Advanced soft tissue & hard tissue grafting Clinical Training

Post on 08-Jan-2017

385 views 0 download

transcript

Advanced Soft tissue & hard tissue grafting course

 

Course details & ObjectivesDiscover the science and art of alveolar ridge bone grafting via unique interactive lecture discussion, live surgery demonstration, hands-on workshops.

Understand the indications, guidelines & surgical protocols for advanced bone grafting procedures.

Perform implant related advanced hard tissue augmentation procedures.

Describe the anatomy, biology and wound healing of advanced bone grafting procedures.

Sequential 3D digital diagnostic protocol to evaluate hard tissue donor & post graft recipient sites.

Site specific hard tissue architecture and wound healing linked to bone grafting case success.

Biomechanical principles consistent with reverse tissue engineering of bone grafts.

Growth factor technology (PRGF, PDGF, BMP-2) in conjunction with bone grafting protocols

Course Insight :-

Harvesting of autogenous bone from different intraoral sites.

Selection of the appropriate graft substitute

Performing minimal invasive grafting procedures

Successfully performing all the intraoral bone grafting procedures in implant practice such as using Particulate bone substitutes to graft the periimplant bone defects.

Day 1 :- Introduction of  bone grafting in oral implantology.

Principles of bone grafting & GBR

1. Particulate 2. Block Grafts a.) Symphyseal b.) ascending ramus

Radiographic & CT planning of bone grafting cases.

Understand bone structure, physiology and biochemistry involved in bone graft healing.

Indications and contra indications of bone grafting

Biological mechanism of  bone formation at the grafted site

Applied physiology of Natural bone and different bone substitutes

Armamentarium and materials required for bone & soft tissue grafting

Different types of commercially available implantable bone graft substitutes

Bone Spreading and Barrier Membranes

Bone Grafting – Symphysis Monocortical Grafts

Practical application of advanced hard tissue augmentation, incision design & suturing techniques for predictable implant rehabilitation.

Ramus Grafts vs. Symphysis Grafts

Perform site procedures linked to hard tissue healing.

Appreciate the need for a “layered” approach for growth factors in large volume bone grafts.

Recognize the advantages for block vs. particulate bone grafts for large defects.

Understand the impact of defect size and shapes on the bone graft techniques to be selected.

Establish the skills and techniques for block fixation necessary for predictable bone grafting.

DAY 2 Describe the step-by-step procedure for harvesting a symphysis mono cortical block for bone grafting.

Recognize & manage the complications – during surgery, immediate post-operative at harvest site.

Apply biologic factors like Growth Factors / PRP to the bone graft process

Autogenous Bone vs. Allograft Bone use

Diagnose and treatment plan for partial and edentulous patients for bone grafting & implant reconstruction.

Observe many live surgical procedures which require block bone grafting.

Perform block harvest & fixation techniques on demonstration models.

Antibiotic therapy

Different types of  ridge defects, grafting procedures

Bicol technique

Preparation technique of  platelets rich plasma

Intraoral bone harvesting techniques

Lateral and vertical ridge augmentation procedures

Distraction osteogenesis techniques (vertical and lateral)

Multiple onlay bone/block grafting & Tunneling technique

Different techniques of ridge splitting

Guided bone regeneration using tent screws.

Learn the difference in a symphysis bone harvest for a single tooth, multiple adjacent teeth or bone graft for height.

Different types of  ridge defects, grafting procedures

Preparation technique of  platelets rich plasma

Bone regeneration using titanium mesh

Use of piezotome in the bone grafting

Soft tissue management

Management of complications in bone grafting

Introduction of soft tissue management & grafting in oral implantology.

Advantages & Disadvantages of thin nonkeratinized marginal soft tissue

Surgical principles of soft tissue grafting

DAY 3

Significance of smile line in implant dentistry

Mucogingival defects

Intraoral donor sites for graft harvesting

Reconstructive periodontal surgery

Soft tissue periodontal plastic surgical technique

Epitheliazed connective tissue from palate

Edentulous ridge site

Subepithelial connective tissue graft technique

Grafting using Acellular dermal matrix (alloderm membrane)

Subepithelial pouch technique

Recipient site preparation of different kind of soft tissue grafts

Regeneration of keratinized soft tissue band around the implant collar

Soft tissue management in the esthetic region

Esthetic considerations in implant therapy