There’s a patient who is literally begging for dental implant therapy.  She can’t present well in public with flappy dentures and is not a candidate for a bridge.  A CBCT scan is taken and it’s obvious that her sinuses dip low into the space where the implants should go and in other places her alveolar ridge is thin.  You want to know what can be done and if you have the skills and equipment to help her regain her confidence.  What are the treatment planning options and is she a good candidate for sinus lifting or block bone grafting? What alternatives do you have?  You want to build your reputation and have all her friends see you at the practice after you’ve finished helping her.

Block bone grafting & sinus lifting are the most common treatment options used in situations of severe loss of alveolar bone for dental implant treatment. This course will give you hands-on, in depth knowledge of these treatment options and risk analysis. It will give you a thorough platform for skill development. Block bone grafting and sinus lifting are complex regenerative procedures for very experienced clinicians and specialists.  Obvious….but good to mention anyway- please be aware that complex procedures should always be performed on patients after numerous pre-clinical simulations and then under strict supervision & mentorship of an experienced clinician.

Didactic component:

• Anatomy of the maxillary sinus for the purpose of lateral & transcrestal sinus grafts
• Anatomy of the chin & ramus for bone block harvesting purposes
• Diagnosis of pathology in the sinus and when to refer to ENT physician
• CBCT scan analysis, risk assessment, treatment planning and treatment sequence
• Donor sites- ramus, chin, bone substitutes
• Use of Piezo surgery and specific instrumentation for complex grafting procedures
• Flap designs & layered suturing techniques
• Patient post-operative care
• Patient cases with history, assessment, treatment options, step-by-step treatment

Hands-on Component:

• Participants will prepare the harvest site
• Prepare the donor site to fit the harvested bone
• Participants will simulate a lateral sinus lift procedure
• Use piezo surgery, fixation screws, collagen membranes, membrane tacs, chisels, mallets
• Use of particulate bone around the site
• Complex flap designs, relieving incisions for tension free closure and suturing techniques