Advanced soft tissue & hard tissue grafting Clinical Training
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Transcript of Advanced soft tissue & hard tissue grafting Clinical Training
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