Upon completion of the course, participants will be able to:
Day 1: Hard Tissue Reconstruction
- Understand the principles of tissue engineering, bone grafting and osseointegration.
- Describe the anatomy, biology, wound healing and timing of bone grafting, and host response to surgery.
- Describe the importance of flap design and soft tissue manipulation for successful bone grafting.
- Understand and apply the principles of interactive CT diagnosis and treatment planning for soft tissue and hard tissue grafting procedures.
- Successfully place implants into patients with compromised hard and soft tissue anatomy.
- Describe indications and step-by-step surgical protocols for mandibular block grafting, mesh particulate grafting, ridge expansion, and sinus grafting.
- Understand the expanding application of BMP-2 with intraoral bone grafting.
- Understand the role of mandibular block grafts, mesh particulate grafts, and ridge expansion in treating the deficient alveolar ridge.
- Understand predictable bone grafting protocols for vertical ridge augmentation.
- Understand the surgical protocol for sinus bone grafting in the presence of pathology.
- Conclude what is evidence-based and what is opinion with regard to state-of-the-art autogenous block grafting, mesh particulate grafting, ridge splitting, and sinus grafting.
- Understand the utilization of ultrasonic and piezosurgical approaches to different regenerative techniques including: bone harvesting, autogenous block grafting, ridge splitting, sinus grafting, and osteotomy preparation.
- Prevent, recognize, and treat mandibular block graft, mesh particulate graft, ridge split, and sinus graft complications (intraoperative, early post-operative and late post-operative).
- Understand the protocol for Guided Full Arch Immediate reconstruction procedures.
- Understand the implications and timing of bisphosphonate therapy with bone grafting and implant treatment.
Day 2: Soft Tissue Reconstruction
- Describe the anatomy, biology, wound healing and timing of soft tissue grafts, and host response to surgery.
- Develop the most appropriate flap design to maximize blood supply for each procedure.
- Describe the guidelines, indications, and surgical protocols for performing the following procedures: gingival grafts, subepithelial connective tissue grafts, and acellular dermis matrix allografts.
- Understand the long term results and utilization of allograft ACDM vs. autogenous soft tissue material for gingival augmentation (i.e., Alloderm, Dermis, Pericardium).
- Minimally Invasive Flap designs, suturing techniques, VISTA, Tunnel and Modified Semi-Lunar CAF techniques.
- Be able to perform common first and second stage implant soft tissue procedures to optimize esthetics and long term maintenance.
- Use appropriate suture and suturing techniques related to soft tissue and hard tissue grafting.
- Understand and apply the most recent research regarding the utilization of Allogeneic Cultured Keratinocytes and Fibroblasts for Oral Soft Tissue Regeneration and their utilization in modern clinical practice.
- Understand and utilize autologous blood-borne bioactive modifiers for optimal regenerative results.
- Develop the skill to advance flaps through split thickness and periosteal sharp dissection.
- Prevent, recognize, and treat complications related to soft tissue grafting.
Day 3: Esthetic Zone Reconstruction
- Understand, describe, and utilize the appropriate surgical and prosthetic principles involved for comprehensive site development in the esthetic zone.
- Understand comprehensive extraction site management – predictable and evidence based.
- Describe indications and protocols for immediate vs. delayed implant placement in the esthetic zone.
