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Surgical Techniques for Reconstruction of Severe Ridge Atrophy
Surgical Techniques for Reconstruction of Severe Ridge Atrophy
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$57.00 USD
Regular price
$354.00 USD
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$57.00 USD
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Professors
Professors
Target audience
Target audience
Nb of lessons
Nb of lessons
5
Nb of modules
Nb of modules
Course duration
Course duration
2 h 23 min
Delivery method
Delivery method
Google Drive Link, Offline
Course Overview
Dr. Schwartz-Arad DMD, PhD is pleased to welcome you to this video collection titled “Surgical Techniques for Reconstruction of Severe Ridge Atrophy”. This video selection will help you identify the best surgical strategy when facing complex alveolar reconstruction cases. Dr. Schwartz-Arad provides precious indications and advice concerning different treatment protocols and techniques in Reconstruction of Severe Ridge Antrophy. Each video of the series proposes a different clinical scenario, highlighting and describing thoroughly various treatment options.
The course focuses on surgical techniques, autologous tissue and biomaterial management for vertical and/or horizontal bone augmentation, with the aim of successfully restoring edentulous ridges with implant-supported prostheses.
Bone-augmentation techniques - specifically proposed to increase bone volume in the posterior mandible - will be presented:
- Implant placement lateral to the inferior alveolar nerve (IAN) canal
- Transposition of the inferior alveolar nerve (IAN) with augmentation and simultaneous implants placement
- Guided bone regeneration (GBR) by means of titanium mesh and onlay autologous block bone grafts (AOBG) for horizontal and vertical augmentation.
The format chosen for this video course allows to propose a series of exemplary practical cases the learner can access anytime and anywhere for direct daily application and continuing education experience.
By enrolling in this training course, you’ll get the opportunity to understand, deepen and master different aspects:
- How to treat the partially edentulous posterior mandible, a challenging area that often requires bone reconstructive surgery for implant placement.
- How to manage the constant and predictable bone resorption process in edentulous areas, where the loss of functional stimulus leads to vertical and centrifugal bone loss.
- How to approach and implement different surgical techniques, either used alone or in combination with autologous and/or heterologous graft materials to achieve alveolar bone augmentation (GBR and AOBG).
- How to ensure success and predictability in implant implacement and treat the challenging Inferior Alveolar Nerve (IAN) area.
Full Course Program
Lecture 1: Guided bone regeneration (GBR) with titanium mesh
Guided bone regeneration (GBR) has become more predictable due to advances in material sciences. Nevertheless, vertical ridge augmentation (VRA) remains a potential challenge due to the complexity of soft tissue management. This becomes more complicated in the posterior atrophic mandible, due to limited access and poor blood supply. A number of critical elements must be taken into account in the treatment plan. For example, the mylohyoid muscle insertion often compromises lingual flap advancement. The incorrect interpretation of anatomical structures may lead to intraoperative adverse events, such as bleeding or neurosensory disturbances. This video aims to show how to successfully perform a vertical ridge augmentation in the posterior mandible, highlighting the critical aspects of this procedure.
Lecture 2: Bilateral inferior alveolar nerve lateralization and transposition, simultaneous implants placement and bone grafting
Inferior alveolar nerve lateralization and transposition in combination with the installation of dental implants is sometimes the only possible procedure to help patients to obtain a fixed prosthesis in edentulous atrophic posterior mandibles. With careful pre-operative surgical and prosthetic planning, imaging, and extremely precise surgical technique, this procedure can be successfully used for implant placement in edentulous posterior mandibular segments.
Lecture 3: Implant placement lateral or lingual to the mandibular canal
Implant placement lateral or lingual to the mandibular canal is a viable treatment option for the edentulous mandible. - The implants must be placed lingually or buccally to the neurovascular bundle, according to the local anatomy features, and secured into the mandibular cortical bone. - In order to successfully perforate the cortex, the implants must be appropriately tilted. - When placed lingually to the canal, the implants must be inserted into the floor of the mouth. This choice carries the advantage of exploiting the double cortical anchorage, but the method is highly dangerous and may even be life-threatening, thus extra care and specific skills are required.
Lecture 4: Autologous Onlay Bone Grafting (AOBG) for vertical augmentation
The reconstruction of atrophic alveolar ridges using Autologous Onlay Bone Grafting (AOBG) is still considered as the 'gold standard' bone-grafting material, as it combines all properties required in a bone graft material: osteogenesis, osteoinduction, and osteoconduction. The use of intraoral donor sites, such as the mandibular ramus, offers minimal discomfort and morbidity. Intraoral sites comprise good bone quality, convenient surgical access, a good incorporation with short healing time, high biocompatibility and embryological proximity. For the AOBG to be accepted in the augmented area, other elements are introduced for additional support and rehabilitation; Growth Factors (GFs) for example, are implemented in different phases of tissue healing and are therefore a key element in promoting tissue regeneration. Platelet Rich Plasma (PRP) is an inexpensive way to obtain many GFs in physiological proportion and therefore has gained wide interest as a therapy for both soft and hard tissue injuries. In addition, Platelet-Poor Plasma (PPP) is composed of acellular plasma containing fibrinogen and growth factors, and is used as a "biological membrane" to cover the entire augmented area and donor sites that were filled with bone substitutes saturated in PRP.
Lecture 5: Autologous Onlay Bone Grafting (AOBG) for horizontal augmentation
In this video the full case presentation of AOBG for horizontal augmentation will be covered.
