Regenerative Therapies in the Anterior Maxilla

Bone and soft tissue augmentation to optimize esthetics

 
Homa H. Zadeh, DDS, PhD
Hom-Lay Wang, DDS, PhD
Tuition: $2950

  • 14 hours of on-demand online education
  • 14 hours of live lecture + hands-on workshop
  • Live event: Sunday, March 14-15, 2020

The atrophic anterior maxilla has unique anatomic and structural features, the most significant being that it is considered “the esthetic zone”. In that regard, the alveolar ridge augmentation aims to create adequate bone volume for the implant, as well as for creating appropriate tissue contour for optimal esthetic results. There is very little room for error in establishing proper form, function and esthetics of the restoration. Alveolar ridge augmentation in the anterior maxilla requires specific considerations, including, flap design, mobilization, and adaptation. The thin mucosa also usually requires mucosal grafting and/or vestibuloplasty. Implant therapy in this region also requires specific consideration. Modular Bone Augmentation (MBA) is based on the convergence of several components required for successful bone regeneration. MBA will employ different components based on requirements of individual patient and site. The application of MBA to regeneration of alveolar bone and mucosa in the anterior maxilla will increase the likelihood of successful outcome and reduces potential complications.

Educational Objectives:

  • Classification of alveolar ridge deficiencies
  • Risk Assessment: Patient and site characteristics influence on outcome
  • Management of patient/site risks
  • Material Selection: Autogenous: methods and location of harvesting
  • Xenograft: is sintering temperature important?; Alloplast (HA, TCP, biphasic); Allograft
  • Leukocyte Platelet Rich Fibrin (L-PRF)
  • Membrane selection: resorbable vs non-resorbable; cross-linked vs native collagen
  • Fixation system: MODfixUNIfix; Tenting screws; Membrane fixation
  • Flap design: achieving tension-free flap adaptation
  • Suture techniques: to prevent graft exposure
  • Graft and membrane stabilization
  • Decortication
  • Soft tissue management to optimize outcomes: VISTA, connective tissue graft; Vascularized Interpositional graft (VIP)
  • Vestibuloplasty
  • Complications:

Simulated workshop and live surgery:

  • Guided Bone Regeneration: modular bone augmentation protocol
  • Soft tissue augmentation: VIP and VISTA
  • Vestibuloplasty/extension

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