Bone Augmentation: Current Techniques
Bone Augmentation: Current Techniques
Course overview
This is a detailed breakdown of modern bone augmentation techniques that work:
horizontal and vertical augmentation
guided bone regeneration (Urban's method)
bone regeneration with allograft 3DBLOCK
restoration of a bone defect with "sticky tooth"
socket augmentation techniques
cortico lamina technique
osseodensification.
Now you have the best augmentation "tool" for every clinical case!
What you will learn
- Compare indications and protocols for horizontal and vertical guided bone regeneration techniques.
- Describe step-by-step workflow for CAD/CAM 3DBLOCK allograft reconstruction using surgical templates.
- Explain socket augmentation and "sticky tooth" autograft preparation for immediate implant site development.
- Summarize osseodensification and cortico-lamina applications for managing severe alveolar atrophy.
Course lessons
Lesson 1. Bone augmentation with allograft
The use of allografts in bone augmentation
3DBLOCK technique: technique, working with a prototype of jaws
Tactics of working with soft tissues
Step-by-step protocol: CAD/CAM reconstruction, creation of a surgical template, flap-free implantation surgery
Programs for block formation and treatment planning
Protocol for working with allograft
Restoration of bone volume in an aesthetically significant area
Advantages of the combined 3DBLOCK technique.
Lesson 2. Gentle Bone Augmentation Techniques
Indications for guided bone regeneration
Requirements for bone replacement material
Intraoral areas for bone sampling
Tools for bone sampling
From a removed tooth to an autograft: a technique for creating a "sticky tooth" preparation from a tooth
Intraoral areas for soft tissue graft sampling
Blood sampling and PRF formation
Restoration of a large bone defect with "sticky tooth"
Closing the augmentation zone: materials and methods
Socked augmentation and immediate implantation: protocol on a clinical example.
Lesson 3. Cortico Lamina Technique
Etiological factors of the development of bone defects
Treatment options for horizontal bone defects
Methods of restoration of vertical bone defects
Complications with the use of non-resorbable membranes
Lost Bone syndrome
Basic principles of directed bone regeneration: PASS
Use cases of cortical plates
Clinical aspects of the use of cortical plates:
Soft lamina
Bone layer
Curved plate.
Multilayer technique: indications and advantages
Working with lingual and buccal flaps and suturing techniques
Estimation of volume changes
The use of fibrin glue: indications and methods
The "Lego" technique and the combined "Lego+F.I.R.S.T." technique
Complications and errors of the cortico lamina technique.
Lesson 4. Osseodensification in severe bone atrophy
Minimally invasive sinus lifting technique
Osteodensification vs open sinus lifting technique
Osteodensification protocol:
Tools
Methodology
Advantages.
Increasing the vertical bone height with and without a bone graft: techniques
Enhance primary stability during immediate implantation.
Lesson 5. Socket augmentation: bone grafting for implant site development after tooth extraction
Stages of socket healing: modeling and remodeling
Remodeling of bone tissue during immediate implantation
Methods of treatment of alveolar ridge defects during tooth extraction:
Method of application of the collagen matrix
Open regeneration technique: step-by-step protocol for using Cytoplast® membrane
Subcostal pocket technique
Double membrane technique
Preservation of the well with the use of sponge allograft
Use of a dense polytetrafluoroethylene membrane (d-PTFE).
Selection of the preservation method depending on the type of hole
Advantages of using a dense membrane
Methods of suturing flaps.
Lesson 6. Guided bone regeneration by Urban
Biological principles of bone defect regeneration
Key factors of new bone formation
Components of guided bone regeneration: bone graft, membranes, fixing components
Patient examination protocol and treatment planning algorithm in guided bone regeneration
Surgical protocol of guided bone regeneration: technique and choice of biomaterial
Advantages of horizontal bone grafting
Incisions: features on mandible and maxilla, with vertical and horizontal augmentation
Principles of working with vestibular, buccal and lingual flaps
Mucogingival surgery: methods of increasing the amount of keratinized mucosa
Treatment of severe mandibular atrophy: soft tissue techniques
Strip technique to keratinized mucosa restoration
Pronounced loss of keratinized mucosa: treatment protocol
The sequence of fixing the pins when installing the membrane
Factors of stability of bone tissue around implants
Local factors of failures in bone augmentation
Complications of bone augmentation: causes and prevention
Factors leading to infection of the wound
Protocol for the treatment of fistula in the area of bone augmentation
The effect of general somatic pathology on graft healing
Drug therapy of complications
Prevention of wound infection.
