Course Objectives (1 CE Credit)
Bone augmentation prior to or during implant placement can improve both the functional aspect and final esthetics of the patient’s restoration. Because bone is rapidly lost after tooth extraction, bone grafting can aid the patient in growing new bone through a process of self-mediated resorption and regeneration. Dr. Neil Park opens a discussion on various scenarios for this remodeling process — including ridge preservation, sinus augmentation, lateral ridge augmentation and immediate implant placement — with an emphasis on how each indication calls for individualized considerations in material selection. Topics include:
- Methodology for the selection of regenerative materials
- Variation in the need for grafting by region of the mouth
- Comparison of allograft and alloplast materials
- Recommendations for autologous bone harvesting
- Advantages of a resorbable collagen membrane
- Factors for treating with a mineralized cortico/cancellous allograft blend
Implantologists can choose from several different materials when augmenting bone for implant placement; however, the proper selection is often determined after carefully considering the advantages each material affords in any given case.
CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.
- Urist MR, Strates BS. Bone morphogenetic protein. J Dent Res. 1971 Nov-Dec;50(6):1392-406.
- Urist MR. Mesenchymal cell reactions to inductive substrates for new bone formation. In: Dunphy JE, Van Winkle W Jr., editors. Repair and Regeneration. New York: McGraw-Hill; 1969.
- Misch CE. Contemporary Implant Dentistry. 3rd ed. St. Louis: Mosby; 2007.