Performing surgery on frozen cadavers is extremely life like. Participants can perform the procedures and experience the use of the operating microscope. Procedures are performed on heads that have been scanned and planned with SimPlant. Included are: Atraumatic tooth removal and ridge preservation techniques, flap design and advanced suturing, tissue relief to allow tension free flap closure, mental nerve exposure, Piezo harvesting of bone, trephine bur harvest, barrier membrane manipulation and tacking, lateral wall approach to the maxillary sinus and dental implant placement. This Program is restricted to 18 participants.

Topics

• General principals of intraoral autogenous donor bone sites
• Keys to bone grafting - block grafts
• The Ramus & tuberosity donor graft procedures
• The Symphysis donor graft procedure
• Extraoral autogenous donor bone harvest sites
• Surgical options C Bone
• Prosthetic options C Bone
• D1 Bone/ C Bone
• Immediate load - partially edentulous
• HA grafts to premaxilla
• Laboratories - workshops

Objectives

• Describe and apply dense hydroxyapatite graft procedure in the maxillary anterior region for denture support or ovate pontics.
• Describe the surgical options for moderate bone volume (Division C), including augmentation, and root form implants, and/or subperiosteal implants.
• Prepare a root form osteotomy in the most dense bone type and appreciate the increased surgical risk of failure.
• Understand soft tissue principles of bone grafting: including flap design, flap extension, soft tissue closure and suturing.
• Perform site development procedures related to hard tissue healing.
• Apply biologic factors such as growth factors to the bone graft process.
• Appreciate the need for a "layered" approach for growth factors involved in large volume bone grafts.
• Perform methods to increase Platelet Rich Plasma (PRP) and learn the advantages for soft tissue as well as hard tissue on bone grafting.
• Recognize the advantages for block vs. particulate bone grafts for large defects.
• Describe the step-by-step procedure for harvesting a ramus and/or body of the mandible for block bone grafts.
• Understand the impact of defect size and shapes on the bone graft techniques to be selected.
• Establish the skills and techniques for block fixation necessary for predictable bone grafting.
• Describe the step-by-step procedure for harvesting a symphysis mono cortical block for bone grafting.
• Understand the complications - during surgery, immediate post-operative and long term for the harvest site of the ramus and/or symphysis.