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From Extraction to Implant: Evidence-Based Ridge Preservation

From Extraction to Implant: Evidence-Based Ridge Preservation

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Professors

Daniele Cardaropoli

Target audience

General dentists; Oral & maxillofacial surgeons; Periodontists

Nb of lessons

14

Nb of modules

Course duration

6 h 19 min

Delivery method

Google Drive Link, Offline

Course Overview

From Extraction to Implant: Evidence-Based Ridge Preservation is the first comprehensive online course dedicated to contemporary and predictable techniques for maintaining the alveolar ridge—a procedure encountered daily in most dental practices.

Led by Dr. Daniele Cardaropoli, one of the foremost experts in the field, the course draws on over 20 years of clinical experience in post-extraction healing strategies. It introduces simple and effective surgical techniques, accessible to clinicians at any level of expertise.

The course is based on the new classification of post-extraction sites, published by Dr. Cardaropoli in 2021 in the International Journal of Periodontics and Restorative Dentistry. It emphasizes biologically sound healing principles and provides evidence-based, repeatable protocols that are clearly illustrated through Dr. Cardaropoli’s own clinical cases.

Topics Covered:

  • Healing processes and biological principles of post-extraction sockets
  • Tooth extraction techniques (open flap vs. flapless) and their healing implications
  • Bone resorption differences related to flap elevation (partial vs. full thickness)
  • Predictable application of the Open Healing Technique with intentional membrane exposure
  • Implant tunnel preparation protocols for preserved extraction sites
  • Evidence-based selection of bone graft substitutes for volumetric preservation
  • Graft protection techniques: resorbable membranes, autologous punch seals, and 3D collagen matrices
  • Use of fibrin glue as a grafting adjunct

By the End of This Course, You Will Be Able To:

  • Understand the biological mechanisms governing socket healing
  • Manage both intact and non-intact post-extraction sites using intentional membrane exposure
  • Prevent bone volume loss following tooth extraction with appropriate treatment planning
  • Select and apply biomaterials effectively to preserve the alveolar ridge
  • Determine optimal timing for implant placement post-extraction
  • Choose between ridge preservation and ridge augmentation for complex cases, including root fractures
  • Anticipate when additional bone augmentation will be required during implant placement and how to manage these situations

Who Should Enroll:

  • This course is designed for all dental professionals practicing implantology, regardless of experience level, who wish to deepen their understanding of clinical scenarios following tooth extraction.

Full Course Program

Lesson 1. Wound healing dynamics of the post-extraction socket

The first lesson of the channel opens with an overall review of the literature dedicated to the dynamics of spontaneous healing of the post-extraction sockets, moving then towards a day-by-day histological and histomorphometric analysis.

The second part of the lecture moves focuses on the description of the extra-alveolar healing process, with insights into the degree of resorption that the ridge undergoes after the avulsion of an element.

Duration: 1 h 03 min · Presented by: Daniele Cardaropoli

Lesson 2. Alveolar ridge preservation. Biological rationale and clinical applications

In this second lesson, Dr. Daniele Cardaropoli describes the biological rationale at the basis of the alveolar ridge preservation therapy concept.

The description starts from a differential definition of alveolar preservation and alveolar augmentation (a topic that will be addressed specifically in the fourth lesson of this training channel) and moves towards a description of the clinical practices of volumetric maintenance of the alveolar ridge in compliance with the healing biology of the alveolar socket and its surrounding structures.

The author offers a review of the literature and a perspective on his direct experience, offering an answer to questions such as:is the ridge preservation technique effective regardless of the initial cortical bone thickness?what differences must be observed in the preparation of the implant tunnels in post-extraction sites treated with ridge preservation?to what extent does the ridge preservation technique involve the need for additional bone augmentation procedures during implant placement?

Duration: 1 h 22 min · Presented by: Daniele Cardaropoli

Lesson 3. Biomaterials choice and the Open-healing concept

This third lesson allows the author to approach a clinical description of the alveolar preservation technique with intentionally exposed membrane, as well as the choice of the correct materials for ridge preservation.

