Dental Video Resources Guide

3D Bone Regeneration - What is Changing?, presented by Dr. Isabella Rocchietta.

This lecture presents the Distraction Osteogenesis (DO) technique and its limitations. While evidence for DO is moderate to strong, case selection, as always, is very important. Both the indications and the clinical steps that make this procedure, which does not necessitate a bone harvest, a success are discussed. Complications seen with this technique and its treatment are highlighted.

Surgical placement of oral implants is governed by the prosthetic design and by the morphology and quality of the alveolar bone. Often, implant placement may be difficult, if at all possible, due to alveolar ridge aberrations. In consequence, prostheticly dictated implant positioning commonly entails bone augmentation procedures. One objective of our laboratory is to evaluate the biologic and clinical potential of bone morphogenetic proteins (BMPs) including rhBMP-2, rhOP-1/rhBMP-7, rhGDF-5, other candidate biologics, bone biomaterials, and devices for alveolar ridge augmentation and implant fixation. This presentation will discuss the unique biologic potential, the clinical relevance and perspectives of BMP technologies for alveolar bone augmentation and oral implant fixation, in particular the development of a unique bone-inductive oral implant. This presentation will also address merits and explain short-comings of current treatment protocol including bone biomaterials and guided bone regeneration (GBR). BMPs have an unparalleled potential to augment alveolar bone and support implant osseointegration and long-term functional loading. Inclusion of BMPs for alveolar augmentation and osseointegration will not only enhance predictability of existing clinical protocol but radically change current treatment paradigms. Inclusion of the bone-inductive oral implant in the treatment panorama may make 'grafting' and GBR procedures altogether obsolete.

Discussion of advances in implants and bone regeneration.

The scientific evidence on the biomaterial surface TiUniteTM will be given and compared to other implant surfaces. Several studies confirm and support the clinical benefits of the remarkable osseoconductive properties of TiUniteTM, allowing bone to grow along the implant surface and into the pores of the surface. This results in faster osseointegration and higher biological stability, thus minimizing time at risk for effective and safe Immediate FunctionTM. The clinical implications of TiUnite as Immdiate FunctionTM, reduced marginal bone loss, soft tissue integration and predictable esthetics will be discussed. In addition the scientific evidence of micro grooves along the threads and around the implant shoulder will be given. The introduction of the Groovy technology provides yet another step in implant development. With this technology, the speed of osseointegration can be further increased. The biological stability is enhanced by up to 30% allowing the use of groovy implants in soft bone.

This lecture will focus on the moderate to large jaw bone deficiency in which the bone regeneration technique becomes vital to the survival of the implant. The viewer will learn the step for step clinical management of soft and hard tissues, incision techniques, bone harvesting procedures for autologous grafts, non-resorbable gore-tex membrane placement and suturing techniques. This lecture will result in increased predictability when utilizing bone augmentation procedures with gore-tex membranes and bone grafts.

This lecture will present the current treatment results, and step for step techniques with bone grafting using resorbable membranes. The focus will be on the clinical treatment options to regenerate bone simultaneously with implant placement or in a staged procedures with bone block grafts. The viewer will learn where to indicate a resorbable membrane, the differences in resorbable membranes, when to place an implant simultaneously and what kind of bone graft to apply.

This lecture presents evidence from the literature supporting the use of particulated bone grafts and titanium reinforced Gore-Tex membranes for predictable vertical and horizontal ridge augmentation. A step-by-step clinical demonstration of the necessary elements to improve the successrate with this very powerful regeneration procedure. Diagnosis, indications, medications, flap design, bone harvesting site, membrane management and fixation and soft tissue release and suturing will be discussed in detail. Possible complications and their treatment are presented.