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)