The didactic approach is thoroughly step-by-step and observes:

  • Implications of the extraction technique - open flap VS flapless
  • Differences in bone resorption related to the elevation of a flap - half thickness VS full thickness
  • Which bone substitute shows the best data in terms of volumetric maintenancehow to protect the graft - VS socket seal resorbable membrane with autologous punch VS collagen matrix.

Duration: 53 min · Presented by: Daniele Cardaropoli

Lesson 4. Alveolar ridge augmentation procedures concomitant with dental extraction

In lesson number 4, Dr. Daniele Cardaropoli describes the bone augmentation techniques that are necessary in the rehabilitation of non-intact post-extraction sites.

The discussion includes:

  • The Ice cream cone technique with pre-formed membrane to manage the lack of the vestibular wallthe use of fibrin glue as an adjuvant for bone graftingthe management of cases characterized by root fractures.
  • The lesson ends with the description of the new classification of post-extraction sites, published by the author in 2021 in the International Journal of Periodontics and Restorative Dentistry, which aims to correlate a precise clinical scenario with the correct treatment strategy.

Duration: 52 min · Presented by: Daniele Cardaropoli

Lesson 5. Open healing ridge preservation technique on element 14

The video shows an alveolar preservation surgery on the right upper premolar.

The avulsion is dictated by endodontic and prosthetic reasons, and it is possible to appreciate the various phases that characterize the ridge preservation procedure with the Open Healing technique and the use of a three-dimensional matrix.

Duration: 14 min · Presented by: Daniele Cardaropoli

Lesson 6. Ice Cream Cone Technique on element 22

The video shows a ridge augmentation treatment following conservative-endodontic failure and vestibular bone resorption in the esthetic zone.

The compromised site treatment involves a bone augmentation procedure with a preformed resorbable membrane to reconstruct the vestibular bone wall.

Duration: 11 min · Presented by: Daniele Cardaropoli

Lesson 7. Ridge augmentation of the upper left quadrant

The video shows an alveolar ridge augmentation surgery after major prosthetic and endodontic failure and onset of peri-implant disease.

Duration: 13 min · Presented by: Daniele Cardaropoli

Lesson 8. Open healing ridge preservation on element 15

The video shows a ridge preservation technique on an upper premolar.

Thanks to the thorough description provided, it is possibile to deepen every fundamental step of the Open Healing technique.

Duration: 15 min · Presented by: Daniele Cardaropoli

Lesson 9. Ridge augmentation on element 21

The video shows a bone augmentation procedure on lateral incisor.

The buccal wall is partially compromised, entailing the need to perform a bone augmentation procedure with a pre-formed resorbable membrane.

Duration: 12 min · Presented by: Daniele Cardaropoli

Lesson 10. Ridge preservation technique on elements 16 and 17

The video shows the extraction of the elements 16 and 17 with coronectomy and root separation.

The considerable volume of the alveolar crest is maintained thanks to the application of a ridge preservation technique, described here with a step-by-step approach.

Duration: 17 min · Presented by: Daniele Cardaropoli

Lesson 11. Ridge preservation on element 12 with intentionally exposed 3D matrix

The video illustrates a ridge preservation intervention in the aesthetic zone.

The technique of choice follows the Open Healing concept with a three-dimensional matrix to protect a collagenated deproteinized bovine graft.

Duration: 10 min · Presented by: Daniele Cardaropoli

Lesson 12. Open healing ridge preservation technique on element 25

The video shows a ridge preservation surgery in the upper left premolar area.

The technique of choice follows the open healing concept with intentional exposure of the membrane.

Duration: 7 min · Presented by: Daniele Cardaropoli

Lesson 13. Open healing ridge preservation technique on element 14

The video shows the application of the open healign ridge preservation technique on the right upper premolar.

Duration: 7 min · Presented by: Daniele Cardaropoli

Lesson 14. Ridge augmentation on element 23

The video illustrates a post-extraction bone augmentation procedure aimed at resolving the resorption on the palatal bone wall of the left upper canine.

Duration: 18 min · Presented by: Daniele Cardaropoli

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