Modular Bone Augmentation: New Tools for Guided Bone Regeneration

 
Homa H. Zadeh, DDS, PhD
Tuition: $695

  • 8 hours of on-demand online education
  • Recorded lectures
  • Recorded hands-on workshops
  • Recorded surgery demonstration

Patients with atrophic alveolar bone have a variety of different presentations, including vertical versus horizontal atrophy, anatomic features such as flat versus sloped defect walls or concavities, and various bone densities (e.g. cortical versus cancellous bone). Each of these features can affect the efficacy of bone augmentation, either in a favorable or unfavorable manner. The oral location (posterior versus anterior maxilla; posterior versus anterior mandible) requires special considerations. Therefore, the approach utilized needs to thoroughly analyze and classify the site and patient characteristics in order to select an appropriate technique, material and protocol. Another consideration is the potential of complications for the selected protocol and a risk assessment to determine the likelihood of encountering negative outcomes, based on patient features. Modular bone augmentation (MBA) refers to an approach that is based on the convergence of several components required for successful bone regeneration. MBA will employ different components based on requirements of individual patients and sites. The components of MBA include scaffold, osteogenic cells, osteogenic signals, blood supply, wound stabilization and primary coverage. The application of MBA to the regeneration of alveolar bone and mucosa will increase the likelihood of a successful outcome and reduces the potential for complications.

Educational Objectives:

  • Classification of alveolar ridge deficiencies
  • Risk Assessment: Patient and site characteristics
  • Management of patient/site risks
  • Evidence on efficacy of GBR and other techniques
  • Biology of wound healing of GBR
  • Material selection:
  • Autogenous: Methods and location of harvesting
    Xenograft: Is sintering temperature important?
    Allograft: Freeze dried vs. solvent dehydrated
    Allograft: Mineralized vs. demineralized
    Alloplast: HA, TCP, biphasic
  • Platelet rich fibrin (PRF):
  • Biology
    Protocol
    Liquid PRF, solid matrix PRF
    Applications
  • Membrane selection:
  • Resorbable vs. non-resorbable
    Cross-linked vs. native collagen
  • Fixation screw system:
  • MODfixUNIfix
    Tenting screws
    Membrane fixation
  • Piezosurgery
  • Flap design: Achieving low-tension flap
  • Suture techniques to prevent graft exposure
  • Graft and membrane stabilization
  • Decortication
  • Soft tissue management
  • Connective tissue graft
    Free gingival graft
    Xenogeneic collagen matrix, allograft
    Fibrin immobilization vestibular extension (FIVE)
  • Complications
  • Pre- and post-operative care
  • Antibiotics and antiseptics
    Anti-inflammatory agents
    Supplements

On-Demand Simulated Workshop and Live Surgery

  • MBA guided bone regeneration
  • Flap design
  • Periosteal release
    Lingual flap management
    Vertical releasing incision
  • Autogenous bone harvesting
  • Membrane fixation
  • Fixation system:
  • MODfixUNIfix
    Tenting screws
    Membrane fixation
  • Suture techniques to prevent graft exposure
  • Graft and membrane stabilization
  • Decortication
  • Soft tissue management:
  • Biomaterial use: Xenograft and allograft
    Fibrin/collagen immobilization vestibular extension (FIVE)

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