Thursday, June 20, 2019 – Hard Tissue Reconstruction
7:30 am – 8:00 am Introductions
8:00 am – 10:00 am Principles of Bone Grafting
Bone Biology, Soft Tissue Management and Flap Design
Bone Grafting Algorithm; Mandibular Block Autografts – Science and Art
10:00 am – 10:30 am Break
10:30 am – 12:00 pm Mandibular Block Autografts (con’t); Sinus Grafting – Science and Art
12:00 pm – 1:00 pm Lunch
1:00 pm – 3:00 pm Mesh / Particulate Grafting – Autografts, Allografts, Xenografts, Bioactive Modifiers, BMP, PDGF, PRF, PRGF; Ridge Expansion
3:00 pm – 3:30 pm Break
3:30 pm – 6:00 pm Bone Graft Complications: Prevention, Identification and Management / Case Studies
6:00 pm – 6:30 pm Q & A with Drs. Pikos and Salama
7:00 pm – 8:00 pm Welcome Reception
Friday, June 21, 2019 – Soft Tissue Reconstruction
8:00 am – 10:00 am Soft Tissue Anatomy, Blood Supply and Wound Healing
10:00 am – 10:30 am Break
10:30 am – 12:00 pm Soft Tissue Procedures and Techniques for Teeth, Pontics and Implants
12:00 pm – 1:30 pm Lunch
1:30 pm – 3:00 pm Minimally Invasive Soft Tissue Techniques; Tunnel, VISTA and Semi-Lunar CAF
3:00 pm – 3:30 pm Break
3:30 pm – 5:00 pm Flap Designs, Suture Techniques and Review of Critical Surgical Concepts and Complications
5:00 pm – 6:00 pm Guest Lecturer: Dr. Eduardo Anitua – Biological Approach to Atrophic Maxillae with Minimally Invasive Techniques
6:00 pm – 6:30 pm Q & A
Saturday – June 22, 2019 – Esthetic Zone Reconstruction
8:00 am – 10:00 am Extraction Site Management: Current Research and Techniques in Tooth Replacement Strategies.
10:00 am – 10:30 am Break
10:30 am – 12:00 pm Combination Cases: Hard and Soft Tissue Grafting for Optimal Results
12:00 pm – 1:15 pm Lunch
1:15 pm – 3:15pm Complications: Recognition, Prevention and Management
3:15 pm – 3:30 pm Break
3:30 pm – 5:00 pm Recent Cases Using Advanced Techniques and Technology: 3D CT Grafting, Artificial Gingiva, and Bioactive Modifiers
Sunday, June 23, 2019 | 8 am – 12 pm (Separate Registration is Required)
Optional Program: Limited Capacity Hands-On Training
Hard Tissue Regenerative Strategies: Mesh Particulate, Ridge Split and Sinus Grafting
by Dr. Michael A. Pikos
This unique clinically based hands-on technique course will draw on the speaker’s 34 year experience with bone grafting, and will feature three distinct and valuable mini lecture/ hands-on bone grafting protocols:
1. Titanium mesh and PTFE membrane particulate grafting
2. Ridge splitting with immediate and delayed implant placement
3. The Pikos membrane repair protocol for large and totally perforated maxillary sinuses.
Flap design, soft tissue management and comprehensive site development will be covered,
along with a sequential CBCT and clinical evaluation protocol for all grafting modalities.
• To learn the application of titanium mesh and titanium reinforced PTFE membranes with particulate grafting for alveolar ridge augmentation.
• To learn the surgical protocol of ridge splitting with immediate and delayed implant placement.
• To learn the surgical protocol of the Pikos membrane repair technique for large and totally perforated sinus membranes.
Critical Soft Tissue Techniques: A Hands-On Course
by Dr. Maurice A. Salama
Part and parcel of a thorough dental evaluation today is determining the gingival phenotype of the individual. Thickness of the gingiva, zone of attached tissue, and tissue color all play important roles in developing the long-term health and esthetics in dental treatment of any kind. The exact determination of the location of the underlying bone acts as a prognostic indicator of future soft tissue levels.
Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Alloderm, Dermis, Pericardium) and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, and edentulous ridges, as well as to support facial soft tissue structures, will be reviewed as to their critical role in “Complete Esthetics”.
This hands-on course will highlight the three most utilized soft tissue procedures in clinical practice, the ridge augmentation technique for pontic site/implant site enhancement, autogenous palatal CTG Harvest and the periodontal microsurgical “tunnel” root coverage procedures. It will teach in detail and simplify the process of site evaluation, critical anatomy, flap design, harvest techniques and suturing.
• To learn basic surgical anatomy, incisions, and tunnel techniques in soft tissue surgery.
• To apply three commonly-used soft tissue grafting techniques in clinical practice.
• To learn critically important modified suturing methods to secure flaps and grafts.