance and
wound stability. I chose a scenario that I have found common in
my specialty that will demonstrate all four pillars. This example of
guided bone regeneration (GBR), when performed correctly with
the right materials, can offer a high level of success for the future
implant integration and stability of the subsequent restoration.1
Educational objectives
After reading this article, participants should understand the following:
- Understand restorative-driven surgical strategies.
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Understand flap design and bone preparation.
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Use autologous platelet products in surgery.
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Understand bone graft and barrier membrane options.
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